Landauer Rachel, Seligman Hilary, Pomeranz Jennifer L, Hager Kurt, Mozaffarian Dariush
HARVARD LAW SCHOOL, CAMBRIDGE, MA, USA.
UNIVERSITY OF CALIFORNIA SAN FRANCISCO, SAN FRANCISCO, CA, USA.
J Law Med Ethics. 2023;51(4):889-899. doi: 10.1017/jme.2023.164. Epub 2024 Mar 13.
The complex regulatory framework governing the U.S. health care system can be an obstacle to programming that address health-related social needs. In particular, health care fraud and abuse law is a pernicious barrier as health care organizations may minimize or forego programming altogether out of real and perceived concern for compliance. And because health care organizations have varying resources to navigate and resolve compliance concerns, as well as different levels of risk tolerance, fears related to the legal landscape may further entrench inequities in access to meaningful programs that improve health outcomes. This article uses food and nutrition programming as a case study to explore the complexities presented by this area of law and to highlight pathways forward.
管理美国医疗保健系统的复杂监管框架可能成为解决与健康相关社会需求的项目规划的障碍。特别是，医疗保健欺诈和滥用法律是一个有害的障碍，因为医疗保健组织可能出于对合规的实际和感知担忧而将项目规划减至最少或完全放弃。而且，由于医疗保健组织在应对和解决合规问题方面拥有不同的资源，以及不同的风险承受水平，与法律环境相关的担忧可能会进一步加剧在获得能够改善健康结果的有意义项目方面的不平等。本文以食品和营养项目规划为例进行研究，以探讨这一法律领域所呈现的复杂性，并突出前进的途径。
