decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Malpractice Insurance Subsidies / Additional Safeguards Produce OIG Approval of a Malpractice Insurance Subsidy for Obstetricians
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Article Overview
This article reviews an OIG advisory opinion about a medical center’s proposed malpractice insurance subsidy arrangement for obstetricians. It explains the compliance context, including the relationship to fraud-and-abuse safe harbor analysis and the Stark physician self-referral framework, and is relevant to compliance, legal, and revenue integrity professionals monitoring physician financial arrangement rules.
Why This Topic Matters
Healthcare organizations and physician practices need to understand how subsidy arrangements are evaluated under federal fraud-and-abuse rules and when a proposal may fall outside a safe harbor or exception. The article highlights the importance of safeguards and community-benefit considerations in assessing risk.
What You Will Learn
- How an OIG advisory opinion can affect analysis of physician subsidy arrangements
- How safe harbor and physician self-referral concepts relate to a malpractice insurance subsidy
- What kinds of compliance considerations matter when evaluating physician financial support arrangements
- How a community-benefit rationale can be relevant in a fraud-and-abuse review
Who Should Read This
- Compliance officers
- Healthcare attorneys
- Physician practice administrators
- Revenue integrity professionals
- Hospital and medical center leadership
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