There was an interesting article published on nytimes.com over the weekend (see ”New Law’s Demands on Doctors Have Many Seeking a Network“) comparing and contrastng the practice of two primary care physicians, one employed by a hospital and another still in private practice but perhaps concerned about her ability to remain there. The hospital-employed physician touts the… Continue Reading
The recent federal antitrust case of Federal Trade Commission and State of Idaho, Plaintiffs, v. St. Luke’s Health System, Ltd, and Saltzer Medical Group, P.A. highlights an important legal consideration for hospitals looking to acquire medical practices and physicians looking to sell to them. Notwithstanding arguments of cost savings and increased quality and convenience through… Continue Reading
Is bigger better when it comes to private medical practices? This is a question I get quite frequently from physicians who are considering whether to merge with other practices. In my experience, the answer is almost always “yes”, but usually for different reasons from those the inquiring physician has in mind. Quite often physicians believe… Continue Reading
Many physicians still haven’t come to grips with the fact that . More and more frequently the public turns to the internet first when making purchasing choices — even when purchasing health care services and selecting physicians. According to a research paper published this month in the Journal of the American Medical Association, 59% of… Continue Reading
Many physicians pay very little attention to their managed care participation agreements. In fact, some simply sign these agreements without ever reading them. I think this apathy stems from the fact that managed care plans generally refuse, at least for smaller practices, to “negotiate” their fee schedules. But, even if a payor won’t negotiate fees,… Continue Reading
Hospital-physician acquisition of medical practices continues at a furious pace. Unfortunately, no one knows for certain whether physician employment by hospitals is the key to better or more cost-effective care. Moreover, the hospital or the physician in such a transaction may for any number of reasons decide later on that the relationship is less than desirable. Because… Continue Reading
In representing healthcare providers, we are frequently called upon to assist with labor and employment legal matters. Unfortunately we are typically called in to assist after would could have been a minor issue has become a major problem — what I like to call the “clean up” phase. Not surprisingly, however, it is often much… Continue Reading
Hiring a new physician into a practice can be an expensive and risky proposition but for most practices it is a necessary endeavor. Aside from the actual costs of recruiting and negotiating a contract with the new physician, there are associated increases in overhead, and perhaps most importantly, the risk of damaging valuable practice goodwill in the… Continue Reading
Curious what the future of medicine will look like? According to this recent article on CNBC.com, it appears that for many physicians it will involve a boss, a timeclock and a steady paycheck. Not surprisingly, as the legal and administrative burdens of running a private practice continue to increase, more and more seasoned physicians are… Continue Reading
As the implementation of the federal Affordable Care Act (ACA) continues in fits and starts, healthcare providers are scrambling to best position themselves to accommodate anticipated and developing payment models. Unfortunately no one really knows what these new payment models will look like or how they will ultimately work. It is apparent, however, that most… Continue Reading
The article Pediatricians v Retail Clinics: Is It Time to Think Beyond the Office Visit? published today at time.com, highlights an important shift occurring in the delivery of physician services. Patients are foregoing their regular physician office visits in favor of “as-needed” treatment from retail clinics, urgent care centers and walk-in clinics springing up around… Continue Reading
Earlier this year, the Department of Health and Human Services (HHS) published the “HIPAA Omnibus Rule,” implementing various provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act as the related to the HIPAA Privacy, Security, and Enforcement Rules. If you are a “covered entity” or “bsuiness associate” under HIPAA, these new… Continue Reading
Hospitals interested in being in the physician business for any meaningful length of time should seek to develop an organizational structure that fosters an ownership mentality and a commitment to achieving collaborative organizational goals.
State’s “more stringent” Stark law restrictions upheld by court.
OIG has announced its priorities for 2013 and some are of special interest to physicians.
Finding it increasingly difficult to remain profitable in private practice, many physicians are turning to hospital employment to avoid the economic realities of running a small business. However, as a recent article in the New York Times illustrates (see "A Hospital War Reflects a Bind for Doctors"), physicians should bear in mind that even under hospital… Continue Reading
If you’re like most physicians, you have probably given some recent thought to selling your practice or merging with one or more other groups. If you are part of a group practice, it’s quite possible that all members of the group might not agree on a single course of action. Keep in mind that even… Continue Reading
While concierge medicine may be a great fit for a handfull of doctors, it’s likely not a feasible model for many. If you are considering making this change, be sure to do your homework first.
Physician shortage may have a silver lining for physicians who choose to stay in practice: short supply means higher demand and higher demand is likely to mean increased reimbursement.
By Randy Schauer, Esquire Is your office OSHA (Occupational Safety and Health Administration) compliant? Few physicians realize that OSHA violations can result in significant penalties. Fox attorneys recently advised a medical practice cited by OSHA after an inspection of one of its offices. In defending the citation, we asked the OSHA inspector what actions had precipitated the… Continue Reading
Recent press releases provide notice of activities that draw the government’s ire — and result in serious criminal consequences. Focusing on these issues is a helpful exercise for any physician trying to stay within the law.
Do you have a succession plan for your medical practice? In my experience, too many physicians wait until close to retirement age to begin developing a plan to transition out of practice. Given the volatility of the healthcare market, you should certainly not assume that there will be a ready and willing buyer for your… Continue Reading
Even if you are not considering selling your medical practice now, there are good reasons to maintain it in a condition to be sold. For one thing, healthcare reimbursement is subject to huge swings. Physician reimbursement in governmental payor programs continues to be a political football and, depending which side of the line the ball lands… Continue Reading
In this second installment of critical physician employment agreement considerations (see the first installment "Defining the Scope of Practice"), I want to briefly discuss term and termination provisions. Signing an employment agreement always involves a leap of faith to some degree since it is very difficult to predict (and capture in a written agreement) exactly what… Continue Reading