HEALTH CARE FRAUD
(HEALTH LAW – 1050)
This course will examine the rise of health care fraud as a national law enforcement priority and the legal framework for health care fraud enforcement activities in the United States. The course will examine: (a) the different types and special characteristics of health care fraud as a species of white collar crime; (b) the prevailing criminal, civil and administrative health care fraud enforcement regimes; (c) key health care fraud and abuse laws, and the penalties associated with violations; (d) the importance of implementing compliance programs at health care organizations; and (e) current trends in health care fraud enforcement as well as the factors influencing prosecutorial discretion. Grades will be based on a final examination and class participation. Pre-requisite: CRIMINAL LAW
(HEALTH LAW - 1000)
This course will examine the legal structure of health care delivery in the United States and how it affects the issue of access to quality health care. The course will be divided into two components: 1) introduction to the basics of health care delivery and financing, and 2) the legal ethics of rationing access. Because the course will focus upon the legal issues connected to constraints on access to health care, in addition to serving as an introduction to Health Law, the course will also address the current legal debates concerning the demands on health care of the elderly. Grades are based upon a research paper.