HCAD 650 WK 2 Group 1 – Discussion 2; Business Transactions
All Groups Read the Tracks We Leave: Ethics and Management Dilemmas in Healthcare, Third Edition: Case Study, Chapter 10 – Failed Hospital Merger: Richland River Valley Healthcare Systems
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Group 1 /Contracting for Compliance
In the Law of Health Care Administration, 9th Edition. Read:
Ch. 5 Contracts (pages. 175-189)
Ch 13 Competition and Antitrust Law (pages 489 – 523)
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Part 1: Critical Analysis of the Law
Evaluate the legal risks and consequences of failing to comply with laws that impact contracts. Evaluate one of the following laws: I’VE CHOSEN – Corporate Practice of Medicine (CPOM)
Certificate of Need
Antitrust
Corporate Practice of Medicine (CPOM)
Evaluate one of the contract clauses from the list below. For the clause selected, indicate the type of risk it will mitigate and how you would use the contract clause as a risk mitigation tool. I’VE CHOSEN – Termination clauses
Alternative dispute resolution (ADR) clauses
Limitation of Liability clause
Periodic Reporting and Right to Audit
Termination clauses
Legal Compliance clause
Data Protection Clause
Insurance requirement to cover liability
Q. How would a comprehensive cloud-based contract management system limit contract risk?
Q. How would a comprehensive contract management system prevent the problems in The Tracks We Leave, Chapter 10 Failed Hospital Merger: Richland River Valley Healthcare System? Be specific and demonstrate an understanding of the risks and how the compliance tool can be used specifically to control the risks.
Part 2: Strategic Compliance with the Law
You are an administrator in a hectic clinic in the same managed care organization (MCO) as the local hospital. Five of your providers regularly refer to a nearby home health agency the five own. The home health agency is the sole provider of home health services in a five-county area. The home health agency wants to expand and open more home health agencies in other counties and be the sole provider in those counties as well. The home health agency in Maryland requires a certificate of need for home health. The home health agency would like to employ a physician.
Q. What laws does this arrangement violate?
Q. Why does this violate?
Q. What are the consequences of the violation(s)?
Create an action plan with three actions you could take to correct the problem, including the specific compliance strategy selected.
