decisionhealth Newsletters, Part B News - 2020 Issue 8 (August)
How to craft provider contracts that deal with board sanctions — and protect the practice
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Article Overview
This practice management article explains how provider employment and partnership agreements can address medical board actions, licensure problems, and related contract risks. It is aimed at physicians, practice managers, and health care counsel who handle provider agreements and want to understand the broad categories of contract language, disclosure expectations, compliance considerations, and legal review issues discussed by experts.
Why This Topic Matters
Provider board sanctions can affect staffing, billing, revenue, credentialing, and contractual relationships. The article helps readers understand the kinds of contract issues practices may want to consider when a provider’s license status or professional conduct changes.
Article Sections
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Practice management
Introduces the contract and compliance issues that can arise when a provider is subject to board action or licensure-related concerns.
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No big deal?
Discusses the range of board sanctions, from administrative matters to more serious actions, and why disclosure obligations may matter to a practice.
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Not suspended, encumbered
Addresses sanctions that do not suspend a license but may still affect practice operations, staffing, or revenue.
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EEOC/ADA compliant?
Reviews employment-law and discrimination concerns that can arise when a provider has substance-use, mental health, or related issues tied to board action.
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3 tips for contract sanction terms
Summarizes broader contract and compliance themes, including insurance, credentialing, and the importance of legal review.
What You Will Learn
- How provider contract provisions can address board sanctions and licensure issues
- Why disclosure and notice provisions are important in provider agreements
- What types of board actions may create operational or revenue concerns even without suspension
- How employment-law and disability-related concerns can affect contract decisions
- Why ongoing credentialing, insurance, and legal review are relevant to sanction-related contract terms
Who Should Read This
- Physicians
- Medical practice managers
- Health care attorneys
- Contract administrators
- Compliance professionals
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