Artificial intelligence is challenging the traditional legal framework that places physicians as the “learned intermediary.” As AI systems increasingly participate in clinical decision‑making, the legal standard for physician judgment, documentation, and liability may shift in ways physicians need to understand now.
Medical group mergers often fail not because of economics, but because of governance. When groups preserve separate identities instead of fully integrating, the result is conflict, inefficiency, and eventual breakdown.
A 78-year-old Brooklyn clinic owner. A van outside where his staff directed patients to sell their Suboxone. A Florida nurse practitioner who signed prescriptions without seeing a single patient. And a federal informant with a hidden camera who heard Brown-Arkah explain, on the record, exactly why people in his business get arrested.
We analogize business to war. Litigation to battle. Negotiation to struggle.
Two brothers from Naperville. Four laboratories. $293 million in claims for COVID-19 tests that were never performed. And then the gold bars, the overseas mansions, the luxury watches — and a superseding indictment.
As corporate medicine expands, physician autonomy declines, but opportunity grows. Why “rent seekers” are creating a powerful edge.
He signed with the Seahawks. He made the Packers’ practice squad. He never played a regular-season game. Then he built a $197 million fraud operation targeting the elderly and the families of disabled and deceased veterans.
Physician groups often believe they’re negotiating price when, in reality, they’re negotiating value, positioning, and long-term relationships. The groups that succeed understand that contracts aren’t commodity transaction, and that the outcome is shaped long before negotiations begin.
A Houston strip mall clinic. Mirrored windows. A price list based on which drug you’d receive. And a doctor who prescribed the same opioid cocktail to more than 99% of her patients.
Utah has launched a program allowing AI to process prescription refills, but without clear regulatory authority or defined liability.