Physician Contracting Issues
Physician contracting can be an arduous process. Most physicians do not possess the expertise to understand much of what goes into an employment contract and how it could affect them positively or negatively. While physicians should retain legal counsel with specific expertise in this area, the following is a list of some of the major […]
EKRA: What Is It and How Does It Affect Your Business?
In 2018, Congress passed the “Eliminating Kickbacks in Recovery Act” (EKRA). This federal law makes it a crime to knowingly and willfully solicit or receive remuneration for referring patients to addiction recovery homes, clinical treatment facilities, or laboratories, or to induce referrals to such facilities. The law was intended to discourage predatory behavior toward those […]
Marketing for Laboratories: Risky Business
Let’s face it: healthcare is a business. As much as many of us hate to say it, it is. For example, many dedicated healthcare providers would not take up those professions if they had to work for free. And there is no shame in making money for providing healthcare services – so long as it’s […]
Opening or Transitioning to a Concierge / Membership Medical Practice: what you don’t know can ruin everything
Concierge and membership models for medical practices are growing in popularity – with providers and patients alike. They give providers the freedom to offer greater care with more options for patients, all while making more money by breaking the shackles of ever-shrinking insurance reimbursements. Different types of concierge/membership practices exist depending on the needs of […]
California Anti-Kickback, Anti-Referral, and Fee-Splitting Laws
Just when you thought you had a handle on all the federal healthcare laws out there – lo and behold, now you have California’s versions to deal with. The two most dangerous federal laws healthcare providers and entities need to understand and comply with are the Anti-Kickback Statute and the Stark Law. We’ve addressed these […]
Anti-Kickback Statute Safe Harbors
The federal Anti-Kickback Statute (AKS) was enacted to prevent Fraud, Waste, and Abuse (FWA) of federal healthcare programs, such as Medicare, Medicaid, and CHIP. In a nutshell, it makes it a crime to compensate someone in exchange for patient referrals or other business reimbursed by federal healthcare programs. In its essence, the AKS is a […]
How to Start an MSO in Washington
Management Services Organizations (MSOs) are an excellent vehicle for those wanting to make money from a healthcare practice when they can’t own one because of legal restrictions. For example, Washington requires all medical practices to be owned wholly by physicians (M.D.s or D.O.s), with no other type of healthcare provider or lay person permitted to […]
Washington State’s New Restrictions on Healthcare Ownership
Washington’s Senate Bill SB 5387 (SB 5387) would tighten already strict laws on non-medical healthcare business arrangements, especially involving control over clinical decisions. Specifically, the bill includes the following: This bill would make it far more difficult to use traditional PC-MSO models currently permitted under Washington law.
New Proposed Laws in California Could Drastically Affect Healthcare Investments…
Including Those Involving Management Services Organizations February 2025 saw two new bills introduced in the California state legislature that could seriously affect how MSOs are allowed to operate. Senate Bill 351 (SB 351) and Assembly Bill 1415 (AB 1415) seek to strengthen the state’s control of companies investing in healthcare businesses. This includes private equity, […]
How to Start an MSO in New York
Management Services Organizations (MSOs) are an excellent vehicle for those wanting to make money from a healthcare practice when they can’t own one because of legal restrictions. For example, New York requires all medical practices to be owned wholly by physicians (M.D.s or D.O.s), with no other type of healthcare provider or lay person permitted […]