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Biomedical subjects

A R Chenen

Publications and source records attributed to A R Chenen.

At least 37 records · Page 2Linked to original sources
PubMed1990

Avoiding the traps in managed care contracts.

In deciding whether or not to enter into managed care arrangements, physicians must consider a number of important and problematic issues. In this article, the author describes the potential problems and discusses how they can be avoided through careful negotiation and analysis of the managed care contract.

Contract Services↗
PubMed1989

The hospital administrator versus the medical staff: ending the war of attrition.

These are difficult times for both physicians and hospital administrators--and for many of the same reasons. This article explores some of the factors making life and work hard for administrators and physicians, and suggests that it is in the medical staff's best interest to help the administrator do a good job of running the hospital.

Conflict, Psychological↗
PubMed1989

Rights of the medical staff in the transfer of hospital ownership.

In the current uncertain economic climate, a greater number of hospitals than ever before are changing ownership through sale or merger. This article explores the legal implications of a change in hospital ownership for both the individual medical staff physicians and the medical staff organization. The article takes the position that, with respect to individual physicians, their vested rights in staff membership and clinical privileges cannot be altered simply because of a change in hospital ownership. In addition, with respect to the medical staff organization, the medical staff bylaws contract remains intact and, therefore, a change in hospital ownership does not permit the new hospital owners to make wholesale changes in the medical staff organization.

Civil Rights↗
PubMed1989

The Ethics in Patient Referrals Act of 1989: what will it mean to physicians?

In 1988, Rep. Fortney H. "Pete" Stark (Democrat-California) introduced legislation entitled "The Ethics in Patient Referrals Act of 1988" (H.R. 5198), which died when the 100th session of Congress ended. At that time, Rep. Stark made it clear that he would submit another version of this legislation, and on February 9, 1989, his revised legislation was introduced in the House of Representatives. This article summarizes the contents of this legislation--potentially the most important development ever with respect to joint ventures involving referring physicians--and analyzes what its enactment could mean to physicians.

Fraud↗
PubMed1988

Exclusive contracts and hospital privileges--the physician's perspective.

Although most state courts to date have upheld the validity of exclusive contracts, this article points out that exclusive contracts still raise serious antitrust and corporate practice of medicine issues, and such contracts may not, in many cases, terminate the privileges of physicians already on staff. The medical staff is encouraged to become involved in determining whether any exclusive contract is warranted and whether medical staff bylaws should tie continued practice at the hospital to the existence of the contract.

Contract Services↗
PubMed1988

PROs and poor quality medical care--they can't sanction it until they define it!

This article demonstrates that Professional Review Organizations are required to use objective, scientifically developed "norms," "criteria," and "standards" in evaluating the quality of health care provided to Medicare beneficiaries. The author suggests that most PROs do not do so and, therefore, any PRO's attempt to impose sanctions or deny payment for alleged poor quality is illegal.

Medical Audit↗
PubMed1987

Medicaid/Medicare fraud and abuse: practical guidelines for physicians.

Administrative and judicial interpretation of the Medicare and Medicaid Fraud and Abuse laws--particularly provisions on illegal referrals--pose a threat to physicians considering new business arrangements. This article sets out examples of arrangements likely to avoid claims of Fraud and Abuse and shows how certain modifications may substantially increase the risk of government charges of illegal referrals.

Crime↗
PubMed1985

Privileges system deters disputes among medical staff specialists.

With a growing number of physicians and dwindling opportunities to perform in-hospital procedures, medical staff privileges disputes are likely to increase. The author explains how a privileges process that is based on the individual physician's demonstrated ability instead of specially labels or character of training can prevent such disputes and protect the hospital from antitrust suits that may occur in connection with them.

Governing Board↗