"The Trend of Group Practice - Its Pros and Cons"

Marissa Kase Segal is a healthcare lawyer with Fenton Law Group, LLP. Her practice focuses on business, transactional and regulatory matters in the healthcare industry, with an emphasis on HIPAA compliance, the Anti-Kickback Statute, Stark law, corporate practice of medicine doctrine, provider enrollment, and licensure and certification. She advises a broad range of clients, including physicians and physician groups, diagnostic centers, ambulatory surgery centers, durable medical equipment companies, mental health providers, podiatrists and podiatric medical practice groups, dentists, medical spas, IPAs, ACOs, laboratories, pharmaceutical companies, and other health care providers, as well as management companies that manage various providers.

Ms. Segal also counsels her clients regarding regulatory and compliance issues presented by the evolving landscape of telemedicine and telehealth. Ms. Segal’s transactional practice includes drafting and negotiating management agreements, stock purchase agreements, asset purchase agreements, shareholder agreements, physician employment and independent contractor agreements, and corporate formation and compliance documentation. Ms. Segal advises clients on change of ownership and state licensure issues, and compliance with the Medicare and Medicaid enrollment rules and regulations.
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The healthcare delivery model has been constantly evolving, and the reality of being a solo practice physician is becoming more and more difficult. To survive, the trend of physicians coming together to form a group practice is growing. The presentation will address this trend, as well as issues to consider when forming a group practice. These include corporate issues, governance, and regulatory considerations such as complying with the Stark law to meet the criteria to be a “group practice” under Stark, and other issues. As they grow, many group practices are considering entering into agreements with management companies to manage their practice. This presentation will address prevalent issues that arise in management service contracts (sometimes called “Administrative Services Agreements”). There will be time for Q & A after the presentation.