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.
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.
Guidance for States Considering the Development of Medicaid Managed Care Programs for Persons With Special Health Care Needs
Dept. of Health and Human Services
Guide prepared by the Department of Health and Human Services for states considering the development of Medicaid managed care programs for persons with special health care needs.
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?).
Top 10 Ways to Make Your Health Benefits Work for You
United States Department of Labor-Office of the Solicitor
A guide by the Pension and Welfare Benefits Administration to reviewing health and retirement policies for favorable terms.
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.
Under a Microscope: What to Expect If You Are Called Before The Minnesota Board of Medical Practice
Susan E. Oliphant of Maslon Edelman Borman & Brand, LLP
As a physician licensed to practice in this state, you should be prepared to defend against complaints that may be .
Health Care Services Update
Carol A. Ferri and Sharon R. Klein of Pepper Hamilton LLP
This update discusses the new standards issued by the U.S. Department of Health and Human Services for electronic transactions and code sets for the processing of health care claims.