The Corporate Practice of Medicine: Ethical Implications of Orthopaedic Surgery Practice Ownership by Non-Physicians.
Journal
The Journal of bone and joint surgery. American volume
ISSN: 1535-1386
Titre abrégé: J Bone Joint Surg Am
Pays: United States
ID NLM: 0014030
Informations de publication
Date de publication:
03 Jun 2020
03 Jun 2020
Historique:
entrez:
5
6
2020
pubmed:
5
6
2020
medline:
20
1
2021
Statut:
ppublish
Résumé
There has been an upsurge in the number of practices owned by non-physicians. With orthopaedic surgery as the next frontier in this market, orthopaedists need to consider the ethical consequences of such acquisitions. The history and trends of practice ownership are reviewed alongside how laws shifted to reflect a changing health-care climate. The 4 tenets of bioethics (beneficence, nonmaleficence, autonomy, and justice) are explored with regard to practice acquisition by non-physician entities. Although non-physician-owned corporations and private equity firms provide liquidity to the health-care sector, there are ethical concerns that may ultimately impact patient care. Orthopaedic surgeons must be cautious when engaging in acquisitions with non-physician-owned entities, as the goals of each party may not align. This may yield situations that infringe on the basic principles of bioethics for both physician and patient.
Identifiants
pubmed: 32496745
doi: 10.2106/JBJS.19.01404
pii: 00004623-202006030-00017
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e53Références
Kane CK. Policy research perspectives. Updated data on physician practice arrangements: for the first time, fewer physicians are owners than employees. 2019. Accessed 2020 Mar 23. https://www.ama-assn.org/system/files/2019-07/prp-fewer-owners-benchmark-survey-2018.pdf
Chase-Lubitz JF. The corporate practice of medicine doctrine: an anachronism in the modern health care industry. Vanderbilt Law Rev. 1987 Mar;40(2):445-1-5.
American Medical Association. Issue brief: corporate practice of medicine. 2015. Accessed 2020 Mar 23. https://www.ama-assn.org/practice-management/economics/business-medicine
Kaiser CF, Friedlander MF. Intern Revenue Serv. Corporate practice of medicine. 1999. Accessed 2020 Apr 2. https://www.irs.gov/pub/irs-tege/eotopicf00.pdf
Tan S, Seiger K, Renehan P, Mostaghimi A. Trends in private equity acquisition of dermatology practices in the United States. JAMA Dermatol. 2019 Jul 24. Epub 2019 Jul 24.
Casalino LP, Saiani R, Bhidya S, Khullar D, O’Donnell E. Private equity acquisition of physician practices. Ann Intern Med. 2019 Jul 2;171(1):78.
Nataloni R. Acquisition trends: consolidation in dermatology. The Dermatologist. 2016 Oct;24(10). Accessed 2020 Mar 23. https://www.the-dermatologist.com/content/acquisition-trends-consolidation-dermatology
Bishop TF, Shortell SM, Ramsay PP, Copeland KR, Casalino LP. Trends in hospital ownership of physician practices and the effect on processes to improve quality. Am J Manag Care. 2016 Mar;22(3):172-1-5.
Gondi S, Song Z. Potential implications of private equity investments in health care delivery. JAMA. 2019 Mar 19;321(11):1047-1-5.
Dyrda L. Why private equity deals will become more common for orthopedic practices — key thoughts from Provident’s Robert Aprill. 2018 Sep 17. Accessed 2020 Mar 23. https://www.beckersspine.com/orthopedic-spine-practices-improving-profits/item/42644-why-private-equity-deals-will-become-more-common-for-orthopedic-practices-key-thoughts-from-provident-s-robert-aprill.html
Oliphant TK. Five trends that every orthopedic professional should watch in 2017. 2017 Feb 8. Accessed 2020 Mar 23. https://www.beckersspine.com/orthopedic-spine-practices-improving-profits/item/35272-five-trends-that-every-orthopedic-professional-should-watch-in-2017.html
Silverman SI. In an era of healthcare delivery reforms, the corporate practice of medicine is a matter that requires vigilance. Health Law Policy Brief. 2015;9(1):1-1-5.
Medical Board of California. Corporate practice of medicine. 2015. Accessed 2020 Mar 23. https://www.mbc.ca.gov/Licensees/Corporate_Practice.aspx
Professional service corporations, limited liability companies, and registered limited liability partnerships for the practice of medicine – definitions, CO Rev Stat § 12-36-1-5 (2016).
Bohn YH. Private equity investments in health care practices. 2017 Aug 28. Accessed 2020 Mar 23. https://www.pepperlaw.com/publications/private-equity-investments-in-health-care-practices-2017-08-28/
Huberfeld N. Be not afraid of change: time to eliminate the corporate practice of medicine doctrine. Health Matrix Clevel. 2004 Summer;14(2):243-1-5.
Galetta MS, Makanji HS, Strony J, Goyal DKC, Kurd MF. Changing reimbursement models and private equity ownership in spine surgery. Ann Transl Med. 2019 Sep;7(Suppl 5):S166.
Murphy K, Jain N. Global healthcare private equity and corporate M&A report 2018. 2018 Apr 18. Accessed 2020 Mar 23. https://www.bain.com/insights/global-healthcare-private-equity-and-corporate-ma-report-2018/
Resneck JS Jr. Dermatology practice consolidation fueled by private equity investment: potential consequences for the specialty and patients. JAMA Dermatol. 2018 Jan 1;154(1):13-1-5.
Buckley H, Fry T, Townshend G, Roenius A. Private equity investments in orthopedic practices: we’ve got your back! 2019. Accessed 2020 Mar 23. https://media.mcguirewoods.com/publications/2019/Private-Equity-Investments-in-Orthopedic-Practices.pdf
Strode RD. Orthopedics: the new darling of private equity. 2018 June 1. Accessed 2020 Mar 23. https://www.foley.com/en/insights/publications/2018/06/orthopedics-the-new-darling-of-private-equity
Gustafsson L, Seervai S, Blumenthal D. The role of private equity in driving up health care prices. 2019 Oct 29. Accessed 2020 Mar 23. https://hbr.org/2019/10/the-role-of-private-equity-in-driving-up-health-care-prices
Bos A, Harrington C. What happens to a nursing home chain when private equity takes over? A longitudinal case study. Inquiry. 2017 Jan-Dec;54:46958017742761.
Frances C. Private equity investment in health care. JAMA. 2019 Aug 6;322(5):468-1-5.
Shoenholz D, Gates P. Can private equity be an effective provider to health care companies? 2018 Dec. Accessed 2020 Mar 23. http://parthenon.ey.com/po/en/perspectives/can-private-equity-be-an-effective-provider-to-health-care-companies
Cockrell G. Investor interest in orthopedics – 5 key points. 2019 Apr 30. Accessed 2020 Mar 23. https://www.thehealthcareinvestor.com/2019/04/articles/healthcare-services-investing/investor-interest-in-orthopedics-5-key-points/
Driver J. The history of utilitarianism. In: Zalta EN, editor. The Stanford encyclopedia of philosophy. Winter 2014ed. ed Stanford University; 2014.
Beauchamp TL, Childress JF. Principles of biomedical ethics. 8th ed. Oxford University Press; 2019.
Hafner K, Palmer G. Skin cancers rise, along with questionable treatments. 2017 Nov 20. Accessed 2020 Mar 23. https://www.nytimes.com/2017/11/20/health/dermatology-skin-cancer.html
The United States Department of Justice. Family dermatology PcC agrees to pay United States more than $3.2 million to settle alleged False Claims Act violations. 2015 Apr 21. Accessed 2020 Mar 23. https://www.justice.gov/opa/pr/family-dermatology-pcc-agrees-pay-united-states-more-32-million-settle-alleged-false-claims
Buller LT, Best MJ, Baraga MG, Kaplan LD. Trends in anterior cruciate ligament reconstruction in the United States. Orthop J Sports Med. 2014 Dec 26;3(1):2325967114563664.
Deyo RA, Gray DT, Kreuter W, Mirza S, Martin BI. United States trends in lumbar fusion surgery for degenerative conditions. Spine (Phila Pa 1976). 2005 Jun 15;30(12):1441-1-5; discussion 1446-7.
American Academy of Orthopaedic Surgeons. OrthoGuidelines. Accessed 2020 Mar 23. http://www.orthoguidelines.org/
Margosian E. Pulling back the curtain on private equity. Dermatology World. 2018 Jan;28(1):32-1-5. Accessed 2020 Mar 23. http://digitaleditions.walsworthprintgroup.com/article/Pulling+Back+The+Curtain+On+Private+Equity/2973588/464847/article.html
Riley WJ. Health disparities: gaps in access, quality and affordability of medical care. Trans Am Clin Climatol Assoc. 2012;123:167-1-5; discussion 172-4.
Donohoe MT. Comparing generalist and specialty care: discrepancies, deficiencies, and excesses. Arch Intern Med. 1998 Aug 10-24;158(15):1596-1-5.
Adepoju OE, Preston MA, Gonzales G. Health care disparities in the post-Affordable Care Act era. Am J Public Health. 2015 Nov;105(Suppl 5):S665-1-5. Epub 2015 Apr 16.
Thornton RLJ, Glover CM, Cené CW, Glik DC, Henderson JA, Williams DR. Evaluating strategies for reducing health disparities by addressing the social determinants of health. Health Aff (Millwood). 2016 Aug 1;35(8):1416-1-5.
Haas JS, Linder JA, Park ER, Gonzalez I, Rigotti NA, Klinger EV, Kontos EZ, Zaslavsky AM, Brawarsky P, Marinacci LX, St Hubert S, Fleegler EW, Williams DR. Proactive tobacco cessation outreach to smokers of low socioeconomic status: a randomized clinical trial. JAMA Intern Med. 2015 Feb;175(2):218-1-5.
Schoeni RF, Dow WH, Miller WD, Pamuk ER. The economic value of improving the health of disadvantaged Americans. Am J Prev Med. 2011 Jan;40(1)(Suppl 1):S67-1-5.
Reinhardt UE. The rise and fall of the physician practice management industry. Health Aff (Millwood). 2000 Jan-Feb;19(1):42-1-5.