Integrated Network and System Development
Our attorney have had substantial experience in the corporate, contractual and legal issues that apply to the creation of all levels of integrated delivery systems. Our experience in this area dates back to the initial move towards integration that took place in response to health care reform proposals in the early 1990s.
Our attorneys have been involved in the creation of wide variety of Independent Practice Associations, from single specialty IPAs through multi-disciplinary IPAs. We have been involved in the creation of Physician/Hospital Organizations, Group Practices Without Walls, Single and Multi-Specialty Groups. We have also assisted hospitals and health care systems to acquire and employ physicians with the objective of creating fully integrated health care delivery systems.
Our practice in this area has required us to remain current on the various legal requirements that are applicable to provider integration. Some areas of particular relevant to this area of our practice include state and federal antitrust laws, self-referral and anti-kickback laws, Medicare reimbursement, and tax laws affecting the status of exempt organizations.
Health care integration is once again in the forefront due to the passage of health care reform legislation and the resulting change in the reimbursement paradigm toward a shared savings model and models that require health care provider organizations to share risk.