Play video

ERISA Remedies and ACA Reforms

Learn about ACA reforms to private health insurance.

Transcript

The federal Employee Retirement Income Security Act, or ERISA, preempts a significant amount of state regulation for private health insurance, creating a regulatory gap that ERISA itself doesn’t really fill. However, passed in 2010, the federal Affordable Care Act, or ACA, helps fill that gap by regulating numerous aspects of private health insurance. Although most of the ACA’s reforms don’t apply to self-insured healthcare plans, the ACA still impacts the landscape of private health...

Lessons

1. Welcome
  • Welcome to Healthcare Law
2. Health Insurance
3. The Structure of Healthcare Entities
  • The Professional Workforce
  • Forming a Healthcare Entity
  • Fiduciary Duties at Healthcare Entities
  • Tax-Exempt Status
  • Joint Ventures and Tax-Exempt Status
4. Fraud and Abuse in Healthcare
5. Antitrust Issues in Healthcare
  • Overview of Antitrust Laws in Healthcare
  • Mergers and Acquisitions in Healthcare
  • Working with Competitors
  • Payers with Market Power
6. Tort Liability of Healthcare Entities
  • The Physician-Patient Relationship
  • Physician Duties Regarding Information
  • Physician Duties Regarding Clinical Care
  • Hospital and Health Plan Liability
7. Recurring Legal Issues in Patient Care
8. Public Health Law