{"title":"Hospital attempts to control physician practices must be resisted.","authors":"A R Chenen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 1","pages":"71-2"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating antitrust risk in joint provider negotiations with payors.","authors":"E J Leonard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health care providers who combine to jointly negotiate contracts with third party payors risk violating the antitrust laws and incurring liability. This article describes the types of scrutiny to which joint activities are subject and outlines a number of factors that should be considered in analyzing the degree of antitrust risk involved in any joint provider arrangement.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 1","pages":"41-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legislative and regulatory analysis. Final Safe Harbor regulations.","authors":"K M Keenan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 1","pages":"65-9"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicare fee schedule for physicians' services.","authors":"A R Chenen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 3","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inspector General wins round two of Hanlester Case.","authors":"J C Dechene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The decision of the HHS Departmental Appeals Board Appellate Division in Inspector General v. Hanlester Network provides guidance as to the aspects of joint ventures that pose fraud and abuse concerns by listing the factors that may indicate an improper purpose. Together with the fraud and abuse safe harbors, the decision helps identify the pitfalls associated with physician investment in suspect joint ventures. This article analyzes the latest Hanlester decision, forecasts the future of joint venturing after Hanlester and the safe harbors, and offers some guidance to potential investors in light of these developments.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"6 2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reporting requirements under \"Stark\".","authors":"H H Cohen, R M Vipperman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"5 1","pages":"57-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20984143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information sharing in the managed care setting.","authors":"J R Selevan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, the author describes how physicians in independent practice associations can benefit from the use of information exchanges and illustrates by describing a method for balancing costs and quality in the managed care setting that was developed via an information exchange.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"5 3","pages":"45-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20985310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Avoiding traps and pitfalls in National Practitioner Data Bank compliance.","authors":"E A Snelson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Quirks in the National Practitioner Data Bank regulations and operations may catch medical staffs and hospitals unawares, creating potential traps and pitfalls that could result in exposure to lawsuits and federal sanctions. In this article, the author outlines several areas of possible difficulty and offers tips to help medical staffs avoid problems in these areas.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"5 2","pages":"11-8"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20982233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Avoiding antitrust liability for denial of access to resources: some safe harbors.","authors":"D A Ettinger, K J Soltis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Antitrust issues frequently arise in connection with claims that providers were denied access to institutions, such as hospitals and payors, and their resources. This article sets forth some \"safe harbors,\" circumstances under which liability is unlikely, that may often avoid antitrust liability in denial of access cases.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"5 4","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physician economic efficiency--a new factor in credentialing.","authors":"J D Blum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>\"Economic credentialing\"--the use of economic indicators in evaluating physicians for the purposes of staff appointment and reappointment--is a controversial new development in the ongoing struggle to control hospital costs while maintaining quality patient care. This article describes the concept of economic credentialing, discusses some of the legal considerations raised by the use of economic criteria in the credentialing process, and presents the findings of a recent study of the utilization of economic credentialing in hospitals today.</p>","PeriodicalId":79747,"journal":{"name":"The Medical staff counselor","volume":"5 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20984139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}