Healthcare Law

The future of healthcare is clear. The move toward value-based care is happening at an unprecedented rate and requires healthcare enterprises to build delivery models that focus on clinical and business outcomes, not on volume. This shift requires a new infrastructure that supports the digitization, standardization, commoditization, and globalization of the healthcare industry.   In Essential Operational Components for High-Performing Healthcare Enterprises, Jon Burroughs and other nationally respected experts highlight the operational building blocks necessary to engage, align, and transform healthcare organizations into integrated delivery systems capable of delivering population healthcare outcomes in new ways. They must marshal cutting-edge tools, including cloud-based data storage, disruptive innovation technologies, and strategic partnerships that span the globe.   This forward-thinking book defines the fundamental operational components for achieving success in a value-based world, including: Collaborative leadership skills Governance competencies Rapidly evolving clinical and executive roles  Dynamic strategic planning and contracting Models of clinical integration and alignment that are capable of managing actuarial risk Seamless transmission of cloud-based health information through global health information exchanges Predictive business and clinical analytics to manage actuarial risk and population healthcare outcomes A population health infrastructure to support the cost-effective redistribution of resources Other industries have undergone a similar transformation; now healthcare, the most complex industry of all, must complete these changes to excel in the new global marketplace. This book shows the way.

Emergence of the Healthcare Organization -- Forces for Change in Healthcare -- The Premise of "The Well-Managed Healthcare Organization" -- The Building Blocks: Healthcare Organizations at the Start of the Century -- Governing: Making Healthcare Organizations Responsive to Their Environment -- Relating Healthcare Organizations to Their Environment -- Understanding the Forces Shaping Organizations -- Applying the Theory to Healthcare Organizations -- Important Customer Motivations -- Important Member Motivations -- The Future for the Well-Managed Healthcare Organization: A New Vision of Good Care -- Leading Strategies at the Turn of the Century -- The Governing Board -- Membership -- Education and Information Support -- Structure for an Effective Corporate Board -- Subsidiary and Joint Venture Boards -- Measures of Board Effectiveness -- The Executive Office -- Leadership -- Selecting Executive Personnel -- Organization -- Measures of Executive Performance -- Encouraging Effective Executive Office Performance -- Designing the Healthcare Organization -- The Informal Organization and Organization Culture -- The Accountability Hierarchy, or Formal Organization -- The Collateral Organization, or Decision-Making Structure -- Multi-unit Organizations -- Measuring Performance -- Advantages of Quantitative Information -- Criteria for Measurement Systems -- Kinds of Quantitative Information -- Approaches to Quantification -- Using Measures to Improve Performance -- Monitoring and Controlling -- Caring: Building Quality of Clinical Service.

The business of providing medical care is in the midst of dramatic change. To keep pace with evolving economics and reimbursement practices, the small physician practice, which stood as the standard arrangement for so long, is giving way to larger, more corporate models. These models have led to a highly regulated business environment in the health care services industry, which involves interpreting areas of the law without clear guide rails. The corporate practice of medicine and fee-splitting prohibitions, depending on which state's laws you are interpreting, can be one of those areas of the law that lack those guide rails. Advising clients on compliance with the prohibitions may require more finesse and risk analysis than legal research in some jurisdictions.This primer on the prohibitions provides practitioners with* the historical context in which they arose;* a concise discussion of each of the prohibitions and how they affect the business of medicine;* what they mean for the ownership and day-to-day operation of healthcare practices; and* practical assistance in helping clients navigate this particular area of law.

Report of a colloquium of the same name, held by NHLA/AAHA from Feb. 28-Mar. 1, 1997.

Table of Contents:
CHAPTER 1 Introduction
CHAPTER 2 Substantive Qualification Requirements
CHAPTER 3 Procedures for Obtaining and Maintaining Exemption
CHAPTER 4 Nonprofit and Government Hospitals
CHAPTER 5 Facilities and Services for the Elderly
CHAPTER 6 Managed Care Organizations
CHAPTER 7 Medical Groups And Faculty Practice Plans
CHAPTER 8 Integrated Health Care Delivery Systems
CHAPTER 9 Cooperative Hospital Service Organizations
CHAPTER 10 Miscellaneous Health Care Organizations
CHAPTER 11 Lobbying by Public Charities
CHAPTER 12 Electioneering by Hospitals and Health Care Organizations
CHAPTER 13 Public Charity Status of Section 501(c)(3) Organizations
CHAPTER 13A The Excise Taxes on Excess Benefit Transactions
CHAPTER 14 Operating Health Care Organizations as Private Foundations
CHAPTER 15 General Rules for Unrelated Business Taxable Income
CHAPTER 16 Acquiring, Operating, and Disposing of Debt-Financed Property
CHAPTER 17 Record-Keeping, Reporting and Disclosure Requirements and Penalties
CHAPTER 18 Internal Revenue Service Audits
CHAPTER 19 Partnerships and Joint Ventures
CHAPTER 20 Physician Recruitment and Retention
CHAPTER 21 Conversions of Status of Hospitals and Health Care Organizations

Economic Valuation of Life and Health -- Individuals as Producers of Their Health -- Empirical Studies of the Production of Health -- Health Goods, Market Failure and Justice -- Optimal Health Insurance Contracts -- Risk Selection in Health Insurance Markets -- Physicians as Suppliers of Medical Services -- Hospital Services and Efficiency -- Paying Providers -- Forms of Delivery of Medical Care -- The Market for Pharmaceuticals -- The Political Economy of Health Care -- Future Challenges to Health Care Systems.
Health Economics presents a systematic treatment of the economics of health behavior and health care delivery. Appropriate both for advanced undergraduate and graduate students of economics, this text provides the background required to understand current research, presenting theoretical models as well as empirical evidence and summarizing key results. Without neglecting ethical concerns, modern microeconomic theory is applied to formulate theoretical implications and predictions. Issues discussed include the economic valuation of life and health, moral hazard in health care utilization, supplier-induced demand, the search for remuneration systems with favorable incentives, risk selection in health insurance markets, and technological change in medicine.