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Selling Our SoulsThe Commodification of Hospital Care in the United States$
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Adam D. Reich

Print publication date: 2014

Print ISBN-13: 9780691160405

Published to Princeton Scholarship Online: October 2017

DOI: 10.23943/princeton/9780691160405.001.0001

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Good Business

Good Business

Chapter:
(p.95) Chapter Five Good Business
Source:
Selling Our Souls
Author(s):

Adam D. Reich

Publisher:
Princeton University Press
DOI:10.23943/princeton/9780691160405.003.0005

This chapter examines the link between Emergency Medical Incorporated's financial success and the quality of hospital care it ultimately was able to provide. Emergency Medical Incorporated, one of the nation's largest contract management groups, held the contract for the emergency department at HolyCare Hospital. The company managed the scheduling, billing, and workflow of the emergency medicine physicians, who were technically “independent contractors” with the company. It also provided them with medical malpractice insurance and helped them minimize legal risk. The chapter considers the billing practices of HolyCare doctors and the effects of physicians' individualism on the quality of care at HolyCare. It shows that entrepreneurship was structured within larger organizations (from the physicians' group to the hospital itself) that also profited from doctors' profiteering.

Keywords:   billing practices, Emergency Medical Incorporated, HolyCare Hospital, physicians, malpractice insurance, individualism, hospital care, entrepreneurship

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