These warnings come at a critical time for healthcare providers who have experienced significant changes in their industry over the past decade, from shifting from service fees to value-based payments to directing hospitals, physicians and other providers to responsible care organizations and other clinically integrated models. Due to the evolution of healthcare, providers are looking for new economic agreements that enable their businesses to succeed, including service management agreements. As previously mentioned, a management-service agreement allows providers to delegate the administrative side of a practice to professional accountants, accountants, and back-office providers, allowing providers to focus on patient care. At Georgia House, HB 789, as originally designed, is said to have created a surprising billing system that provides that hospitals will be allocated to hospitals from zero to four „stars“ based on the number of physician groups contracted with a hospital within an insurer`s network. In addition, any insurer that promotes a hospital as an in-network should disclose the assessment of that hospital`s surprise. And if the hospital had less than four stars, any in-network insurer would have to describe what types of qualified hospital groups are not contracted with such a hospital. In Georgia, there are at least two widely overlapping ways to find out how the COVID-19 pandemic may impact the applicability of a treaty. The first is contractual, by a contractual provision that constitutes a force majeure clause. The second is prescribed by law, by the doctrine of „impossibility“ codified in Georgia under O.C.G.A.
§13-4-21. Although they are somewhat similar in action and intent, force majeure and impossibility are different concepts that require separate analyses. In recent years, the healthcare sector has undergone revolutionary changes. These changes have led to the creation of new financial arrangements between healthcare providers, payers and businesses in order to survive and thrive in an ever-changing and competitive environment. These new economic regulations often raise questions about federal fraud and abuse laws, as well as self-deportations and the splitting of prohibited royalties. In all cases that could concern the Stark Act and the AKS, the provisions of a „waiver“ from the strong law must be respected and the requirements of an AKS „safe harbor“ must be respected. The exceptions and safe ports on which one relies depend on the structure of the medical director agreement as an independent contractor agreement or as an employment agreement. . . .