What Is the Corporate Practice
of Medicine?
The corporate practice of medicine refers to when medical decisions are
taken out of the hands of individual doctors and instead are controlled,
even in part, by non-physicians. It can also exist when non-physicians
are compensated for doctors' medical decisions. This control by non-physicians
may be exercised in arrangements such as:
- Partnerships
- Employment
contracts
- Fee-splitting
Why Is the Corporate Practice of Medicine Prohibited?
States prohibit the corporate practice of medicine based on the idea that
it benefits public health and safety if only doctors are licensed to practice
medicine. If corporations or other non-physician entities are able
to practice medicine, they will face a conflict of interest between the
demands of the corporation and the best interests of the patient.
Where Is the Corporate Practice of Medicine Prohibited?
The laws of each state continue to change, but states that currently prohibit
the corporate practice of medicine include California, Colorado, Illinois,
Iowa, New Jersey, New York, Ohio, and Texas.
While these states prohibit the corporate practice of medicine, they also
have created many exceptions to the doctrine. Depending on a state's
particular laws, institutions that may not be subject to the prohibition
include hospitals, clinics, universities, and professional corporations. For
example, doctors may be allowed to form professional corporations that
are licensed to practice medicine, but only if the corporation is controlled
by doctors.
Do I Need a Corporate Attorney?
Doctors who are seeking employment, or considering
incorporating their practice should be well-informed about laws controlling
the corporate practice of medicine in their home state. A corporate attorney with experience in health
care matters can advise you on how to structure
your business in a lawful corporate arrangement.
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