HCM Marketplace

By Robin Locke Nagele, Esq., Mark Mattioli, Esq., Todd Sagin, MD, JD, and Hugh Greeley

Controlling costs and protecting your revenue base is even harder in this increasingly competitive healthcare market.

This reader-friendly book provides you with a practical and insightful overview of economic credentialing and supplies you with the tools you need to make sound economic credentialing decisions for your organization. Step-by-step advice guides you through overcoming your obstacles to controlling costs and protecting your revenue base in an increasingly complex and competitive healthcare market.

Learn from real-world case studies!

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Through plain-English advice and real-life case studies (that you'll recognize from your own experience) you receive proven methods of managing conflicts of interest. Take a look at just a sampling of the case studies you'll receive—and obstacles you'll overcome:

• Dealing with so-called spies among your medical staff leadership
• Working with the "unprofitable" physician
• Building mutual commitment through exclusive contracts
• Managing competition with specialty hospitals: The ultimate turf war
• Solving clinical integration issues

Each case study provides you with

• An overview of the problem
• Analysis
• Possible pitfalls if no action is taken
• Step-by-step plans of action for each scenario with the pros and cons of each

Negotiating the legal minefield

You'll receive an outline and clear explanations of the legal challenges your organization must address while implementing economic credentialing policies including:

• Antitrust laws
• Federal statutes
• Common law claims
• Regulatory issues and constitutional analysis

Save time and resources developing your organization's economic credentialing policy

Finally, you'll receive detailed, step-by-step instructions for developing your organization's economic credentialing policy. You'll have the tools you need to define the issues and goals, form your multidisciplinary committee, and engage legal counsel.

TABLE OF CONTENTS

• Introduction and overview: The political and economic landscape
• Case studies

• Chapter one: Dealing with so-called spies among the medical leadership
• Chapter two: The unprofitable physician
• Chapter three: When medical staff planning goes awry
• Chapter four: Building mutual commitment through exclusive contracts
• Chapter five: Business strategies: The carrot and the stick
• Chapter six: Specialty hospitals: The ultimate turf war
• Chapter seven: Clinical integration: Can it be a win-win when hospitals and physicians truly work together?

• Negotiating the legal minefield

• Chapter eight: Overview of antitrust laws: Why is competition so important?
• Chapter nine: Federal statutes: The fraud and abuse and tax laws
• Chapter ten: Common law claims: Breach of contract, tortious interference, and defamation
• Chapter eleven: Regulatory issues and constitutional analysis
• Chapter twelve: Practical steps for developing an economic credentialing policy

• Appendices

• Sample board conflict-of-interest policy
• Avoiding medical staff crises and managing exclusive contracts
• Survey of state economic credentialing laws
• Selected state law-binding nature of medical staff bylaws

Publisher :  HCPro, Inc
 
Product Types :

• Books

Departments :

• Other Credentialing/Privileging Products
• Other Medical Staff Products

ORDER CLASS: EC
SOURCE CODE: EHCM