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Industry study 20 of 24 · Healthcare Research Companion

Regulation, Compliance and Privacy

~7,000 words

Healthcare is the most heavily regulated large industry in the US economy. A product that would be a simple app in another sector can be a medical device, a covered entity's business associate, a federal health care program referral source and the unlicensed practice of medicine, all at once. This section maps the rules that decide what a healthcare company may sell, how it may be paid, whom it may pay, what it may do with data and who may deliver care: the FDA, HIPAA and the FTC, the fraud-and-abuse trio (Stark, the Anti-Kickback Statute and the False Claims Act), the corporate practice of medicine, licensure and controlled-substance prescribing, and the state laws layered on top. It ends with the international rules (GDPR, EU MDR and AI Act, India, and African data-protection law) that matter for the global and West African thread of this knowledge base.

What the study covers

  1. 1Overview: five questions every healthcare company must answer
  2. 2FDA: getting a product onto the market
  3. 3HIPAA and health data privacy
  4. 4Fraud and abuse: Stark, the Anti-Kickback Statute and the False Claims Act
  5. 5Who may practise, and who may own: CPOM, licensure and prescribing
  6. 6Other federal and state rules that matter commercially
  7. 7Outside the US: the rules that matter for global and African companies
  8. 8Landmark companies and cases
  9. 9Key numbers
  10. 10Pitfalls
  11. 11How an expert thinks about it
  12. 12Related sections