When Physicians Try to Unionize Against HMOs
Cadwalader, Wickersham & Taft LLP
”I'm sorry, the doctors can't see you today. They are on strike.” Is this a possible scenario? Given the dissatisfaction felt by many doctors over the increasing power of managed care plans, health maintenance organizations (HMOs), preferred provider organizations and other networks it is not hard to imagine.
Economic Credentialing: Where Is It Going?
Paul F. Danello of Ropes & Gray LLP
In recent years hospitals have increasingly adopted conflict-of-interest and credentialing policies that, more or less explicitly, condition the grant or renewal of medical staff privileges on patient referrals. Such conflict-of-interest and credentialing policies, known generally as "economic credentialing", may violate the anti-kickback statute and be unenforceable.
Latex Balloons Banned From Hospitals
Law Office of Jon L. Gelman
No Latex Balloons, Please! That is the new sign being posted through out hospitals in the United States and Canada..
Is Your Hospital Compliance Program in Compliance? OIG's Draft Supplemental Compliance Program Guidance for Hospitals
Health Services Practice Group of Nixon Peabody LLP
On June 8, 2004, the Department of Health and Human Services' Office of Inspector General published the "OIG Draft Supplemental Compliance Program Guidance for Hospitals." As the name suggests, this guidance document is intended to supplement the OIG's 1998 Compliance Program Guidance to: (a) address recent changes in hospital payment systems, regulations, and industry practices; (b) focus on particular risk areas; and (c) provide guidance for evaluating existing hospital compliance programs.
Dealing with Physicians' Misconduct at the Hospital
Kimberly D. Baker and Andrea L. Philhower of Williams Kastner
Hospitals usually have written policies that explain the concepts of sexual harassment and hostile work environments, including descriptions of the types of impermissible conduct, and the remedial actions that may be taken against employees pending an investigation.
Can You Corner The Market On Health Care Quality?
Forrest Gregory Burke and Meredith Mathews, M.D. of Dorsey & Whitney LLP
While health care delivery has always focused on quality, recent developments on both a national and a regional level are forcing clinical quality to the forefront as a critical issue confronting health care providers. The great impetus for this increased focus on enhanced clinical quality arises from the seminal studies published by the Institute of Medicine (Â?IOMÂ?).
Physician Diagnosed with ADD States Claim Under ADA
Paul, Hastings, Janofsky & Walker LLP
Menkowitz v. Pottstown Memorial Medical Center, No. 97-2041, 1998 U.S. App. LEXIS 20720 (3rd Cir., Aug. 24, 19.
OIG Issues Guidelines for Hospital Compliance Programs
Dykema Gossett PLLC
The HHS Office of Inspector General (OIG) has released long-awaited compliance program guidelines for hospitals. R.
Physician Network Divestitures: Unwinding Flawed Strategic Initiatives
Robert B. Ramsey of Buchanan Ingersoll & Rooney PC
The healthcare integration strategies of the mid-1990s have had mixed results. While some hospitals have successful.
Medicare's New Fraud and Abuse Safe Harbors
Robert B. Ramsey of Buchanan Ingersoll & Rooney PC
A significant issue confronting all healthcare providers is the potential application of the Fraud and Abuse law t.
IRS Physician Recruitment Ruling
Dykema Gossett PLLC
On April 22, the IRS released its long-promised revenue ruling dealing with physician recruitment by tax-exempt hos.
R.I.P., Marcus Welby, M.D.
Robert G. Siegel of Day Pitney LLP
This article reprinted with permission of The Connecticut Law Tribune, September 21, 1998 edition. In response.
Hospitals' Duty to Report Patient Harm
Cadwalader, Wickersham & Taft LLP
Recent reports of horrible incidents at well-known hospitals in New York City have shaken the public's faith in hea.