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Episode Summary:
In this episode, Alice Gosfield breaks down co-management agreements and clinical integration for healthcare organizations. She explains what works, what doesn’t, and the essential strategies physicians and hospitals need to create high-performing, legally compliant collaboration models. From aligning financial incentives to building a shared culture, Alice shares actionable insights for anyone developing integrated healthcare programs.
What You Will Learn in This Episode:
- The definition of co-management agreements and their role in healthcare collaboration
- Key steps to create compliant co-management agreements
- Legal and operational elements necessary for effective clinical integration
- Alice’s four Fs framework: form, function, finance, and feeling
- The importance of physician-to-physician collaboration
- Tools like the Clinical Integration Self-Assessment for evaluating group readiness
- How standardized protocols, performance metrics, and care pathways reduce fraud and abuse risks
- The role of bundled payments in supporting integrated care models
Key Timestamps:
00:00 – Introduction to co-management agreements
02:15 – Creating compliant co-management agreements
04:30 – Understanding clinical integration and its legal origins
05:00 – Alice’s four Fs framework for evaluating integration
06:20 – Physician collaboration and leadership in integrated models
08:15 – Clinical Integration Self-Assessment tool explained
10:00 – Reducing fraud and abuse risks through standardization
12:05 – The role of bundled payments in clinical integration
14:00 – Closing thoughts and next steps for healthcare organizations
About the Show:
Gosfield & Shay on Health Law is a podcast dedicated to unpacking the complexities of health care compliance, physician group structuring, and federal regulatory policy. Hosted by Alice Gosfield, one of the nation’s leading health care attorneys, the show helps physicians, practice managers, and hospitals navigate the legal landscape with clarity, strategy, and confidence.
100 episodes
