The Bander Center for Medical Business Ethics at Saint Louis University regularly
compiles links to case studies useful for class discussion, legal resources, codes,
guidelines and reports related to medical business ethics.
U.S. Department of Health & Human Services: Office of the Inspector General (OIG) Offers physician education training materials about Federal fraud and abuse laws and
avoiding Medicare and Medicaid fraud and abuse.
A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse - a physician
self study guide that covers pertinent laws on fraud and abuse and appropriate relationships
with fellow providers, vendors, and payers.
Patient Physician Sunshine Act Provision (Requirements on financial relationships
between manufacturers and distributors of covered drugs, devices, biologicals, or
medical supplies under Medicare, Medicaid, or CHIP and physicians and other health
care entities and between physicians and other health care entities, including disclosure).
This component of the bill requires that starting in 2012, medical device and pharmaceutical
companies will record physician payments over $10 and that all payments be publicly
American College of Physicians (All cases gathered from their website)
Are Health Plan Incentives Hurting Generalist-Specialist Relationships? - A physician
struggles with limitations and pressures put onto her and other physicians by HMOs.
When are Industry-Sponsored Trials a Good Match for Community Doctors? - When community
physicians are paid for enrolling patients into a clinical trial, the lines between
physician and researcher can become blurred.
Physician Work Stoppages and Political Demonstrations: Economic Self-Interest or Patient
Advocacy? Where is the Line? - Should a physician group shut down their practice for
a day to attend a tort reform demonstration?
The HMO Physician's Duty to Cut Costs - A physician has a duty to providing the best treatment for his patient, but does
a similar duty apply to providing treatment at the most reasonable cost? (Link to
JSTOR Article available with SLU access)
More cases on topics in medical business ethics are currently being developed. For
comments and suggestions, please contact us at 314-977-1070.