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Economic Credentialing—Dead or Alive in an Era of Healthcare Reform and Competition?

Presented by the American Health Lawyers Association
Audio Conference | July 28, 2009

Partner Michael Callahan will moderate a panel on “Economic Credentialing—Dead or Alive in an Era of Healthcare Reform and Competition?” at 1:00 p.m. on Tuesday, July 28.

Topics of the conference include:

  • An overview healthcare industry developments affecting quality and costs and its impact on credentialing and privileging policies
  • Should hospitals and medical staffs adopt "conflict-of-interest" or other screening policies to identify physician financial conflicts at time of appointment and reappointment?
  • Can identified conflicts be legally be used to screen out new applicants to the medical staff—what about at reappointment time?
  • What are the right and wrong ways to utilize physician profiling data within a hospital which is designed to monitor and compare physician costs, utilization, and quality performance outcomes?
  • Are there win-win strategies that hospitals and medical staffs can develop to address ways to improve a hospital's bottom line and its quality outcomes without adversely affecting physician membership and/or clinical privileges?

The presentation examines the implication of a recent court ruling which struck down a hospital's policy that attempted to restrict medical staff members and their families from having any ownership or economic interest in a competing facility, and also presents two more typical hospital/physician economic scenarios from a hospital and medical staff perspective in terms of identifying areas of legal and political difficulties as well as proposed win-win solutions.

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