Trying to make sense of the regulatory landscape in healthcare can be difficult. The many federal and state entities and their rules may work together, yet they sometimes contradict one another. Mastering Healthcare Regulation will help readers understand and ultimately navigate the numerous layers of regulatory oversight within the healthcare system. This book clarifies laws and regulations with straightforward explanations and case studies that place readers in the shoes of regulatory decision-makers.

The first section of the book presents an overview of healthcare regulation, including market dynamics and the interactions between the various regulatory organizations. Each section that follows focuses on a broad subject that regulations seek to address: cost containment; consumer protection; payment and delivery system reform; and patient access, health, and safety. Background is provided on each issue, and real-world scenarios are used to illustrate regulatory approaches and their economic, legal, and clinical ramifications. The case studies bring the topic to life by challenging students to examine statutory criteria, assess evidence, carefully consider several perspectives, and make recommendations.

The regulatory issues that are explored include the following:

• Certificates of need
• Healthcare growth benchmarks and containment of cost growth
• Price transparency
• Anticompetitive practices
• Healthcare professional licensure
• Care quality and safety
• Efficacy of new drugs
• Hospital global budgets
• Accountable care organizations

Mastering Healthcare Regulation will teach readers not only how to decipher the regulatory landscape's complexities but also how to influence regulations rather than simply being impacted by them.