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Managed Care Contracts - Key Provisions for Providers ( September 2004 )
The contract between a physician or other health care professional and a managed care organization (MCO) such as a provider-sponsored network, integrated delivery system, health maintenance organization, or other health care plan, is the fundamental document which frames, defines and governs their relationship. Contractual provisions can affect payment, office organization, practices and procedures, and confidential records as well as clinical decision-making. -
Managed Care: Managed Costs or Managed Medicine? ( September 2004 )
Many people believe that the rising costs of medical care in the United States, and the increasing numbers of ordinary citizens who cannot afford it, have combined to threaten this country's social and economic health. By the year 2000, unless fundamental changes occur in the health care delivery and financing system, these costs will rise to $1.6 trillion, or 16.4 percent of the GNP. -
Doctors and the NLRB ( January 2001 )
I. INTRODUCTION Today, only about 5 percent of the nation's physicians are union members, but the storm of chan. -
Jackson Lewis:The Benefits Brief ( April 2000 )
In this issue of the Benefits Brief, the pending Patients' Bill of Rights legislation is discussed and how this bill may affect employers. -
The Truth About Texas' Prompt Payment Laws For Healthcare Providers ( September 2000 )
The intent of this article is twofold. First, I hope to set the record straight about the legal . -
OIG Issues Ten New Safe Harbors and Clarifies Six Existing Safe Harbors ( January 2000 )
This article reviews the U.S. Department of Health and Human Services? Office of Inspector General's (OIG) safe harbor regulations to the Anti-Kickback statute -
Healthcare Integrity and Protection Data Bank Requirements Effective Immediately ( November 1999 )
This report summarizes how the Healthcare Integrity and Protection Data Bank will operate. -
Managed Care Challenged in Class Action Lawsuit ( October 1999 )
This alert summarizes the allegations in the Humana Class Action Suit. -
Fraud in Managed Care Part III ( February 2000 )
This is the last of three columns that discuss fraud in managed-care programs. The first, published Sept. 30, pres. -
OIG Challenges Hospital – Physician "Gainsharing" Arrangements What Is Left For Hospitals? ( December 1999 )
This Client Alert considers the implications of the Summary of the Office of the Inspector General (OIG) Bulletin regarding Gainsharing agreements.
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