HSM-301: Healthcare Policy & Regulatory Compliance

Examine the political, legal, and institutional forces that shape U.S. healthcare policy and regulation. This course covers Medicare, Medicaid, health equity, lobbying, and public opinion while addressing contemporary issues such as reproductive health, prescription drugs, and mental health. Students will learn how to evaluate policies and ensure compliance in healthcare organizations.

Course Description

HSM-301: Healthcare Policy & Regulatory Compliance provides students with a comprehensive understanding of how healthcare policy is formed, implemented, and enforced in the United States. The course begins with the historical foundations of health policy and explores the values of fairness, efficiency, and market dynamics that continue to influence today’s debates. Students will study the roles of Congress, presidents, courts, bureaucracies, and federalism in shaping healthcare regulation, with special attention to how these institutions balance competing interests.

A central focus is on Medicare and Medicaid, two of the largest federal programs, analyzed in terms of their design, evolution, and impact on both patients and healthcare organizations. Students will also investigate the roles of stakeholders, including lobbyists, professional associations, and public opinion, as well as the challenges posed by structural racism, workforce shortages, and the financialization of healthcare.

Contemporary issues such as reproductive health, vaccine policy, prescription drug regulation, veterans’ health, mental health, and homelessness are examined in both U.S. and international contexts. Comparative perspectives highlight lessons learned from other healthcare systems, giving students a global view of policy challenges and reforms.

By the end of the course, students will be able to assess healthcare policies critically, understand regulatory frameworks, and apply this knowledge to compliance and decision-making in healthcare organizations. This preparation is especially relevant for careers in health services management, public health, or policy development.

Textbook: Health Politics and Policy (6th Edition) by James A. Morone, Dan Ehlke (2025)

Course Objectives

Trace the historical development of U.S. healthcare policy and its underlying values.

Explain the roles of key political institutions (Congress, presidency, courts, bureaucracy, federalism) in shaping healthcare policy.

Evaluate the design, implementation, and impact of Medicare, Medicaid, and other major health programs.

Analyze stakeholder influence, including lobbying, interest groups, and public opinion.

Assess policy issues related to health equity, structural racism, and evidence-based medicine.

Compare U.S. healthcare policy to international systems and identify lessons for reform.

Apply knowledge of healthcare politics and regulation to compliance and management decisions in healthcare organizations.

Starting is Easy

Want to learn more about earning your accredited high school diploma? Just enter your name and email below, and we’ll send you a series of helpful emails to guide you through the process.

Course Contents

Introduction: Health Politics and Policy

Concepts and History

A Brief History of Health Policy

Values in Health Policy: Fairness and Efficiency

Markets and Politics

Structural Racism in American Politics

Institutions

Congress

Presidents

The Courts: Policy Change and Judicial Influence

The Health Care Bureaucracy

Federalism

The Delegated Welfare State

The Big Programs

Medicare: A Tale of Two Revolutions

Medicaid: Designed to Grow and Hide

Stakeholders, Interests, and Medicine

Health Equity, Power, and Racism

The Politics of Evidence-Based Medicine

The Financialization of Health Care

Health Lobbyists and Power Dynamics

Public Opinion and Health Policy

Nursing: Workforce Challenges and Policy Responses

Issues in Health Politics and Policy

Reproductive Health

Vaccines

Prescription Drugs: Law and Policy Development

Veterans’ Health

Mental Health

Homeless Policy and Public Health

Comparative Perspective

The U.S. in a Global Perspective

American Health Care Compared Internationally

Case Study: France

Single Course or Program Option

This course may be purchased individually or as part of the certificate programs listed below.

Health Services Management

Recommended Prerequisites

Accreditation You Can Trust

Washington Technical Institute is fully accredited by the Middle States Association Commissions on Elementary and Secondary Schools (MSA-CESS)—a regional accrediting agency recognized for setting high standards in education. This accreditation affirms that our programs, operations, and outcomes meet rigorous academic and institutional benchmarks. MSA-CESS accreditation is a mark of quality that ensures our students receive an education that is both credible and respected. It also means WTI is committed to continuous improvement, student success, and accountability at every level.