CONTEMPORARY ISSUES in HEALTHCARE LAW and ETHICS Third Edition Dean M. Harris

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DEAN M. HARRISCONTEMPORARY ISSUES in HEALTHCARE LAW and ETHICS Third EditionAUPHA HAP Editorial Board for Graduate Studies Sandra Potthoff, Ph.D., Chair University of Minnesota Simone Cummings... , Ph.D. Washington University Sherril B. Gelmon, Dr.P.H., FACHE Portland State University Thomas E. Getzen, Ph.D. Temple University Barry Greene, Ph.D. University of Iowa Richard S. Kurz, Ph.D. Saint Louis University Sarah B. Laditka, Ph.D. University of South Carolina Tim McBride, Ph.D. St. Louis University Stephen S. Mick, Ph.D. Virginia Commonwealth University Michael A. Morrisey, Ph.D. University of Alabama–Birmingham Dawn Oetjen, Ph.D. University of Central Florida Peter C. Olden, Ph.D. University of Scranton Lydia M. Reed AUPHA Sharon B. Schweikhart, Ph.D. The Ohio State University Nancy H. Shanks, Ph.D. Metropolitan State College of DenverDean M. Harris Health Administration Press, Chicago AUPHA Press, Washington, DC AUPHA HAP CONTEMPORARY ISSUES in HEALTHCARE LAW and ETHICS Third EditionYour board, staff, or clients may also benefit from this book’s insight. For more information on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9470. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The statements and opinions contained in this book are strictly those of the author(s) and do not represent the official positions of the American College of Healthcare Executives, of the Foundation of the American College of Healthcare Executives, or of the Association of University Programs in Health Administration. Copyright © 2008 by the Foundation of the American College of Healthcare Executives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the publisher. 11 10 09 08 07 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Harris, Dean M., 1951– Contemporary issues in healthcare law and ethics / by Dean M. Harris.— 3rd ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-56793-279-9 (hardcover : alk. paper) 1. Medical care—Law and legislation—United States—Popular works. 2. Medical ethics—Popular works. I. Title. [DNLM: 1. Delivery of Health Care—legislation & jurisprudence— United States. 2. Ethics, Medical—United States. 3. Insurance, Health— legislation & jurisprudence—United States. W 32.5 AA1 H313c 2007] KF3825.Z9H37 2007 344.7303'21—dc22 2007012262 The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984. ∞™ Acquisitions editor: Audrey Kaufman; Project manager: Gregory Sebben; Cover designer: Chris Underdown. Health Administration Press Association of University Programs A division of the Foundation in Health Administration of the American College of 730 11th Street, NW Healthcare Executives 4th Floor One North Franklin Street Washington, DC 20001 Suite 1700 (202) 638-1448 Chicago, IL 60606 (312) 424-2800Dedicated to Deborah McLaughlin HarrisCONTENTS List of Figures.........................................................................................xv List of Problems.........................................................................................xvi Preface.......................................................................................................xvii Acknowledgments......................................................................................xix I THE ROLE OF LAW IN THE U.S. HEALTHCARE SYSTEM 1 Using the Law to Promote Our Policy Goals and Ethical Principles ..........................................................................3 2 The American Legal System...........................................................13 3 How to Conduct Legal Research ...............................................29 II MANAGING AND REGULATING THE HEALTHCARE SYSTEM 4 The Legal Structure and Governance of Healthcare Organizations..........................................................................41 5 Government Regulation of Public Health and Healthcare Services .................................................................61 6 Protecting the Privacy of Medical Information .............................89 7 Medical Staff Membership and Clinical Privileges....................111 8 The Law of Government Payment Programs: Medicare, Medicaid, and Fraud and Abuse....................................................123 9 Antitrust Law in the Healthcare Field......................................157 viiIII PATIENT CARE ISSUES 10 The Law of Tort Liability.........................................................187 11 Legal and Ethical Obligations to Provide Care ........................213 12 Legal and Ethical Issues in Termination or Refusal of Care and Physician-Assisted Suicide .........................................235 13 Human Reproduction ..............................................................263 IV LEGAL AND ETHICAL ISSUES IN HEALTH INSURANCE AND MANAGED CARE 14 Selective Contracting with Providers........................................283 15 Financial Incentives to Provide Less Care ................................297 16 Controlling Utilization of Healthcare Services ........................311 17 Health Insurance and the Ongoing Effort to Achieve Universal Coverage...................................................................335 Table of Cases ......................................................................................355 Table of Statutes ..................................................................................361 Table of Regulations ............................................................................365 Index....................................................................................................367 About the Author...........................................................................377 [Show More]

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