Healthcare Antitrust Lawyer Serving Greenville, SC
Physicians often find themselves caught between a rock and a hard place when it comes to their business. On one side, they find themselves being squeezed by the insurance companies that try to impose rates. On the other side, they have the federal government to worry about if they try to work together with other doctors. However, there is a way for these doctors to form networks and enter into business arrangements and stay on the right side of the law. You should always do so with the help of a healthcare antitrust lawyer serving Greenville, SC.
Physician Networks Must Navigate Antitrust Laws
The healthcare business is evolving, and doctors are trying to do what they can to make life easier for both them and their customers. One way is to form physician networks to provide a more user-friendly experience for patients. This also gives the doctors more bargaining power with the health insurance companies.
However, the Department of Justice has their eyes on these networks and strict guidelines that they must follow to remain legal. Otherwise, the federal or state government could take antitrust enforcement action. Much of the difficult compliance work is done before these networks are formed as attorneys help physicians structure arrangements to remain on the right side of the antitrust laws.
The problem in the eyes of the government is that all doctors are potential competitors. When they work separately, patients may benefit from the competition. Forming networks may mean that physicians stop competing. This is why the structure of any healthcare arrangement is critical.
Why You Need a Healthcare Antitrust Lawyer
Practically any healthcare arrangement needs antitrust counsel to ensure that it stays legal. Here are some possible healthcare deals that need antitrust counsel:
- Mergers and Acquisitions – Doctors buy other practices, and some pairings are large enough that physicians need to be concerned about antitrust implications.
- Joint Ventures and Networks – In order to price jointly with other doctors, you must undergo financial or clinical integration.
- Referral Networks – This is the least risky option with doctors still individually negotiating prices.
Don’t assume that an arrangement with other physicians is legal just because it helps your patients on the surface. Make sure to seek antitrust advice whatever course of action you intend to take. Your attorney could give you advice on how to structure your transaction or deal to make sure that you stay on the right side of the law. An experienced healthcare antitrust attorney could spot issues that may cause the government to ask questions and could help you avoid them.
The healthcare market changes by the day. What worked for your business yesterday may not work tomorrow, and you always need to consider new options. However, each of these courses of action could raise antitrust concerns. Talking to an antitrust attorney before you agree to anything is a must.
Contact a Healthcare Antitrust Lawyer Serving Greenville, SC
The Law Offices of George M. Sanders, P.C., helps physicians in the Greenville area with key antitrust advice that makes business deals possible. Contact us online to learn how we can assist you and your practice.