Debates about healthcare reform almost universally compare the U.S. system to that of the U.K. or Canada, national health systems.

Debates about healthcare reform almost universally compare the U.S. system to that of the U.K. or Canada, national health systems.

D 2.2: You live in Shiprock, New Mexico – in what is called the Four Corners Region — and hold a professional license to practice as a physician. You would like to open satellite offices and offer services in the neighboring states of Utah, Arizona, and Colorado. Can you? What federal and state agencies will you need to contact? Does it matter if you are an allopathic or osteopathic physician?

D 3.1: Debates about healthcare reform almost universally compare the U.S. system to that of the U.K. or Canada, national health systems. Can the U.S. have a national health system? Why or why not? What role does the 10th Amendment to the U.S. Constitution play?

D 3.3: You are a health systems analyst with MegaHealth. After seeing a news report on the aging of American, the board chair has expressed an interest in opening long-term care facilities in Oregon, Wisconsin, and Minnesota. The vice president for planning has asked you for background information on Certificate of Need (CON) requirements in these states. Prepare a brief passage that defines a CON and explores the pros and cons of the law. Then, create a table that compares the legal requirements for CONs in those three states. Finally, summarize your findings. Which state law is the least onerous? Why? Which one is the most difficult of the three? Why? Are they controversial? If so, in what way?

D 4.1: CMS maintains an extensive list of Conditions of Participation (CoP). What are these?

D 4.2: Explain the role of waivers with CMS. How do these contribute to the development of State Medicaid Plans (SPA’s)?

D 5.1: Consider the settlement in U.S. v. Halifax and the Corporate Integrity Agreement entered into by Halifax Hospital Medical Center, which addresses methods for preventing Anti-Kickback violations. What measures required by the Corporate Integrity Agreement do you believe will be most effective in preventing future violations? Which, if any, do you think will be least effective or ineffective in preventing future Anti-kickback violations? Explain your reasoning.

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