What is...the Corporate Practice of Medicine and Fee-Splitting?

Ari J. Markenson, Angela Humphreys (Autoren)

Buch | Softcover

176 Seiten

2021
American Bar Association (Verlag)
978-1-64105-782-0 (ISBN)

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The business of providing medical care is in the midst of dramatic change. To keep pace with evolving economics and reimbursement practices, the small physician practice, which stood as the standard arrangement for so long, is giving way to larger, more corporate models. These models have led to a highly regulated business environment in the health care services industry, which involves interpreting areas of the law without clear guide rails. The corporate practice of medicine and fee-splitting prohibitions, depending on which state’s laws you are interpreting, can be one of those areas of the law that lack those guide rails. Advising clients on compliance with the prohibitions may require more finesse and risk analysis than legal research in some jurisdictions.

This primer on the prohibitions provides practitioners with

the historical context in which they arose;

a concise discussion of each of the prohibitions and how they affect the business of medicine;

what they mean for the ownership and day-to-day operation of healthcare practices; and

practical assistance in helping your clients navigate this particular area of law.

Ari J. Markenson is a partner in the New York Office of Venable LLP. He has more than twenty years of experience at the intersection of health care, law, and business. He advises health care industry clients, on a broad range of matters, with significant experience in the representation of health care providers and suppliers. He represents private equity firms and lenders on health care transactions, including regulatory, M&A and portfolio company work, and works in an outside general counsel role. He advises clients on divestitures; due diligence; corporate matters; legal and regulatory compliance matters, including requirements and conditions for participation; fraud and abuse; state licensure; certificate of need approvals; and survey, certification, and enforcement issues. He is an active participant in many professional organizations related to health care, law, and business. He is a member of the Board of the American Health Law Association. He is a Past Chair of the New York State Bar Association—Health Law Section and still serves on the Executive Committee. He is currently an Adjunct Associate Professor at Columbia University Mailman School of Public Health and at the School of Health Sciences and Practice at New York Medical College where he teaches courses in health care policy, management, and law. He is also an Associate Adjunct Professor at the University of Maryland- Global Campus, The Business School, where he teaches a health law course. He has been acknowledged as a Best Lawyer in America, 2012–2021, and a NYMetro Superlawyer in 2011 and 2013–2020. He is also AV® Preeminent ™ Peer Review Rated by Martindale- Hubbell. Angela Humphreys is Chair of the Healthcare Practice Group at Bass, Berry & Sims PLC, which is ranked as the fourth largest health law firm in the country. She also leads the firm’s strategically vital pri-vate equity initiative by serving as Co- Chair of the Healthcare Private Equity Team. With more than twenty years of experience, she has counseled national health care organizations and private equity funds of all sizes on hundreds of transactions providing business-minded, proactive advice and regulatory guidance. She is often cited by clients for her responsiveness and ability to understand the big picture. Her clients include private equity firms and their portfolio companies, publicly traded companies and nonprofit institutions, including hospitals and health systems, health plans, surgery centers, laboratories, physician practices, and health care information technology companies. She is known for providing counsel in the acquisition and disposition of health care companies and structuring of syndications, joint ventures, and both private equity and strategic investment opportunities. She advises her clients on a wide range of operational, physician contracting, governance, disclosure, and other critical regulatory matters. Over the last several years, Angela has become one of the country’s leaders in physician practice acquisitions by focusing primarily on private equity investment in this area, which has far outpaced other sectors for its strong growth and high returns. She is a nationally recognized thought-leader in private equity and health care M&A and has been praised for her leadership and accomplishments in the health care industry, having recently been recognized by Chambers USA for Healthcare; Mergers & Acquisitions magazine’s The Most Influential Women in Mid-Market M&A; Top USA Women Dealmakers; and Law360 Health MVP.

Erscheinungsdatum	04.08.2021
Zusatzinfo	Illustrations
Verlagsort	Chicago, IL
Sprache	englisch
Maße	152 x 228 mm
Themenwelt	Recht / Steuern ► EU / Internationales Recht
Themenwelt	Recht / Steuern ► Öffentliches Recht
ISBN-10	1-64105-782-3 / 1641057823
ISBN-13	978-1-64105-782-0 / 9781641057820
Zustand	Neuware