FEATURE ARTICLES FROM OUR AUGUST ISSUE |
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Paul R. DeMuro, PhD, JD, MBA |
Preparing for the Avalanche of Uninsured Patients
Survival Strategies Include Bold Initiatives
By: Paul R. DeMuro, PhD, JD, MBA and Richard M. Klass, MBA
The recently enacted federal Medicaid policy changes as part of the One Big Beautiful Bill Act (OBBBA) will affect all state healthcare providers and not-for-profit community agencies, including South Florida healthcare stakeholders who serve a large uninsured population. These changes will adversely impact local municipalities, safety-net hospitals, and rural hospitals, which will face increased financial responsibility for providing care to uninsured patients.
The OBBBA sets limits on healthcare taxes imposed by nearly every state on providers or managed care plans. These taxes generate revenue for supplemental Medicaid payments, and mostly benefit hospitals, but may also support other provider types.
At stake in Florida is a portion of the $3.4 billion in provider taxes collected. Of this amount, Dade-County hospitals received $662 million; Broward hospitals, $360 million.1
Community hospitals and other providers may cut or stop care for uninsured patients due to limited finances or operational priorities.
With OBBA Medicaid reform taking effect after December 31, 2026, healthcare providers must prepare for increased uninsured patient volume. Financial stability will depend on good strategic planning, political partnerships, and mitigation efforts.
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| Overview of the One Big Beautiful Bill Act – Healthcare Focus
By Richard M. Klass
The healthcare-related provisions of the One Big Beautiful Bill Act (OBBBA) affect various segments of the healthcare industry. Rule implementation timelines differ, with certain Medicaid policy changes postponed until the fourth quarter of 2026. This delay allows organizations to make necessary adjustments in response to revised federal funding levels, updated public assistance program eligibility requirements, and modifications to tax regulations.
Summary of Important Policy Shifts
Immediate Policy Changes
Select not-for-profit entities: For one year, the OBBBA prohibits Medicaid reimbursement to entities primarily engaged in family planning, reproductive health, and related medical care that also provide abortion services (except in cases of rape, incest, or danger to the mother’s life).
Effectively, this rule change ends Medicaid funding for even non-abortion healthcare services for entities such as Planned Parenthood and other similar organizations.
Long-term care entities: Long-term care facilities get one OBBBA related win; a ten-year reprieve on the federal staffing mandate specifying nursing homes to maintain a minimum number of certified nursing assistants (CNAs) and 24/7 registered nurse (RN) coverage. Michelle Marsh, CEO of Forma Advisors opines “this provision will still not reduce staffing shortages in nursing homes. Recruiting challenges will persist for several more years.
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UPCOMING NETWORKING MEETINGS AND EDUCATIONAL WEBINARS |
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SAVE THE DATE UPCOMING VIRTUAL SEPT. 11, 2025 AT 6:30PM |
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NEXT IN-PERSON ACHE OF SF EVENT THURSDAY, SEPT 18, 2025
5:30PM - 8:00PM NETWORKING AND 1.5 IN-PERSON EDUCATION SESSION TOPIC: SERVICE-LINE DEVELOPMENT
LOCATION: BROWARD HEALTH MEDICAL CENTER SAVE THE DATE |
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EXCLUSIVE HEATLHCARE PROFESSIONALS NETWORKING MEETING COMING SOON |
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UPDATED NEWS INFORMATION FROM THE LAST THREE DAYS IN SOUTH FLORIDA |
Tampa General Hospital is First Health System in Tampa Area to Offer Minimally Invasive Procedure for Tremor
Utilizing specialized radiosurgery technology, this procedure may improve outcomes for tremor patients compared with other available therapeutic interventions.
Aug. 19, 2025 – The Neuroscience Institute at Tampa General Hospital (TGH) now offers stereotactic radiosurgery (SRS) thalamotomy, a new and minimally invasive treatment for tremor, or uncontrollable shaking, in select patients with essential tremor (ET) and tremor dominant Parkinson’s disease (TD-PD). The integration of this revolutionary treatment option now allows for a full suite of services available for patients with movement disorders. TGH is the first health system in the West Central Florida region to offer SRS thalamotomy and one of the few in the nation utilizing a recently developed “frameless” technique that avoids traditional cranial fixation pins (head frame), maximizing patient comfort while providing precise treatment. The innovative and specialized technology delivers high-intensity radiation to a small, precise area in the brain that is responsible for tremor generation. The SRS procedure requires no anesthesia, incisions, drilling or head shaving and, because it is an outpatient procedure, patients can go home the same day.
Tremors in ET and TD-PD can affect almost any part of the body, but most commonly occur in the hands, and can happen at any age, but are usually seen in people 40 and older. While the condition isn’t life-threatening, it can be disabling and worsen over time. If tremors become severe, the condition may cause difficulty in performing everyday tasks, such as eating, drinking, writing, shaving, putting on makeup or even speaking.
“This procedure has the potential to improve the lives of many in our region, as tremors are the most common movement disorder, and SRS has been shown to be safe and effective in providing good tremor control and can improve quality of life in patients for whom medications did not work to control tremors,” said Dr. Mohamed Khattab, radiation oncologist, TGH Cancer Institute, and Assistant Professor, Radiation Oncology, and director of research, CNS Radiation Oncology, USF Health Morsani College of Medicine. “SRS can be particularly beneficial for patients with severe, medically refractory essential tremor and Parkinsonian tremor, meaning that their tremors do not typically see improvement with medications or other therapies.”
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Miami Cancer Institute Researchers Present Latest Findings at 2025 Annual Meeting of the American Society for Radiation Oncology
August 18, 2025 – Miami Cancer Institute, part of Baptist Health South Florida, today announced its presentations at the 67th American Society for Radiation Oncology (ASTRO) Annual Meeting, September 27 – October 1, 2025, at the Moscone Center in San Francisco, California. The presentations focus on emerging advancements and nuanced evaluations in radiation oncology, innovations in proton and MR-guided adaptive radiotherapy, treatment planning and outcomes for gastrointestinal and brain cancers, automated imaging segmentation tools, motion management, and biological modeling of treatment risks.
“We have a wide array of impactful presentations at this year’s ASTRO annual meeting,” said Minesh P. Mehta, M.D., deputy director and chief of radiation oncology at Miami Cancer Institute. “Our presentations underscore Miami Cancer Institute’s commitment to precision, innovation, and evidence-based care – advancing how we plan, deliver, and adapt radiation therapy for complex and challenging cancers. In addition to our presentations at ASTRO, we have an educational session on ablative radiation therapy for pancreas cancer.”
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Guided by Gratitude: How the Joe DiMaggio Children’s Hospital Foundation Inspired a Family’s Commitment
Derek and Charlie Attend A Panther’s Game Thanks to JDCHF
After their son’s successful cancer treatment, Derek Thornhill joined the Memorial and Joe DiMaggio Children’s Hospital Foundation Boards to help ensure other families receive the same hope and support.
August 18, 2025 – When Derek Thornhill relocated his family from California to South Florida in 2022, he never imagined that just a few months later, his five-year-old son Charlie would be diagnosed with leukemia. What began as unexplained joint pain, fatigue and fevers quickly escalated into a life-altering diagnosis of B-cell acute lymphoblastic leukemia.
“In an instant, everything changed,” Thornhill shared. “Your world narrows to one question—will my child survive this?”
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Palm Beach Gardens Medical Center Named Comprehensive Florida Resuscitation Center of Excellence
August 19, 2025- Palm Beach Gardens Medical Center, part of the Palm Beach Health Network, has been named a Comprehensive Florida Resuscitation Center of Excellence (FRCE), a designation that highlights the hospital’s commitment to delivering exceptional outcomes in cardiac arrest care.
The FRCE program recognizes hospitals across the state that meet rigorous standards in cardiac resuscitation, strengthen collaboration with EMS teams, and work to improve survival rates following cardiac arrest. By completing the attestation process and partnering closely with local EMS and medical leadership, Palm Beach Gardens Medical Center has demonstrated its dedication to providing the highest level of resuscitation care.
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The Clubhouse Model: Transforming Mental Health Recovery Through Community
By Andy McAusland, CEO, Mental Health America of the Palm Beaches
The clubhouse model stands as a beacon of hope for individuals living with serious mental illness. This evidence-based approach, transforming lives for over 65 years, creates communities where people are valued for their talents rather than defined by their diagnoses.
What Makes the Clubhouse Model Different
The clubhouse model fundamentally reimagines mental health recovery by centering on community, peer support, and meaningful work. Unlike traditional treatment facilities where individuals are patients receiving services, clubhouses welcome “members” who work alongside staff as equals. This approach recognizes that recovery involves rebuilding lives and reconnecting with society.
The model addresses social isolation by having members participate in running the clubhouse itself, taking on responsibilities in food service, administration, maintenance, and outreach. This work-ordered day structure provides purpose and builds confidence while developing practical skills that translate to employment opportunities.
Evidence-Based Benefits
Research consistently demonstrates the clubhouse model’s effectiveness across multiple recovery domains. A 2018 systematic review found solid evidence that clubhouses increase employment rates, reduce hospitalizations, and improve relationships and quality of life for people with serious mental illness. Studies show clubhouse members experience fewer psychiatric readmissions and demonstrate better long-term outcomes compared to those receiving traditional services alone.
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Do No Harm: Rethink Treating Diabetes, Hypertension in Frail Older Adults
August 20, 2025 – Effectively managing chronic conditions like diabetes and hypertension can greatly improve quality of life, reduce complications and extend longevity for older adults. However, when treatment becomes overly aggressive, it can do more harm than good. Every day, thousands of vulnerable older adults in the United States are harmed by intensive management of these conditions – resulting in dangerously low blood sugar or blood pressure, emergency visits, hospitalizations, disability or even death. These harms are preventable and often stem from well-intentioned but excessive medical care.
Despite clear guidelines promoting cautious, individualized care – especially for frail older adults and nursing home residents – these complications remain alarmingly common.
Joseph G. Ouslander, M.D., a professor of geriatric medicine at Florida Atlantic University’s Charles E. Schmidt College of Medicine, and his collaborator, have published a paper in the Journal of the American Geriatrics Society calling for urgent change in how health care providers are supported and held accountable. They argue that physicians, nurse practitioners, and physician assistants prescribing diabetes and hypertension medications should be actively encouraged – not merely expected – to avoid overtreatment through carefully designed quality measures.
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Health Clinic and proudly sponsored by generous support from Fifth Third Bank, presents:
2025 Hero-Fest Veteran Stand-Down
Saturday, September 20, 2025
What: United Way Broward’s MISSION UNITED, in collaboration with Nova Southeastern University’s Veterans Health Clinic and proudly sponsored by Fifth Third Bank, presents the Hero-Fest Veteran Stand Down — a dynamic resource fair for Veterans and military families. Attendees will have access to health and wellness screenings, legal and benefits assistance, housing support, employment services, mini workshops, complimentary lunch, giveaways, and more.
When: Saturday, September 20, 2025
11:00 a.m. – 3:00 p.m. (Participant check-in will begin at 11:30 a.m. Attendees are encouraged to arrive promptly to ensure a seamless start to the event. Doors will open to the public from 2:00 p.m. to 3:00 p.m.)
Where:
Carl DeSantis Building – Nova Southeastern University
3050 Ray Ferrero, Jr. Blvd., Fort Lauderdale, FL 33314
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HCA Florida Healthcare welcomes nearly 100 new doctors in Greater Orlando area
HCA Florida Healthcare welcomes nearly 100 new doctors in Greater Orlando area
Residents and fellows are training in high-demand specialties at HCA Florida Lake Monroe Hospital and HCA Florida Osceola Hospital~
August 15, 2025 – Orlando, Fla. – Nearly 100 new doctors began residencies or fellowships this summer at HCA Florida Lake Monroe Hospital and HCA Florida Osceola Hospital. The residents are among more than 720 physicians being trained across the state in needed specialties like primary care, surgery, emergency medicine and cardiology through the University of Central Florida – HCA Florida Healthcare Graduate Medical Education (GME) Consortium.
“Our goal for our GME programs is, ultimately, increasing access to expert care for our patients throughout Florida,” said Cheryll Albold, Ph.D., vice president of graduate medical education for HCA Healthcare’s North Florida Division. “HCA Florida Healthcare’s strategic partnership with UCF’s College of Medicine is providing a pipeline that will directly benefit patients by continually training the best and brightest new doctors, many of whom will ultimately build their own practices right here in the Sunshine State.”
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COMMUNITY-BASED CONNECTIONS, INC. LAUNCHES TWO NEW HEALTH AND RESOURCE HUBS TO EXPAND SERVICES TO AT-RISK CHILDREN AND FAMILIES
Affordable health services to be provided for students and their families at Blanche Ely High School in Pompano and William Dandy Middle School in Fort Lauderdale;
Ribbon cuttings set for September 3
FORT LAUDERDALE, Fla. (August 19, 2025) – Community-Based Connections, Inc. (CBCI), a nonprofit organization dedicated to expanding the options available to children that promote their social and academic growth, in collaboration with Broward County Public Schools (BCPS), has opened two new Health and Resource Hubs in North and Central Broward County at Blanche Ely High School in Pompano Beach (1201 NW 6th Avenue) and William Dandy Middle School in Fort Lauderdale (2400 NW 26th Street). This innovative partnership, the first in the district to offer primary care health services through an on-site nurse practitioner, will further CBCI’s reach to enhance the health and well-being of underserved populations in the county. By integrating social services and primary care with a focus on addressing root causes of health disparities, CBCI aims to foster a healthier, more resilient community. The grand opening ribbon cuttings are set for Wednesday, September 3, at 9:30 a.m. at Blanche Ely High School and at 2 p.m. for William Dandy Middle School.
“Community-Based Connections is proud to launch these innovative Health Hubs as a bold new model for community care, ensuring that youth and families have access not only to holistic healthcare, but to a place where they are truly seen, heard, and supported,” said Mikelange Olbel, CEO of Community-Based Connections, Inc. “As the youngest child of immigrant parents who migrated to the U.S. in search of opportunities and a better quality of life, I am channeling their remarkable strength to break the cycle of poverty that continues to plague underserved populations in Broward County. While life-changing social service programs are at risk of being eliminated or underfunded, we are doubling down on our commitment to the promise of education and accessible healthcare. These new Health and Resource Hubs are a critical step to fulfilling our mission of creating new pathways for families in need.”
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NCH Becomes First in Florida to Offer the Latest Procedural Advancements using the New G5 System for Patients with Mitral and Tricuspid Regurgitation (TR)
August 19, 2025 – The Rooney Heart Institute at Naples Comprehensive Health (NCH) becomes first in Florida to offer the latest next-generation transcatheter Abbott MitraClip™ and TriClip™ G5 system for patients with mitral and tricuspid regurgitation, commonly known as “leaky” heart valves.
Mitral regurgitation and tricuspid regurgitation occur when the valve between the top and bottom chambers of the heart fail to close properly, allowing blood to flow backward. Left untreated, these leaky valves can cause debilitating symptoms such as shortness of breath, swelling, fatigue, and can lead to serious complications including atrial fibrillation, heart failure, and even death. Historically, treatment options have been limited to high-risk surgery or medical therapy, which often does not successfully treat this disease.
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Golisano Children’s Hospital & MarineMax Fort Myers Announce 10th Annual Gala
Sponsorship Opportunities and Individual Tickets Available Now
August 20, 2025 – Golisano Children’s Hospital and MarineMax Fort Myers are pleased to announce the 10th Annual MarineMax Yacht Gala, taking place on Friday, February 20, 2026, at MarineMax Fort Myers. This year’s theme, “A Night Under a Million Stars,” promises a magical waterfront evening benefiting the hospital’s SEA STAR Program (Safety Education Awareness, Sensory Training, Autism Readiness).
The SEA STAR Program provides sensory-friendly care for children with neurological and developmental disorders, including autism spectrum disorder (ASD), ADHD, sensory processing disorders, and more. Since its launch in April 2024, nearly 100% of Golisano team members have been trained in sensory-friendly practices. SEA STAR also introduced Florida’s first sensory-friendly ambulance and established 10 sensory rooms throughout Southwest Florida, complete with dimmable lighting, bubble tubes, tactile therapy tools, and fiber optics, all designed to create a safe, calming environment for patients and their families.
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OFFICIAL SPONSOR OF LEADERSHIP INTERVIEWS |
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SOUTH FLORIDA HOSPITAL NEWS & HEALTHCARE REPORT |
Interview with Brent Lucas, CEO of Envoy Medical, Inc. CLICK HERE Interview with Dr. Rachel Docekal, CEO of The Hanley Foundation CLICK HERE
Interview with John D. Couris who is President and CEO of Florida Health Sciences Center and Tampa General Hospital CLICK HERE Interview with Shane Strum President/CEO of Broward Health by Charles Felix from South Florida Hospital News and Healthcare Report - February 2023
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Interview with Matthew Garner CEO of Broward Health North by Charles Felix from South Florida Hospital News and Healthcare Report in February 2023.
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UPCOMING MEETINGS & EVENTS AND MARKETING OPPORTUNITIES |
MARKETING AND PUBLIC RELATIONS CAMPAIGNS
SHOULD BE USING THE RESOURCES OF SFHN&HR
Start the year with a comprehensive print and digital marketing program.
NOW ACCEPTING
ARTICLES AND ADS FOR THE
SEPTEMBER 2025 will focus on the following topics: Salute to Mental Health Therapists
Addiction/Mental Health/Recovery Focus & Resource Guide Real Estate Update – New Ideas – New Projects Alzheimer’s Care, Organizations & Facilities Financial Community & Healthcare - Innovations & Trends Banking Programs for Physician Practices Asset Protection & Estate Planning
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2025 ANNUAL SALUTES TO YOUR HEALTHCARE PROFESSIONALS Sept - Salute to Mental Health Therapists Oct – Salute to Case Management Nov – Salute to Hospice and Palliative Care Nov - Salute to IT Directors and Managers The pricing for ads in these issues are discounted by 40%. |
Upcoming Healthcare
Events are Listed Below |
Advance Your Practice With the Latest in Cardiovascular Imaging Stay ahead of the curve in cardiovascular care at the 42nd Annual Echocardiography and Structural Heart Symposium, hosted by Baptist Health Miami Cardiac & Vascular Institute. This two-day, in-person event, September 26–27, at Loews Coral Gables Hotel, offers practical, expert-led education in echocardiography and structural heart imaging.
Whether you’re honing foundational skills or sharpening advanced techniques, you’ll gain critical insights to elevate your clinical decision-making and improve outcomes. Learn through hands-on sessions, interactive case discussions, and the latest evidence-based practices in imaging and intervention.
Topics include advanced echo techniques (TEE, 3D, AI), multimodality imaging, structural interventions (TAVR, TEER, TMVR), and more.
This event is ideal for physicians, sonographers, and clinicians dedicated to excellence in cardiovascular imaging.
Join us and secure your spot at BaptistHealth.net/MiamiEcho today. |
.FOR ADDITIONAL INFORMATION ABOUT FUTURE EVENTS
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Baptist Health Announces 42nd Annual Echocardiography and Structural Heart Symposium
June 16, 2025 – Miami Cardiac & Vascular Institute, part of Baptist Health South Florida, will be hosting its the 42nd Annual Echocardiography and Structural Heart Symposium on September 26-27, 2025, at the Loews Coral Gables Hotel in Coral Gables, Florida. This premier educational event convenes leading experts in cardiovascular care to explore the latest advancements in imaging technologies and minimally invasive treatments for valvular and structural heart diseases.
“As valvular heart disease and structural heart treatments become increasingly integral within cardiology, the symposium focuses on building the fundamental tools of echocardiography,” said Elliott J. Elias, M.D., director of cardiac and structural imaging at Baptist Health Miami Cardiac & Vascular Institute and co-director of the symposium. “It is tailored to both beginners and those with advanced skills, ensuring a comprehensive understanding from the perspective of the sonographer scanning the patient to the reader, be it a cardiologist or medical professional, taking care of the patient.”
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SAVE THE DATE 2ND ANNUAL BROWARD HEART FAILIURE SYMPOSIUM
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AUGUST 6, 2025
READ THE CURRENT NEWSLETTER FROM
CANNABIS NEWS FLORIDA |
Over 922,000
Patients in Florida are using Cannabis as their Medicine FOR LATEST OMMU REPORTS FROM OFFICE OF MEDICAL MARIJUANA USE IN THE STATE OF FLORIDA HERE
Highlights from AUGUST 15, 2025 BY THE NUMBERS Qualified Patients: (Active ID Card)
Aug 15 2025- 922,769 Aug 08 2025- 921,698 Aug 01 2025- 920,582
Jul 25 2025- 920,352 Jul 18 2025- 920,108 Patients Added Last Week: 1,071
Qualified Ordering Physicians:
2,401
New Doctors added Last Week: 6
Reporting Period: Aug 8 - Aug 14, 2025
Amount of Medical Marijuana Dispensed - (mgs THC) 386,768,678
Amount of Low-THC Cannabis Dispensed - (mgs CBD ) 3
-Amount of Marijuana in a Form for Smoking (oz) 134,475.854 Approved Dispensing Locations: 728 Added Last Week: 0 |
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RECENT EDUCATION SEMINARS HOSTED BY THE SOUTH FLORIDA HOSPITAL NEWS NETWORK DISABILITY INSURANCE EDUCATION WEBINAR
Understanding the Disability Insurance Market in Florida with Howard Wolkowitz and Michael Tyler. June 27, 2024 CLICK HERE TO VIEW VIDEO Presented by Mirza Healthcare Law How Experienced Physicians Protect their Assets. May 21, 2024 CLICK HERE TO VIEW VIDEO Presented by Dabdoub Law Firm
PHYSICIAN DISABILITY INSURANCE WEBINAR – TIMING IS EVERYTHING – PART 2 MAY 21, 2024
CLICK HERE TO VIEW VIDEO Presented by Mirza Healthcare Law How to start your Healthcare Practice? March 19, 2024
CLICK HERE TO VIEW VIDEO Presented by Coleman Consulting Physician Practice Management - Managing Pit Falls in your Practice - Recorded on Feb 13, 2024.
CLICK HERE TO VIEW VIDEO Presented by Dabdoub Law Firm PHYSICIAN DISABILITY INSURANCE WEBINAR – WHAT YOU NEED TO KNOW – PART 1
CLICK HERE TO VIEW VIDEO Presented by Mirza Healthcare Law "HOW TO HANDLE COLLECTION CHALLENGES OF WORKING WITH HEALTH PLANS"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "How Experienced Physicians Protect their Assets"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "How to Minimize the Risk of Malpractice Lawsuits"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "So, I Signed a Non-Compete, Now What?"
CLICK HERE TO VIEW VIDEO Presented by Mirza Healthcare Law "How to Approach and Do Business With Large Healthcare Systems"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "How Mergers & Acquisitions in Healthcare are Done!"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "How to Navigate - Hospital Medical Executive Committees, Peer Reviews, Investigations, and Bylaws"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "How Experienced Physicians Negotiate Employment Agreements"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law “ASSESSING LIABILITY RISKS: HOW TO PROTECT YOUR PROFESSIONAL PRACTICE AND REPUTATION”
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law "So, I Signed a Non-Compete, Now What?"
CLICK HERE TO VIEW VIDEO
Presented by Mirza Healthcare Law Stark Law - How can Physicians and Hospitals Avoid Problems and Still Work Together
CLICK HERE TO VIEW VIDEO
CLICK HERE VIEW ADDITIONAL WEBINARS |
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