Health Care and Social Law
Healthcare and Social Law includes the law of public health, health care generally, and medical care specifically. Maintaining public health is a chief duty of the state. Health regulations and laws are almost all administered at the state level. Many states delegate authority to subordinate governmental agencies such as the board of health. These boards are created by legislative acts.
Federal health law emphasizes the activity of the Department of Health and Human Services (HHS). It directs a wide assortment of agencies and programs, like providing financial assistance to needy individuals; guiding medical and scientific research; providing health care and advocacy services; and imposing laws and regulations related to human services. A significant part of the HHS is the Centers for Medicare and Medicaid Services, which supervise the Medicare and Medicaid Programs. Their goal is to ensure that elderly and needy individuals receive appropriate medical care.
Private health insurance is primarily received through health maintenance organizations (HMO's). Managed care basically creates a relationship between physician, patient, and payer. Physicians are paid a flat per-member per-month fee for basic health care services, regardless of whether the patient seeks those services. The risk that a patient is going to require weighty treatment shifts from the insurance company to the physicians under this model. Because of the prominence of the industry, HMO's are heavily regulated. On the federal level the Health Maintenance Organization Act of 1973 governs.
For more information on Health Care and Social Laws, please review the links found below. Additionally, you can find legal assistance with these types of claims and questions by clicking on the "Lawyers" tab in the menu bar at the top of this page.
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Articles on HG.org Related to Health Care and Social Law
- What to Expect During a Panel Qualified Medical Evaluation (PQME) or Agreed Medical Evaluation (AME)During a neutral medical-legal evaluation, known in the Workers' Comp arena as PQME or AME you are expected to undergo a lengthy (multiple hours) medical evaluation that includes an extensive physical evaluation of all plead body parts, review of your medical history, including but not limited to the industrial injury at issue, complete history of your employment and conditions surrounding your injury, and any other pertinent facts to the sequelae medical effects of the industrial injury.
- The Basics of Medicaid Planning: A Comprehensive GuideMedicaid planning is a critical financial strategy for individuals and families seeking to secure long-term healthcare coverage while protecting their assets. Whether you’re approaching retirement or assisting a loved one in their senior years, understanding the fundamentals of Medicaid planning can make a significant difference in navigating the complex world of healthcare finance. In this guide, we’ll cover the basics to get you started.
- Why Did Social Security Suspend My Benefits?Social Security is a critical lifeline for many Americans who have paid Social Security taxes all their lives, particularly those who are disabled, retired, or nearing retirement age. However, there are instances when Social Security Disability benefits are suspended, leaving beneficiaries confused and distressed. This article will shed light on the Social Security Administration's rationale in determining SSI eligibility, outline a few of the reasons it may have suspended your benefits, and explain what can happen as a result.
- Common Types of Pharmaceutical Fraud in the United StatesAs science and technology continue to advance, pharmaceutical companies play a significant and critical role in the healthcare industry by developing new medications and improving existing medications for the treatment of diseases. Big pharma and the smaller pharmaceutical companies do an amazing job at times in helping people’s quality of life and combating disease, however, sometimes when they do bad things, they do things that are very very bad, and cost the taxpayers billions of dollars as well as put patients at risk.
- Denied Claims for Social Security Disability Benefits in Florida: What You Need to KnowObtaining social security disability benefits in Florida can be a challenging process, and it's not uncommon for many people to be denied initially. There can be multiple reasons why your claim may have been denied. The Social Security Administration (SSA) has specific criteria and requirements that must be met to qualify for disability benefits.
- Should You Start or Buy an In-Home Health Care Agency?Are you considering building your own home health care business? It is an important industry that offers major opportunities. Developing your own business is a great way to support yourself, your family, and your community. At the same time, owning a business is a major investment of time and money. One of the first questions you need to ask yourself is if you should buy into an existing business or build one from the group up.
- Florida's Social Security Disability Evaluation Process ExplainedIn the state of Florida, obtaining social security disability benefits involves navigating a disability evaluation process conducted by the Social Security Administration (SSA). This process is not simple and requires providing proof of disability, submitting a thorough application for social security disability, and understanding the intricacies of the evaluation process. It's crucial to be knowledgeable about the steps involved in the disability evaluation process in order to have the best chance of receiving disability benefits. In this article, we will explore the key information about the disability evaluation process in Florida, shedding light on the complexities of this procedure and providing insights to help individuals better understand and navigate the process effectively.
- Why We Expect Future FDA Investigations of the Type II Diabetes Drug SemaglutideSemaglutide, sold under its brand names Ozempic, Wegovy, and Rybelsus, is a drug for people suffering from type 2 diabetes. However, its weight loss efficacy has led to an explosion in popularity, helped along by endorsements by celebrities and online influencers. It has become so popular that it is now in short supply, further increasing the price of a dose and pushing patients into alternative ways of obtaining the diabetes medication. Because a lot of the demand has been for off-label use as a cosmetic body weight loss regimen, we would expect the U.S. Food and Drug Administration (FDA) to take action in the near future.
- Medicare and Medicaid Fraud Whistleblower RewardsIf you have evidence that your employer or healthcare provider is submitting false claims to Medicare or Medicaid, you may be entitled to a financial reward and legal protections as a whistleblower. Under the False Claims Act, the government will pay you between 15% and 30% of the money it recovers with your help. That often adds up to hundreds of thousands of dollars and sometimes millions of dollars in whistleblower reward money.
- The Importance of an Experienced Healthcare Business Attorney in CaliforniaCalifornia is genuinely the most challenging environment for any company with employees. This is especially true in the case of a medical practice or healthcare-related business. The extensive federal, state and local laws, ordinances and regulations are continuously changing increasing the risk of operations in a competitive environment with shrinking margins.
- All Health Care and Social Law Articles
Articles written by attorneys and experts worldwide discussing legal aspects related to Health Care and Social including: defective drugs, failure to diagnose, informed consent, medical law, medical malpractice, medication errors, pharmaceutical law, social security, social services law, surgical errors.
