Adios Envision

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nimbus

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Kudos to AAEM. I feel like I should contribute.


“The American Academy of Emergency Medicine Physician Group’s (AAEM-PG) lawsuit against Envision Healthcare and Envision Physician Services charging them with illegally engaging in the corporate practice of medicine (CPOM) has ended with the healthcare giant withdrawing from all operations in the State of California. AAEM-PG resolved the case on confidential terms, including a partial reimbursement of AAEM-PG’s attorneys’ fees and costs relating to the suit. Even without a final judgment, however, the case may have a lasting impact in California for lay entities who seek to purchase medical practices and the private equity companies that fund those purchases.

The suit challenged the “friendly physician model” by which non-physicians operate a medical practice in violation of law. In order not to run afoul of rules barring lay businesses from employing doctors, a single “friendly physician” owns a physician group that acts as the direct employer of physicians, but a lay entity nominally providing management services is really in control of the practice, including, billing, staffing, hours, payor contracting, and budgets. The suit alleged the friendly physician was not in fact the real owner of the medical group because of stock transfer agreements that did not allow him to realize profits from the entity aside from a salary set by the lay entity or, to transfer his ownership of the group without consent of the lay entity. The model is used throughout the nation.“



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I hope this doesn’t end in California. Hopefully AAEM will partner with other state medical boards and EM groups to kick them out there too. Eventually, if we keep this momentum going, perhaps they’ll have nowhere left to run and corporate medicine will die out. One can hope.
 
I hope this doesn’t end in California. Hopefully AAEM will partner with other state medical boards and EM groups to kick them out there too. Eventually, if we keep this momentum going, perhaps they’ll have nowhere left to run and corporate medicine will die out. One can hope.


 
May 12, 2023…. 18 months later and envision is still hanging on. They certainly don’t appear to be going anywhere anytime soon
 
May 12, 2023…. 18 months later and envision is still hanging on. They certainly don’t appear to be going anywhere anytime soon
They are just dumping unprofitable anesthesia contracts off to hca in Florida to have hca deal with it in house hca w2. It’s so obvious. While keeping the profitable anesthesia contracts for themselves.

That’s really how lazy hospitals administrators are in these profitable anesthesia hospitals to just not say we will run it ourselves. If I were hca. I’d just get rid of all Envison But they won’t. It’s because many of the upper level amsurg executives were inbred from the hca days in Tennessee.

Anyways. KKR didn’t lose a penny on the bankruptcy. They make a ton of money just on transaction fees. So a 10 billion dollar deal likely means on the low end of 50 million in fees for the partners. And that’s on the extreme low in. Of course the big money would have been to try to flip Envison for a few billion more. That’s where the huge money is.


Everything was leveraged as previously discuss on numerous threads here.

It’s just the suckers bond holders who keep buying these worthless bonds


 
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