Economic Credentialing in Healthcare Facilities

Current economic pressures in the healthcare industry have caused hospitals to take economic factors into consideration when making decisions regarding physician recruitment and retention. This practice, known as “economic credentialing,” triggers a number of legal risks.

Economic credentialing includes exclusive provider contracting, physician profiling practices and conflict of interest polices. These practices and policies raise anti-competitive concerns under federal and state antitrust laws, fraud and abuse charges under the federal anti-kickback law, and a number of other legal issues arising under state law.

Listen to our authoritative panelists provide an in-depth analysis of antitrust, fraud and abuse and other legal issues associated with economic credentialing, review relevant case law, and provide practical advice for avoiding legal liability for alleged anti-competitive behavior and fraudulent conduct when advising a healthcare facility.

Mark J. Horoschak, Member, Womble Carlyle, Charlotte, is a member of the firm's Antitrust and Health Law practice groups. He is a nationally recognized expert in healthcare antitrust matters, representing national and regional companies in mergers, joint ventures, and distributional matters.

Mark L. Mattioli, Partner, Post & Schell, Philadelphia, focuses his practice on solving complex business problems in a variety of highly regulated areas, including healthcare. He has been involved heavily in counseling hospitals and health systems regarding antitrust and other issues related to the credentialing of practitioners.

Toby G. Singer, Partner, Jones Day, Washington, DC, focuses on antitrust counseling and litigation, with an emphasis in the healthcare industry. She currently chairs the Jones Day health section antitrust practice team. She has spoken and published on antitrust subjects on numerous occasions.

They will address these and other key topics:

• What are the legal risks and liabilities for healthcare facilities that utilize Economic Credentialing in Healthcare Facilities in physician hiring?
• How can recruitment agreements be crafted to stay within federal and state law and regulations?
• What are the best practices for facilitating physician recruitment to minimize legal risks involved?

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