UNIT I Health Care Law Review Questions
Chapter 2 Review Questions
- From what founding documents and principles of U.S. government has American health care law evolved?
- Briefly describe the role of the judicial branch and how it relates to the work of the legislative branch.
- What is the composition of the executive branch? What are two of its historic health-related priorities?
- How does the Federal Trade Commission protect American health care?
- What does the regulation of nanotechnology have in common with regulation by the FDA?
Chapter 3 Review Questions
- Are public health programs more susceptible to health care fraud than private health care programs? Why or why not?
- What must the government show to convict providers for violations of the anti-kickback law?
- Describe the possible sanctions for violations of the False Claims Act.
- Compliance programs are spreading consistency and transparency in compliance practices throughout the health industry in spite of potential drawbacks. What are some of these potential drawbacks?
- What is channel stuffing?
Chapter 5 Review Questions
- Roughly what proportion of the American population has no health insurance? What is the typical income level of this population?
- What are some proposals for insuring the uninsured?
- What are some proposals to reduce the cost of health care?
- Why are tax credits a particularly appealing solution for providing coverage for the uninsured?
- What steps has the drug industry taken to address rising drug costs for consumers?
Chapter 9 Review Questions
- With the needs of the middle class in mind, what form of health care system have many Americans come to favor?
- Under ERISA, what can a harmed patient recover? Can a state bring an ERISA claim on behalf of its citizens?
- Describe the dilemma presented by the need to cut health care costs and the challenges of rationing care.
- What would uniform sets of performance measures and mandated disclosure of audited care outcome data provide to patients?
- In reality, what is the basis for health insurers’ determinations of medical necessity and therefore reimbursement?