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Medicare and America's healthcare system in transition: from the death of managed care to the Medicare Modernization Act of 2003 and beyond. 医疗保险和转型中的美国医疗体系:从管理式医疗的死亡到2003年及以后的医疗保险现代化法案。
Journal of health law Pub Date : 2005-01-01
Rick Mayes
{"title":"Medicare and America's healthcare system in transition: from the death of managed care to the Medicare Modernization Act of 2003 and beyond.","authors":"Rick Mayes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This Article traces the transition--in Medicare, specifically, and in the American healthcare system, generally--from the aftermath of the Balanced Budget Act of 1997 to the passage of the Medicare Modernization Act of 2003. During this time, restrictive managed care died under an onslaught of resurgent cost pressures, legislative and legal attacks, and a vehement physician and consumer backlash. The subsequent reversion to more generous (and more expensive) health plans coincided with a recession in 2001 to trigger a return to rapidly escalating healthcare spending and yet another in the Nation's series of healthcare crises. Current trends suggest that future policymakers will have no choice but to confront the consequences of rapidly rising rates of healthcare spending.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25854528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Guide to Legal Issues in Life-Limiting Conditions. 生命限制条件下的法律问题指南。
Journal of health law Pub Date : 2005-01-01
Elisabeth Belmont, J Kay Felt, Elizabeth M Foley, Gavin J Gadberry, Barbara L Miltenberger, Christopher C Puri, Lisa Diehl Vandecaveye
{"title":"A Guide to Legal Issues in Life-Limiting Conditions.","authors":"Elisabeth Belmont,&nbsp;J Kay Felt,&nbsp;Elizabeth M Foley,&nbsp;Gavin J Gadberry,&nbsp;Barbara L Miltenberger,&nbsp;Christopher C Puri,&nbsp;Lisa Diehl Vandecaveye","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25673873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Qui tam actions: best practices for relator's counsel. 团队行动:亲属律师的最佳实践。
Journal of health law Pub Date : 2005-01-01
Donald H Caldwell
{"title":"Qui tam actions: best practices for relator's counsel.","authors":"Donald H Caldwell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The False Claims Act empowers the U.S. Government to identify and prosecute fraud. It does so in no small part by engaging qui tam relators who, with their attorneys, are deputized under the Act to help investigate and prosecute these cases. By combining the insight and industry-specific knowledge of the citizenry with the investigative and prosecutorial resources of the government, Congress attempted to facilitate a united front against pervasive fraud and abuse by government contractors, an aggressive effort that has borne fruit, recovering funds and protecting important federal programs. This Article proposes ways in which relators' counsel and government attorneys can work together more effectively in these cases to achieve the goals of the statute.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25854527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reforming residency: modernizing resident education and training to promote quality and safety in healthcare. 改革住院医师:使住院医师教育和培训现代化，以促进医疗保健的质量和安全。
Journal of health law Pub Date : 2005-01-01
Laura Lin, Bryan A Liang
{"title":"Reforming residency: modernizing resident education and training to promote quality and safety in healthcare.","authors":"Laura Lin,&nbsp;Bryan A Liang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of medical residency is to provide the best clinical education for future practice, while increasing quality and safety in current and future healthcare. This goal is not being met. Traditional residency programs often continue to utilize individually oriented, shame-and-blame approaches that do not recognize the systems nature of outcomes, care, and patient safety. Appropriate substantive methods, content, and training tools are also lacking, while residents continue to labor in a poor working environment. All these factors create a system that serves no one-not the resident, the patient, or the system in which both interact. Residency reforms are proposed to address these imperative concerns.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25673874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
I want my information back: evidentiary privilege following the partial birth abortion cases. 我想要回我的信息，部分分娩流产案之后的证据特权。
Journal of health law Pub Date : 2005-01-01
Molly Silfen
{"title":"I want my information back: evidentiary privilege following the partial birth abortion cases.","authors":"Molly Silfen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In February 2004, privacy concerns captured the public's attention when the United States government, the defendant in a lawsuit challenging the constitutionality of the Partial-Birth Abortion Ban Act of 2003, sought to subpoena the medical records of patients receiving intact dilation and extraction (also known as \"partial birth\") abortions in six different hospitals and six Planned Parenthood centers across the country. Three different federal court cases explored the enforceability of the subpoenas. This Note explores the rationales used by the three courts in examining the privacy interests involved. It then suggests some possible solutions for systematically protecting medical information: a legal solution; a technological solution; and a combination of both. The legal solution involves creating a federal physician-patient privilege, similar to that enforced in many states and parallel to the federal psychotherapist-patient privilege. The technological solution requires the complicity of multiple jurisdictions to verify the necessity of revealing medical information. Taken together, these solutions can assist the government in protecting its citizens by imposing more checks on itself.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24857255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Law and public health: beyond emergency preparedness. 法律与公共卫生:超越应急准备。
Journal of health law Pub Date : 2005-01-01
Wendy K Mariner
{"title":"Law and public health: beyond emergency preparedness.","authors":"Wendy K Mariner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This Article examines three questions: What is public health? What is public health law? What roles can lawyers play in public health? It first describes the breadth of public health, highlighting six trends shaping its future: social determinants of health; synergy between medicine and public health; shifts in focus from external (e.g., environmental and social) to internal (behavioral) risks to health; federalization of public health law; globalization of health risks and responses; and bioterrorism. Because the domains of law that apply to public health are equally broad, the Article next offers a conceptual framework for identifying the types of laws most suitable to different public health problems. Finally, the role of lawyers in the applied field of public health law is examined, first to encourage attention to law's effect on health, even laws having little apparent relationship to health; and second, to recognize that laws intended to achieve specific health outcomes may affect broader legal principles. Lawyers have a unique role to play in ensuring that the legal principles used to promote health also preserve justice.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25673875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Model conflict-of-interest policies. 为利益冲突政策建模。
Journal of health law Pub Date : 2005-01-01
Robin Locke Nagele
{"title":"Model conflict-of-interest policies.","authors":"Robin Locke Nagele","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25676623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Balancing in a crisis? Bioterrorism, public health and privacy. 在危机中保持平衡?生物恐怖主义，公共健康和隐私。
Journal of health law Pub Date : 2005-01-01
Janlori Goldman
{"title":"Balancing in a crisis? Bioterrorism, public health and privacy.","authors":"Janlori Goldman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Post-September 11, the government has been rapidly funding public health initiatives to bolster the Nation's ability to respond to bioterrorist attacks. While the infusion of money into the public health system is laudable, the pressure to enact legislation quickly has resulted in laws and policies that ignore privacy and civil liberties and that favor anti-bioterror initiatives over more common public health concerns. A public health agenda that ignores privacy and civil liberties will undermine public trust, leading people to not fully participate in critical public health activities. Our Nation is far more likely to succeed in preventing and responding to a potential act of bioterrorism if we embrace the principle that advancing public health and preserving individual liberties are symbiotic and inextricable.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25854531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Medical necessity" determinations--a continuing healthcare policy problem. “医疗必要性”的确定——一个持续存在的医疗政策问题。
Journal of health law Pub Date : 2004-01-01
Timothy P Blanchard
{"title":"\"Medical necessity\" determinations--a continuing healthcare policy problem.","authors":"Timothy P Blanchard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To promote an understanding of the implications of current structures and processes for medical necessity determinations that affect everyone, directly or indirectly, the American Health Lawyers Association will devote its biannual Public Interest Colloquium (to be held in February 2005) to the topic. In preparation for the colloquium, the author summarizes the history and current importance of the topic, identifies stakeholders in the system and their interests, and sets forth a preliminary list of issues to be considered by the colloquium participants, focusing on potential elements of an ideal system for making medical necessity determinations.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25144038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prompt-pay laws: a state-by-state analysis. 即时工资法:逐州分析。
Journal of health law Pub Date : 2004-01-01
Keith J Halleland
{"title":"Prompt-pay laws: a state-by-state analysis.","authors":"Keith J Halleland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following cases are the result of research performed in all state jurisdictions for any cases addressing \"prompt pay.\" Also included is a state survey of prompt-pay statutes.</p>","PeriodicalId":80027,"journal":{"name":"Journal of health law","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24675074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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