Physicians spend a lot of time arguing about IDR awards and QPA calculations. Fair enough.
But while providers fight over the size of the check, insurers may be winning the larger battle.
Physicians spend a lot of time arguing about IDR awards and QPA calculations. Fair enough.
But while providers fight over the size of the check, insurers may be winning the larger battle.
A side deal entered into by a single physician-owner can have consequences beyond that individual’s interests, and affect the group as a whole.
AI is creating new risks involving data ownership, liability, and governance that many medical groups have never addressed in their contracts or policies.
The DOJ has issued new guidance explaining how prosecutors will decide whether to charge a business for employee misconduct. For healthcare organizations, understanding those factors may be critical to reducing enforcement risk.
Many physician groups view contract negotiations as something that happens every few years. In reality, negotiations never stop. The conversations, metrics, and decisions taking place today may determine the terms of your next hospital agreement.
If controlling physician practices is the problem, why do proposed corporate practice of medicine reforms target private equity while largely exempting nonprofit hospital systems?
What does it mean to be a Portfolio Physician? In this wide-ranging conversation, Mark F. Weiss sits down with Dr. Robert G. McNeill, oral and maxillofacial surgeon, healthcare regulator, adventurer, lifelong learner, and law student, to discuss career optionality, continuous reinvention, and building a professional life without artificial limits.
State regulators are cracking down on physicians who serve as medical directors in name only. If you’re collecting a fee but providing little or no actual oversight, your medical license could be at risk.
Most physicians charged under the Anti-Kickback Statute aren’t criminal masterminds. They’re busy professionals who signed agreements they never fully vetted. Here’s why medical directorships, consulting arrangements, and referral relationships deserve a second look before the DOJ does it for you.
Most healthcare organizations sign Business Associate Agreements simply to satisfy HIPAA requirements. That’s a mistake. A well-drafted BAA does far more than check a compliance box. It allocates risk, determines responsibility after a breach, and protects your medical group’s financial and operational interests.