So if our doctor starts "seeing" a local woman or man, he or she risks running afoul of the "no overlap" rule.So, our doctor has the option of dating only residents of the next county or ordering a bride or groom by mail.One could argue that married couples are an exception,but that view requires an understanding of relationships that is absent from the "no overlap" policy. It was expected that MA enrollment would decline from 10.9 million enrollees (or 24% of all Medicare enrollment) to 8.2 million (15% of Medicare’s total enrollment). In 2016, 17.6 million Medicare beneficiaries—or 31% of all beneficiaries—were in MA plans.
Our contemporary attitude toward such encounters is to label them, categorically, as "unprofessional conduct." Given that there is no surveillance of this behavior, physician-patient sex comes to the attention of regulatory agencies only when the patient complains. The nominal standard establishes a rule of "no overlap": a physician-patient relationship must not coexist with a romantic-sexual relationship.
The AMA says: "Sexual contact that occurs concurrent with the physician-patient relationship constitutes sexual misconduct.
You, who are medical directors out there, please consider how you would react to a request for an out-of-network referral based on "personal reasons." The geographic reality doesn't create the ethical bind, but a contractual restriction.
I'd counsel any MCO or physician group facing this issue to step out of the way instantly.
For psychiatrists, it is a violation to cross the "patient-lover boundary" with any person who has ever been in the other role.