It can be difficult for small physician groups to take on large insurance companies over payment and contract issues even if the law is on the physicians’ side. Lawsuits are often long and expensive, with no guarantee of success, and individual physicians or small groups frequently lack the resources to pursue costly court cases.
California’s emergency physicians have an ally in the fight for fair reimbursement: the physician-lawyer duo of Irv Edwards, MD, FACEP, and Andrew Selesnick, JD. The pair have been advocating for fair and proper payments for emergency physicians for about 20 years. They recently celebrated a victory in a case argued before the Supreme Court of California that could make it easier for physicians to collect fees they are owed by independent practice associations (IPAs).