INDIANA IIEAITB LAW REVIEW VOLUME4 2007 ISSUE 2 SYMPOSIUM HOSPITAL-PHYSICIAN JOINT VENTURES: A PROMISING PARTNERSHIP? February 21, 2007 Introduction Eleanor D. Kinney McDollllld-Merrill-Ketcham Memorilll Awud for Excellence in Law and Medicine Of Doctors and Hospitals: Setting the Analytical Framework for Managing and Regulating the Relationship James F. Blumstein Hospital-Physician Joint Venture Relationships: A Useful Tool to Improve Hospital Services Steven H. Pratt Transcript of Live Symposium Panel Discussion James F. Blumstein, Gregory L. Pemberton, Norman a Tabler, Steven H. Pratt Dennis L. Pippenger, M.D. Michael J. Finnerty NOTES Move Over Managed Care - Health Savings Accounts, Small Businesses, and Low Wage Earners: Cost, Quality. and Access Russell B. Cate Harvesting Organs from Minors and Incompetent Adults to Supply the Nations Organ Drought: A Critical Review of the Substituted Judgment Doctrine and the Best Interest Standard Beth A. Schenberg Toward a Twenty-First Century Civil Commitment Statute: A Legal, Medical, and Policy Analysis of Preventive Outpatient Treatment Rachel A. Scherer Letting Lilliputians Sit at the Table: Providing Physicians with a Magnified Voice to Counter the Brobdingnagian HMO Brandt R. Voight INDIANA UNIVERSITY SCHOOL OF LAW Indianapolis IUPUI Indiana Health Law Review Volume4 Editor-in-Chief Lauren N. Grattenthaler 2006-2007 Executive Managing Editor Rachel A. Scherer Executive Notes Editor Christopher Campaniolo Executive Production Editor Russell B. Cate Executive Articles Editors Raegan M. Gibson Brandt R. Voight Executive Business Editor Colleen M. Powers Note Development Editors Carly S. Everett Angela K. Grogan Shannon N. Jamison Danielle L. Kaiser Scott J. Smith Heather A. Barnes Jacob V. Bradley Louis J. Britton Keith A. Butler Robert W. Cochrane Matthew V. Daley Matthew S. Dionne Mark E. Douglas Robin E. Ebert Robert R. Elder ManjuGoel EmmaL.Haw Michael J. 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B.A., Mississippi University for Women; J.D., Indiana University School of Law-Indianapolis. JOELM. SCHUMM, Clinical Associate Professor of law. B.A, Ohio Wesleyan University; M.A, University of Cincinnati; J.D., Indiana University School of Law-Indianapolis. LAWRENCE P. WILKINs, William R. Neale Professor of Law. B.A., The Ohio State University; J.D., Capital University Law School; IL.M., University of Texas School of Law. LLoYD T. WILSON, JR., Associate Professor of Law and Director, Central and Eastern European Law Program. B.A, Wabash College; M.A. Duke University; J.D., Indiana University School of Law-Bloomington. MARY T. WOlF, Clinical Professor of Law and Director of Clinical Programs. B.A, Saint Xavier College; J.D., University of Iowa College of Law. R. GEORGE WRIGHT, Lawrence A. Jegen III Professor of Law. A.B., University of Virginia; Ph.D., Indiana University; J.D., Indiana University School of Law-Indianapolis. Emeriti Faculty Eow ARD P. ARCHER, Professor of Law Emeritus. B.M.E., Renesselaer Polytechnic Institute; J.D., IL.M., Georgetown University Law School. JAMES F. BAH..EY, ill, Professor of Law Emeritus. AB., J.D., M.AL.S., The University of Michigan. AGNES P. BARRETT, Associate Professor of Law Emerita. B.S., J.D., Indiana University. CLYDE HARRISON CROCKETT, Professor of Law Emeritus. A.B., J.D., University of Texas; LL.M., University of London (The London School of Economics and Political Science). DEBRA A FAIENDER, Professor of Law Emerita. AB., Mount Holyoke College; J.D., Indiana University School of Law-Indianapolis. DAVID A. FuNK, Professor of Law Emeritus. A.B., College of Wooster; J.D., Case Western Reserve University School of Law; M.A., The Ohio State University; IL.M., Case Western Reserve University; IL.M., Columbia Law School. PAUL J. GALANTI, Professor of Law Emeritus. A.B., Bowdoin College; J.D., University of Chicago Law School. HElEN P. GARFIELD, Professor of Law Emerita. B.S.J., Northwestern University; J.D., University of Colorado School ofl..aw. HAROLD GREENBERG, Professor of Law Emeritus. A.B., Temple University; J.D., University of Pennsylvania Law School. WIU1AM F. HARVEY, Carl M. Gray Professor of Law & Advocacy Emeritus. AB., University of Missouri; J.D., IL.M., Georgetown University Law School. W. WIUlAM HODES, Professor of Law Emeritus, AB., Harvard College; J.D., Rutgers University School of Law-Newark. WIU1AM ANDREW KERR, Professor of Law Emeritus. A.B., West University; B.S., Dulre University; J.D., IL.M., Harvard Law School. WIU1AM E. MARSH, Professor of Law Emeritus. B.S., JD., University of Nebraska. RONALD W. POLSTON, Professor of Law Emeritus. B.S., Eastern Illinois University; LL.B., University oflllinois College of Law. KENNETH M. STROUD, Professor of Law Emeritus. AB., J.D., Indiana University­ Bloomington. JAMES W. TORKE, Carl M. Gray Professor of Law Emeritus. B.S., J.D., University of Wisconsin. JAMES PATRICK WHITE, Professor of Law Emeritus. A.B., University of Iowa; J.D., IL.M., George Washington University Law School. Law Library Faculty JUDITH FORD ANSPACH, Professor of Law and Director, Ruth Lilly Law Library. B.S., M.L.S., Kent State University; J.D., Mississippi College School of Law. DRAGOMIRCOSANICI,HeadofReference. B.A., Michigan State University; M.I.L.S., University of Michigan; J.D., University of Kansas. DEBRADENSLAW, Reference Librarian. B.A., Franklin College; M.S., University oflllinois, Urbana-Champaign; J.D., Valparaiso School of Law. RICHARD HUMPHREY, Reference Librarian. A.A., Brewton-Parker Junior College; B.A., Georgia Southwestern College; M.L.S., University of Kentucky. WENDElL E. JOHNTING, Assistant Director for Technical Services. A.B., Taylor University; M.L.S., Indiana University. CHRIS E. LoNG, Catalog Librarian. B.A., Indiana University; M.A., Indiana University; M.L.S., Indiana University. MAHNAZK.MOSHFEGH,Acquisition/Serials Librarian. B.A., National University of Iran; M.S., Tehran University; M.A., Ball State University; M.L.S., Ph.D., Indiana University. MIRIAM A. MURPHY,Associate Director of Law Library. B.A., Purdue University; J.D., M.L.S., Indiana University-Bloomington. KIYosm Orsu, Computer System Specialist. A.A., Parldand College; A.B., M.S., C.A.S., University of lllinois. INDIANA HEALTH LAW REVIEW Volume4 Issue 2 TABLE OF CONTENTS SYMPOSIUM HOSPITAL-PHYSICIAN JOINT VENTURES: A PROMISING PARTNERSIDP? February 21, 2007 Introduction ............................................................. Eleanor D. Kinney 205 McDonald-Me"ill-Ketchom Memorilll Award for Excellence in Law and Medicine Of Doctors and Hospitals: Setting the Analytical Framework for Managing and Regulating the Relationship ..................................................... James F. Blumstein 209 Hospital-Physician Joint Venture Relationships: A Useful Tool to Improve Hospital Services .......... Steven H Pratt 239 Transcript of Live Symposium Panel Discussion .................................. James F. Blumstein, Gregory L. Pemberton, Norman G. Tabler, Steven H Pratt, Dennis L. Pippenger, M.D., & Michael J. Finnerty 263 NOTES Move Over Managed Care- Health Savings Accounts, Small Businesses, and Low Wage Earners: Cost, Quality, and Access .............................................................. Russell B. Gate 287 Harvesting Organs from Minors and Incompetent Adults to Supply the Nation's Organ Drought: A Critical Review of the Substituted Judgment Doctrine and the Best Interest Standard ....................................... .Beth A. Schenberg 319 Toward a Twenty-First Century Civil Commitment Statute: A Legal, Medical, and Policy Analysis of Preventive Outpatient Treatment ...................... Rachel A. Scherer 361 Letting Lilliputians Sit at the Table: Providing Physicians with a Magnified Voice to Counter the Brobdingnagian HMO ......................................... Brandt R. Voight 435 2007