Last week ISMS joined 100 other state and national medical organizations to urge Congress to pass a balanced legislative solution to protect patients from unanticipated (“surprise”) medical bills.

These surprises occur when patients receive care from out-of-network physicians or other healthcare professionals due to gaps in patients’ health insurance coverage.

Remember the days of having no recourse when an insurer’s step therapy process prevented your patients from receiving the right prescription or treatment?

Step therapy is a cost-control method used by health insurers which forces patients to try cheaper prescriptions or treatment alternatives before a physician’s recommended solution can be considered for coverage.

ISMS has long fought for reforms to reduce this suffering. With the help of our advocacy, there are exceptions to insurer step therapy policies. 

If you’re planning to join the growing trend of two or more medical practices providing services out of the same office, it's important to be aware of concerns associated with this type of arrangement – including liability and compliance considerations.

ISMS offers a medical legal guideline that covers liability and regulatory compliance considerations involved in this practice arrangement, along with the potential pitfalls of many shared-space agreements.