Medicare/Medicaid

Medicare and Medicaid have failed to deliver what was promised. Do you agree or disagree? Please explain. Be sure to explain the distinction between entitlement and welfare.

Required Reading
Chen, B. K., Gertler, P. J., & Yang, C. (2016). Physician ownership of complementary medical services. Journal of Public Economics, 144, 27-39.

Ghebleh, S. (2017). No VIP treatment: ACOs should not get waiver protection from the prohibition on beneficiary inducement. Vanderbilt Law Review, 70(2), 737-776.

Greaney, T. L. (2017). Coping with concentration. Health Affairs, 36(9), 1564.

Kanter, G. P., & Pauly, M. V. (2019). Coordination of care or conflict of interest? exempting ACOs from the stark law. The New England Journal of Medicine, 380(5), 410-411.

Pawlitz, K., Esq, & Russo, G. (2017). Proactively responding to government investigations using data analytics: an examination of data considerations in the post-acute context. The Health Lawyer, 29(5), 23-30.

Plunkett, Lance, J.D., L.L.M. (2017). New courses and old prohibitions. New York State Dental Journal, 83(3), 4-6.

Shay, D. F. (2016). Overpayments and voluntary repayments under the new 60-day rule. The Journal of Medical Practice Management: MPM, 32(3), 195-197.

Stein, M. M. (2019). Hargan aims to put stark, anti-kickback law reforms in place soon. Inside Washington Publishers’ Inside CMS, 22(6)

Sullivan, W. M., Jr., & Leonardi, F. (2017). Tackling the heart of the problem. Criminal Justice, 31(4), 23-25,29.

Web sites
U.S. Department of Justice, Antitrust Division (2017). Highlights. Retrieved from http://www.usdoj.gov/atr/

U.S. Department of Health and Human Services, Office of the Inspector General. (n.d.). Fraud prevention & detection. Retrieved from http://oig.hhs.gov/fraud/