title: The corporate transformation of medical specialty care: the exemplary case of neonatology.
abstract: The key to wealth in health care is the physician, who certifies to third-party payers that health care items and services are necessary for patient care. To compete more effectively for this wealth, physician specialists are organizing their practices into for-profit corporations and employing other physicians. Focusing on neonatology, this article describes the prevailing business model of these for-profit medical groups as controlling employed physicians through restrictive employment contract provisions, e.g., non-compete and mandatory arbitration clauses. With this business model and because of deficiencies in current law, for-profit medical groups eliminate competition from other physician specialists to the detriment of patients and consumers.
authors.affiliation: William S. & Christine S. Hall Center for Law and Health at Indiana University School of Law--Indianapolis, Indianapolis, IN, USA.
authors.forename: Eleanor D
authors.initials: ED
authors.lastname: Kinney
mesh_terms: D016363:Antitrust Laws / Q000191:economics* / Q000706:statistics & numerical data; D004470:Economics, Medical; D006801:Humans; D008511:Medicine / Q000145:classification / Q000706:statistics & numerical data*; D009359:Neonatology / Q000191:economics* / Q000706:statistics & numerical data / Q000639:trends; D013038:Specialization; D014481:United States