Despite incidents of federal healthcare program fraud, the U.S. Department of Justice and Health and Human Services Office of Inspector General have traditionally avoided shutting down hospital systems and instead opted for less severe alternatives.
With so much focus being paid to the recent rollout of the public health insurance exchanges, the increase of private exchanges has gone largely unnoticed. But these private exchanges have the potential to play a significant role in the health insurance marketplace should their insurance products allow employers and individuals to comply with governmental regulations more cheaply and easily than their public counterparts.
This article addresses the medical staff organization’s legal status and whether medical staffs have legal capacity to hire their own attorneys separate and apart from the hospital’s in-house counsel or outside counsel, and the competing/coordinating roles of the hospital attorney and medical staff attorney.
Today, professional workplaces often promote unhealthy habits—picture vending machines, isolated cubicles, and rolling chairs. This environment compounds preventable health issues like obesity and related diseases. To combat these issues some workplaces have instituted workplace wellness programs.
Insurers in the commercial insurance industry have created an array of health benefit plan options to help meet their plan members’ needs. Benefit plans such as Preferred Provider Organization (“PPO”) and Point of Service (“POS”) plans have provided plan members with the discretion of receiving healthcare services either in-network or out-of-network.