Conflicts of Interest
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Narrated by:
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What happens when 19 partners sign your conflict of interest disclosure and one refuses? If your governance documents don’t have an answer, your practice is exposed.
Healthcare attorney Neal Goldstein breaks down how private physician groups should approach conflict of interest policies without turning into policing organizations. Designed for physician owners, practice executives, and medical group boards, this breakdown covers the exact financial relationships that threaten your compliance and bottom line, and how to handle partner non-compliance before it fractures your group.
What you will learn:
● Why private physician practices do not need hospital-style financial disclosures, and how Stark II and tax-exempt rules drive hospital compliance.
● The difference between policing every partner’s passive outside investments and requiring self-reported material disclosures.
● Why partner ownership in a competing ambulatory surgery center is a massive business risk to your group’s strategic capital.
● How outside financial relationships with designated health service (DHS) providers like imaging centers, labs, and physical therapy trigger Stark Law exposure.
● Why medical director or management agreements with local hospitals must be disclosed as direct competitive threats.
● How the “selective enforcement trap” turns an unenforced compliance policy into a retaliation or hostile work environment lawsuit.
● How to structure confidential reporting channels and tiered disclosures so partners protect their privacy while board leaders fulfill their fiduciary duties.
● How to separate disciplinary actions from partnership remedies when a productive physician refuses to act like a partner.
Timestamps:
00:00:21: Conflicts of Interest and Governance in Physician Groups
00:02:29: Do Private Practices Need Hospital-Style Financial Disclosures?
00:04:17: How Stark Law and Anti-Kickback Statutes Impact Group Practices
00:10:18: The 4 Financial Conflicts Every Physician Group Must Track
00:14:05: Managing Disclosed Conflicts vs. Prohibiting Outside Investments
00:15:00: What to Do When a Physician Partner Refuses to Disclose
00:17:19: Avoiding the Selective Enforcement Trap in Practice Governance
00:18:48: Practical Frameworks for Confidential Reporting and Partner Remedies
About the Host:
Neal Goldstein is a healthcare corporate attorney and the host of Group Practice, where he helps physician owners, medical group executives, and healthcare leaders navigate the business and legal realities of independent medicine. He specializes in physician group governance, mergers and acquisitions, regulatory compliance, and strategic practice growth.
Website: https://www.pfs-law.com/
Website: https://www.goldsteingrouppractice.com/
Website: https://nealtgoldstein.com/
LinkedIn: https://www.linkedin.com/in/neal-t-goldstein-841aa652/
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Disclaimer: The information provided in this video is for educational and informational purposes only and does not constitute formal legal advice or establish an attorney-client relationship.
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