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D B Higgins

Publications and source records attributed to D B Higgins.

5 recordsLinked to original sources
PubMed1993

Practical applications of Stark II to hospital operations.

With the passage of the Omnibus Reconciliation Act of 1993, the Social Security Act was amended to substantially expand the Medicare self-referral prohibitions. The amended statute, commonly referred to as "Stark II," now covers Medicare and Medicaid referrals and substantially expands the list of services covered, effective January 1, 1995. This article illustrates how Stark II may apply to some of the most common financial relationships between hospitals and referring physicians.

Financial Management, Hospital↗
PubMed1991

Rockford will not end hospital mergers.

Following the Supreme Court's recent decision not to hear the Rockford merger case, there appears to be a growing sentiment that hospital mergers should not be attempted because they are now fraught with uncertainty. "That conclusion," says Daniel B. Higgins, lead partner for the health care group at the law firm McCutchen, Doyle, Brown & Enersen, San Francisco, "reads Rockford too broadly."

Antitrust Laws↗
PubMedDate not supplied

Merger and autonomy: reaping the benefits of both.

Although often reluctant to risk loss of autonomy and control, Catholic health care organizations should consider the opportunities to accommodate local autonomy and affiliation or merger. As the acute care industry consolidates into increasingly larger systems, the price of maintaining absolute autonomy may be too high. Organizations must ask: How much autonomy can we afford? Do the benefits of complete autonomy outweigh its disadvantages in light of marketplace pressures to join into larger organizations? Alliances and joint ventures allow participants to retain a significant degree of autonomy, but long-term benefits are limited. Mergers and affiliations, however, do offer long-term benefits, and they may be structured to achieve an appropriate balance between autonomy and centralized control. By selecting among organizational and functional options, sponsors, boards, and managers can preserve characteristics they consider essential. A broad range of organizational and functional options is available, which ensure flexibility if used correctly. Organizational options include mergers, consolidations, and affiliations, which may make use of parent and superparent organizations, operating corporations, and management companies. Functional options include the use of management divisions, membership powers, voting rights, nomination and election provisions, and ex officio positions. The combination of options that will best resolve conflict between consolidation and autonomy depends on specific circumstances.

Catholicism↗