On the surface, it seems like an obvious choice – follow the law and avoid the risk of a hefty fine – but health care providers may learn the hard way that implementing HIPAA Security Rule requirements is, in fact, more complicated than it might first seem. According to a recent U.S. Department of Health …
Is Your Physician Organization Complying with Antitrust Law?
It is not uncommon for a physician organization to act as an intermediary between its physician participants and third-party payers to facilitate the negotiation and acceptance of reimbursement rates and other payer contract terms. However, when facilitation becomes negotiation and a PO accepts contracts with third-party payers on behalf of physician participants, also known as …
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Blessings in Disguise: Hidden Opportunities in Health Care Bankruptcies
In 2016 alone, 21 hospitals were closed across the United States because of unsustainable financial performance1, and the trend has continued with 7 additional hospitals and 18 other hospital departments closing in just the first half of 20172. Financial challenges facing many entities in the health care industry are not limited to hospitals, or even …
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