Health Insurance, Health Reform and the Law
SPH LW 830
The seminar examines recent and pending federal and state health insurance legislation to identify changes in the law and legal principles governing health insurance and health benefit programs in the U.S. Special attention is paid to Massachusetts as a model for federal legislation and the comparative advantages of federal and state governance. Students explore the key role(s) of insurance in the health system by analyzing and comparing federal and state laws governing different types of health benefit plans (including indemnity insurance, disease management, and consumer choice plans), and how reforms affect current law, including state licensure, Medicare, Medicaid, and the Employee Retirement Income Security Act. Topics include: basic concepts of insurance; accepting, managing and shifting financial risk; individual and employer mandates; insurance exchanges; contracting with providers; designing and administering health plans; defining benefits; and remedies for breach of contract and negligent care. This class meets at BU School of Law and follow the Law School class schedule
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