After facing overwhelming backlash and a lawsuit, PeaceHealth, a nonprofit health system, has reversed its decision to replace emergency physicians in Oregon with a national physician staffing chain.
In an announcement on Wednesday, PeaceHealth did not disclose the reason for its change of course. However, sources familiar with the situation indicated that the health system’s plan was likely to fail in court.
PeaceHealth’s Plan and the Legal Challenge
In February, PeaceHealth announced it would terminate its contract with Eugene Emergency Physicians, the local group that had staffed its Oregon hospitals for 35 years. The decision sparked significant opposition from doctors, nurses, lawmakers, mayors, and emergency medicine organizations.
On March 20, the Eugene emergency physicians filed a lawsuit against PeaceHealth. They argued that the health system’s plan to contract with Atlanta-based ApolloMD, a national physician staffing chain, violated Oregon’s Senate Bill 951. The law prohibits managed service organizations (MSOs) from directly owning medical practices or interfering with clinical decisions.
The case has since undergone four hearings, during which the presiding judge reportedly expressed strong concerns that PeaceHealth’s plan violated SB 951.
“The judge was quite clear that the scheme violated the law,” said Hayden Rooke-Ley, an attorney representing the doctors and a senior fellow for health care with the American Economic Liberties Project.
Implications of Oregon’s SB 951
Oregon’s Senate Bill 951, enacted to protect independent medical practices from corporate interference, played a pivotal role in the legal challenge. The law aims to prevent MSOs from exerting control over clinical decisions, ensuring that medical professionals retain autonomy in patient care.
PeaceHealth’s reversal underscores the challenges health systems face when attempting to restructure physician staffing arrangements in states with strict regulations on MSOs.