Professional Integration

The following paper is ? discussion about the professionalfessional physician-hospital integrating and the strategies that can be implemented for effective integrating. The movement toward an integrate industry admits affiliations among physicians, alliances between physicians and hospitals, and combinations of health wish well financing and voice communication. mixed legal pretenses score evolved based on the dominant primordial organization and the degree of provider integration. Within an combine delivery system, one central organization typically manages the entire system. For example, divergent models include systems controlled by hospitals or physicians, HMO models, and the equity model owned by shareholders. Considerable conflict for control has ensued as hospitals, physicians, HMOs, and insurers vie for network leadership. (Greenberg et al, 1985) The degree of integration differentiates the transitional or entry models of integration such as management usefulness organizations, group practices without walls, and physician-hospital organizations (PHOs) from the fully integrated structures that include physicians, hospitals, and insurance products at bottom one organization. These models often overlap, and hybrid models are common.

Whatever integration model providers choose, the movement toward integration involves numerous transactions and arrangements that have important legal consequences. As the next section explains, the federal official anti-kickback and self-referral, tax exemption, and antitrust laws place significant restrictions on integrated delivery system development.

Vertical integration of physicians with hospitals does not witness the same level of protection. Hospital integration arrangements typically include physician practice acquisition and subsequent physician employment, peculiarly for the primary care physician component that is essential to victory under managed competition.

Before ? hospital vertically integrates with physicians holding managed care contracts, it cannot be assured of the anti-kickback consequences of combining managed care contracts into an integrated system, scorn advance rulings from other agencies that the arrangement provides ? public benefit and is pro competitive. Despite the need for provider guidance, the OIG has...

If you want to get a full essay, order it on our website: Ordercustompaper.com



If you want to get a full essay, wisit our page: write my paper