Physician Integration Strategies: Super Groups, Clinically Integrated Networks (CINs) and Alternative Payment Models

In order for small, private medical practices to survive and thrive in the current healthcare environment, with the increased emphasis on cost, quality and compliance, most physicians will likely need to become part of larger networks of physicians able to engage in alternative payment relationships with commercial insurers or self-insured employer plans as a group. These groups must be sufficiently integrated to avoid a Federal anti-trust violation, and to be able to monitor and enforce compliance among its physician participants in order to enter into meaningful fee arrangements with payors. In this presentation from the Business of Pain Medicine Symposium: 21st Century Challenges and Solutions event held October 7th – 9th 2016 in Washington, D.C., Daniel B. Frier, Esq., discusses two integration models: Super-Groups, through which physicians practice together in a single entity under the same Tax I.D. number, and Clinically Integrated Networks (CINs), through which physicians in separate and distinct medical practices clinically integrate in order to contract for the provision of medical services. The presentation will provide an overview of how to form a Super Group or CIN, the necessary legal characteristics of each structure, and discuss several alternative payment model and how they may be implemented in either a Super Group or CIN structure.

If you are interested in forming a Super Group or CIN, contact Frier Levitt today to speak to an attorney.