In 2004, the oig addressed a contractual laboratory joint venture in a formal advisory opinion there the oig concluded that a proposed joint venture arrangement between a provider of laboratory services and various physician groups could potentially generate prohibited remuneration under the anti-kickback statute. The joint venture entity is operated as a technical matter, under the hospital’s license and staff bylaws the hospital bills for the services that are provided under the hospital’s license and billing number as hospital services in exchange, the hospital pays the joint venture a “fair market value” fee for providing the surgical services.
Joint venture if there are changes in compliance re-quirements • dispute resolution mechanisms (such as mediation, ar-bitration, and court) • labor and employment law considerations, including retirement plan issues special issues for specific joint ventures surgery center, imaging facility, and clinical lab ven-tures raise special issues.
California physician february 1993 forming a medical group: what you need to know to get started by: jeremy n miller, jd for purposes of this discussion, a “group”-two or more physicians in an integrated medical practice-does not include expense sharing arrangements, “clinics without walls,” or joint ventures.
Flexing its anti-kickback muscles, the federal government is clamping down hard on some profit-focused patient referral and healthcare joint venture practices the federal government is clamping down hard on some profit-focused patient referral and healthcare joint venture practices, in the latest flex of anti-kickback law muscles. Represented regional nonprofit health system in structuring and consummating a physician joint venture to form an independent diagnostic imaging facility (idtf), including regulatory and compliance advice with respect to meeting the conditions of participation, and a related private offering and syndication of investment units to community physicians. In determining whether a physician network joint venture is sufficiently financially integrated to warrant rule of reason analysis, the agencies will consider the extent to which a particular p4p arrangement constitutes the sharing of substantial financial risk among the members of the joint venture, whether that sharing is likely to produce efficiencies, and whether any price or otherwise per se illegal agreements among the members are reasonably necessary to achieve those efficiencies.
Nevertheless be considered illegal under the antitrust laws if it is found to have a net the network as an example, if two physician practices form a joint venture, and agree to take risks by contracting on a capitated basis, but each practice is subcapitated for its own patients clinical integration a physician joint venture may be. The guidelines, most recently revised in 1994, address nine types of activities, one of which is physician network joint ventures physician network joint ventures, for purposes of the guidelines, are physician-controlled ventures in which physicians (who otherwise might compete), agree on prices or other terms.
For independent physician practices, a joint venture may be the best option to gain credibility and expand your resources.