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Wisconsin Health Law Posts
- The Physician Board Member – Meeting Your Responsibilities as a Director
- Concierge Medicine Agreements – Five Key Contract Clauses for Medical Practices
- Telehealth Membership Platforms: A Provider Compliance Guide
- Medicare Opt-Out – A Make-or-Break Decision for Concierge Physicians
- Hybrid Concierge Models – Why Popularity Comes With Compliance Risk
- Cash-Based Clinics – A Regulatory Landscape More Complex Than It Appears
- State Spotlight: Wisconsin, Illinois, and Michigan — Three Distinct Regulatory Environments
- Understanding HIPAA and Its Interaction with State and Federal Confidentiality Laws
- Concierge Medicine Legal Guide: Key Compliance and Business Issues for Physicians
- Direct Primary Care (DPC) vs. Concierge Medicine: A Regulatory Comparison
- Physician Autonomy in the Value-Based Care Era: Legal and Operational Priorities for Health Care Providers
- Telehealth and Concierge Medicine – A Strong Fit with Complex Rules
- Preparing for Certification Surveys at Ambulatory Surgery Centers
- Podcast – ASC 2030: The New Playbook
- Podcast – ASC Life Safety Code Decoded
- Podcast – ASC Survey Ready Now
- Podcast – QAPI: Build It Right
- Podcast – Closing Infection Control Gaps
- Podcast – ASC Governance Accountability
- ACO Primary Care Exclusivity Requirement – Not As Broad As Some Believe
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Category Archives: Physician Contracting and Alignment
Concierge Medicine Agreements – Five Key Contract Clauses for Medical Practices
Summary: Concierge medicine agreements should clearly address membership benefits, refund and cancellation policies, Medicare-related disclosures, arbitration provisions, and fee-adjustment mechanisms to help medical practices manage legal risk and patient expectations. Concierge medicine, direct primary care, and membership-based medical practices can … Continue reading
Posted in Consierge & Cash-Based Practices, Health Care Contracting, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
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Hybrid Concierge Models – Why Popularity Comes With Compliance Risk
Hybrid concierge models are gaining traction for a simple reason: they give physicians a way to offer a more personalized patient experience without walking away from traditional insurance. Patients can opt into a membership tier for enhanced access and non-covered … Continue reading
Posted in Consierge & Cash-Based Practices, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
Tagged concierge medical practice, direct primary care, hybrid cash-based, hybrid dpc practices, hybrid models
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Concierge Medicine Legal Guide: Key Compliance and Business Issues for Physicians
What physicians need to know before launching or converting to a membership-based medical practice As concierge medicine becomes a more common membership-based medical practice model, physicians and practice groups are weighing its potential to improve patient access, reduce burnout, and … Continue reading
Posted in Consierge & Cash-Based Practices, Physician Contracting and Alignment
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Direct Primary Care (DPC) vs. Concierge Medicine: A Regulatory Comparison
In recent years, alternative primary care models like Direct Primary Care (DPC) and concierge medicine have grown in popularity as both patients and providers seek more personalized and accessible healthcare. While both models emphasize improved doctor-patient relationships and enhanced patient … Continue reading
Posted in Consierge & Cash-Based Practices, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
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Physician Autonomy in the Value-Based Care Era: Legal and Operational Priorities for Health Care Providers
Topics: value-based care compliance, physician autonomy, health care provider legal issues, Stark Law compliance, Anti-Kickback Statute compliance, physician compensation arrangements, value-based care contracts, health care compliance counsel, medical staff governance, accountable care organizations, provider reimbursement strategy, health care fraud and … Continue reading
Posted in Accountable Care Organizations, Clinical Integration, Physician Contracting and Alignment, Physician Issues, Wisconsin Health Laws
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ACO Primary Care Exclusivity Requirement – Not As Broad As Some Believe
By John Fisher, JD, CHC, CCEP Client Alert – MSSP ACO Participant Exclusivity Remains Narrow and Assignment-Based Updated July 10, 2026 Bottom line: MSSP exclusivity remains narrow and assignment-based. Organizations should focus compliance efforts on the TINs and claims that … Continue reading
Posted in Accountable Care Organizations, Clinical Integration, Medical Staff Organization & Structure, Physician Contracting and Alignment
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Block Leasing of Group Practice Facilities – Anti-Kickback Statute Risks
By John Fisher, JD, CHC, CCEP Client Alert – Healthcare Block Leasing, Anti-Kickback Statute Risks, and AKS Safe Harbor Compliance Healthcare block leasing arrangements—where a group practice, physician organization, or other healthcare provider leases defined blocks of space in a … Continue reading
Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Health Law Practice, Physician Contracting and Alignment, Physician Issues, Stark Law and Anti-Kickback Issues
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OIG Advisory Opinions on Gainsharing Arrangements Since 2018
By Fisher, JD, CHC, CCEP Client Alert: OIG Advisory Opinions on Gainsharing Arrangements Since 2018 Introduction to Gainsharing Arrangements As hospitals, health systems, and physician groups continue to pursue value-based care strategies, gainsharing arrangements remain an important—but highly regulated—tool for … Continue reading
Posted in Anesthesiologists, Clinical Integration, Fraud and Abuse, Health Care Contracting, Health Law Practice, Hospital Issues, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues, Stark Law and Anti-Kickback Issues
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Podcast – Beyond Insurance: New Medicine
Episode 5 – Beyond Insurance: New Medicine Welcome to “Beyond Insurance: New Medicine,” the next episode in our Legal Pulse: Healthcare Edition series. In this installment, we delve into innovative approaches to healthcare delivery that move past traditional insurance frameworks. … Continue reading
Posted in Consierge & Cash-Based Practices, Legal Pulse Podcast, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Reimbursement & Payment Practices
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Podcast – Opting Out of Healthcare
Legal Pulse: Healthcare Edition Welcome to Legal Pulse: Healthcare Edition, the podcast where we explore the intersection of law and medicine to keep you informed on the latest developments and trends. Podcast – Opting Out of Healthcare Episode 4 – … Continue reading
Posted in Consierge & Cash-Based Practices, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Reimbursement & Payment Practices, Reimbursement Issues
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