Category Archives: Wisconsin Health Laws

The Physician Board Member – Meeting Your Responsibilities as a Director

Understanding Legal, Ethical, and Practical Obligations for Healthcare Leaders Serving as a board member gives physicians a meaningful opportunity to shape the strategic direction of healthcare organizations and support their long-term success. The role also carries legal and ethical obligations … Continue reading

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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

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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

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Cash-Based Clinics – A Regulatory Landscape More Complex Than It Appears

Cash-based medical practices often assume that avoiding insurance billing also avoids legal risk. In reality, the risk profile does not disappear—it shifts. A clinic that does not submit claims to Medicare, Medicaid, or commercial payors may still face meaningful exposure … Continue reading

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State Spotlight: Wisconsin, Illinois, and Michigan — Three Distinct Regulatory Environments

A regional comparison of physician practice requirements in the Midwest demonstrates that Wisconsin, Illinois, and Michigan present materially different regulatory considerations for concierge, membership-based, and cash-based medical practices. For physicians, practice administrators, and MSO partners, these differences affect how ownership … Continue reading

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Understanding HIPAA and Its Interaction with State and Federal Confidentiality Laws

HIPAA privacy compliance, state health information confidentiality laws, Wisconsin medical record privacy, mental health record protections, and 42 CFR Part 2 substance use disorder records Wisconsin Health Lawyer John Fisher HIPAA Privacy Compliance as the Baseline Framework Executive summary: HIPAA … Continue reading

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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

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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

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Podcast – QAPI: Build It Right

Episode 14 – QAPI: Build It Right Welcome to “QAPI: Build It Right,” the fourteenth episode in our Legal Pulse: Healthcare Edition series. In this installment, we’ll unpack the essentials of Quality Assessment and Performance Improvement (QAPI) programs for Ambulatory … Continue reading

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Podcast – Closing Infection Control Gaps

Episode 13 – ASC Infection Control Gaps Welcome to “ASC Infection Control Gaps,” the thirteenth episode of Legal Pulse: Healthcare Edition. In this installment, we shine a spotlight on the infection control challenges facing Ambulatory Surgery Centers today. Listen Now … Continue reading

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