The University of Toledo

SHBE 5002: Healthcare Policy and Law

The course examines the primary policy, legal and ethical issues facing healthcare leaders today. It places the student in a position to explore and understand the business implications of current healthcare trends in reimbursement methodologies, protected information, healthcare portability, patient privacy, advanced directives, euthanasia, anti-kickback issues, Stark Laws, Accountable Care Organizations, Meaningful Use, Patient Centered Medical Homes, EMTALA, and other relevant policy developments.  

Learning Objectives:

• Be aware of the major policy generating entities in the U.S.A.
• Identify the key regulatory changes afoot
• Understand and explain the business and managerial implications of healthcare policy
• Identify opportunities and threats to the healthcare business resulting from policy changes
• Develop effective business strategies that improve business performance given of healthcare policy

Topics:

• The role of the Federal Government in policy making
• Reimbursement methodologies and major payers
• Accountable Care Organizations (ACOs)
• Stark Law
• Anti-Kickback regulation
• Health Insurance Portability and Accountability ACT (HIPAA) and EMTALA
• Meaningful Use and Regional Health Information Exchanges (Interoperability)
• Patient Centered Medical Homes (PCMH)
• Medical Malpractice issues