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Split-Fee Soup: A Recipe for Disaster? Print E-mail
Written by David William Hirshfeld   
Friday, 08 March 2013 09:07

When people ask me what I do, I used to say "I'm a transactional health care attorney. I represent health care practitioners in their business deals. I don't do malpractice." That response does little to wipe the blank stare off my questioner's face, and even I have to stifle the urge to yawn. My new and improved response is that "I spend a lot of time advising health care practitioners how they can share fees with people who refer them patients." Now I get invited to all sorts of cocktail parties!

Practitioners split fees with one another for a variety of reasons; and they very often do not realize that a particular arrangement involves a split-fee arrangement, or that split-fee arrangements are often illegal in Florida. The purpose of this article is to provide practitioners with a general overview of the concepts underlying the prohibition against split-fee arrangements in Florida, in the context of three common business arrangements.

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Source:  Jeffrey L. Cohen's Blog 

Last Updated on Monday, 25 March 2013 09:39
 
North Dade Doc Files Letter of Allegation With U.N. Following Dissatisfaction With State and Federal Efforts to Address Pill Mill Crisis Print E-mail
Written by Jeffrey Herschler   
Thursday, 07 March 2013 16:01

Robert Ben Mitchell, DO took the unusual step of filing a Letter of Allegation (LOA) with the United Nations International Criminal Court in Geneva, Switzerland.  The letter was sent in late February and asks the court to indict both the Florida Board of Medicine (allopathic physicians - MD's) and the Florida Board of Osteopathic Medicine (osteopathic physicians - DO's) on the charge of "Complicity in Genocide for their failure to ever fully and authoritatively intervene in the Florida Pill Mill Massacres that took place in Florida from 2001 through 2011, costing the lives of an estimated 40,000 to 60,000 people due to the drug-dealing doctors these boards did not take action against."      

An article published at FloridaHealthIndustry.com entitled Alt Weeklies:  Pill Mill Enablers on September 30, 2011 was cited in the LOA.  The article, by contributor Tara Pihn, details the extensive use of advertising by Pill Mill operators in the region's alternative weekly newspapers (New Times Miami, New Times Broward/Palm Beach and City Link).

You can read the Letter of Allegation HERE.

You can read the appendices to the Letter of Allegation HERE.


Last Updated on Monday, 25 March 2013 09:39
 
Study: Most Specialists Less Receptive to ACO's than PCP's Print E-mail
Written by Jeffrey Herschler   
Thursday, 07 March 2013 00:00

A Physician Staffing Firm (LocumTenens.com) recently completed a report entitled Accountable to Whom?  Physicians Weigh in on Value-Based Care.  Over 1200 Physicians were surveyed to determine whether physicians know a lot about value-based care and how they feel about it.

According to the survey, 61% of primary care physicians (PCPs) said they'd be willing to participate in an ACO with at least one payer.  Meanwhile, most specialists were less enthusiastic about ACO participation.  Less than half (44%) of emergency medicine doctors and slightly more than half (55%) of radiologists and surgeons favor ACO participation.

The author concludes:

"...the healthcare industry has a steep PR hill to climb to improve physician engagement if it's to move forward with value-based care. Their efforts will have to lean toward educating and actively seeking physician input in design and execution of new payment models. Without physician buy-in, no wholesale reform of healthcare can work."

Read the full report HERE.  
 
JAMA study: Surgical robot adds little to hysterectomies other than price Print E-mail
Written by Mark Hollmer Fierce Medical Devices   
Tuesday, 26 February 2013 00:00

Using an Intuitive Surgical ($ISRG) robot for hysterectomies costs hospitals nearly $2,200 more per procedure compared to nonrobotic, minimally invasive surgical approaches, but patients didn't gain any added benefits, researchers from Columbia University and elsewhere have concluded.

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Editor's Note: FHIcommunications and Fierce Healthcare are Content Exchange Partners.
 
CMS Announces Participants in Bundled Payment Initiative Print E-mail
Written by MWE.com   
Monday, 25 February 2013 09:20

The U.S. Centers for Medicare & Medicaid Services (CMS) recently announced the health care organizations chosen to participate in the Bundled Payments for Care Improvement (BCPI) Initiative.  The BCPI Initiative represents a significant expansion of CMS's use of bundled payments in traditional Medicare, and is part of an effort to incentivize greater care coordination and increase provider accountability as the agency seeks to move away from its reliance on traditional fee-for-service payments.

Read the full article here.

Last Updated on Friday, 01 March 2013 10:28
 
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