Physician-owned hospitals and self-referral

Virtual Mentor

Volumn 15, Issue 2, 2013, Pages 150-155

  Cole, Cristie M ^a,b  

^a METROHEALTH MEDICAL CENTER   (United States)

^b UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ETHICS; HEALTH CARE POLICY; HOSPITAL; HUMAN; LEGAL ASPECT; ORGANIZATION AND MANAGEMENT; PHYSICIAN SELF-REFERRAL; UNITED STATES;

HOSPITALS, SPECIAL; HUMANS; OWNERSHIP; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PHYSICIAN SELF-REFERRAL; UNITED STATES;

EID: 84881362402     PISSN: 19377010     EISSN: None     Source Type: Journal    
DOI: 10.1001/virtualmentor.2013.15.2.hlaw1-1302     Document Type: Article

References (25)

1. The reconciliation act of 2010: Report of the Committee on the Budget, House of Representatives, to accompany HR 4872. HR Rep No 111-443, at 4 (2010). http://housedocs.house.gov/rules/hr4872/111-hr4872-rpt2.pdf. Accessed January 22, 2013.
2. Perry JE. Physician-owned specialty hospitals and the Patient Protection and Affordable Care Act: Health care reform at the intersection of law and ethics. Am Business Law J. 2012;49:369-416.
3. US Department of Health and Human Services, Office of Inspector General. Financial Arrangements Between Physicians and Health Care Businesses: Perspectives of Health Care Professionals. HHS; 1989.
4. Limitation on certain physician referrals, 42 USC sec 1395nn(d)(3)(c) (2006).
5. Limitation on certain physician referrals, 42 USC sec 1395nn (2011).
6. Limitation on certain physician referrals, 42 USC sec 1395nn(g) (2006).
7. Prohibition on certain referrals by physicians and limitations on billing, 42 CFR sec 411.353(d) (2012).
8. Basis for civil money penalties and assessments, 42 CFR sec 1003.102(a)(5) (2012).
9. Exclusion from participation in Medicare, Medicaid and all Federal health care programs, 42 CFR sec 1003.105(a)(1)(i) (2012).
10. Limitation on certain physician referrals, 42 USC sec 1395nn(b)-(e) (2006).
11. United States General Accounting Office. Specialty hospitals: Information on national market share, physician ownership, and patients served; 2003. http://www.gao.gov/new.items/d03683r.pdf. Accessed November 26, 2012.
12. Medicare Prescription Drug, Improvement, and Modernization Act of 2003
13. Medicare Payment Advisory Committee. Report to the Congress: Physician-Owned Specialty Hospitals; 2005. http://www.medpac.gov/documents/Mar05-SpecHospitals.pdf. Accessed November 26, 2012.
14. Medicare Payment Advisory Committee. Report to the Congress: Physician-Owned Specialty Hospitals Revisited; 2006. http://www.medpac.gov/documents/Aug06-specialtyhospital-mandated-report.pdf. Published August 2006. Accessed November 26, 2012.
15. US Department of Health and Human Services, Office of Inspector General. Physician Owned Specialty Hospitals' Ability to Manage Medical Emergencies. Washington, DC: US Department of Health and Human Services; 2008.
16. Children's Health and Medicare Protection Act of 2007, HR 3162, 110th Cong (2007).
17. Rural Hospital Assistance Act of 2008, HR 6912, 110th Cong (2008).
18. S 4803, 110th Cong (2008).
19. Limitation on certain physician referrals, 42 USC sec 1395nn(i)(1) (2011).
20. Physician Hospitals of America and Texas Spine & Joint Hospital, Ltd. v Sebelius, 781 F Supp 2d 431 (ED Tex 2011).
21. Limitation on certain physician referrals, 42 USC sec 1395nn(i)(3) (2011).
22. Limitation on certain physician referrals, 42 USC 1395nn(1)(C).
23. Limitation on certain physician referrals, 42 USC 1395nn(i)(1)(C) and (D)(i)-(ii) (2011).
24. Limitation on certain physician referrals, 42 USC 1395nn(1)(E) (2011).
25. National Federation of Independent Business v Dept of Health and Human Services, 132 S Ct 2566 (2012).