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Medizinisches Versorgungszentrum (MVZ) in Krise und Insolvenz

©2011 Masterarbeit 123 Seiten

Zusammenfassung

Das Medizinische Versorgungszentrum (MVZ) ist eine Neuschöpfung des sozialrechtlichen Gesetzgebers. Seit dem Jahre 2004 ist neben dem Vertragsarzt auch das MVZ zur Teilnahme an der vertragsärztlichen Versorgung gesetzlich Versicherter berechtigt. Nun mag es übereilt wirken, bereits zu einem Zeitpunkt über Krise und Insolvenz Medizinischer Versorgungszentren nachzudenken, an dem dieses rechtliche Konstrukt noch in den Kinderschuhen steckt. Aber „alles, was entsteht, ist wert, dass es zugrunde geht“ – lässt GOETHE seinen Mephisto erklären. In diesem Sinne dürfte es nur eine Frage der Zeit sein, bis zahlungsunfähige oder überschuldete Medizinische Versorgungszentren die insolvenzrechtliche Literatur und die Gerichte beschäftigen, wobei die chronische Mittelknappheit im öffentlichen Gesundheitswesen und daraus fließende Reformbestrebungen zur Beschleunigung dieser Entwicklung beitragen könnten. Sieht man sich das Zahlenwerk publizitätspflichtiger MVZ etwas genauer an, so deutet einiges darauf hin, dass dieser Tag nicht in allzu ferner Zukunft liegt. Die vorliegende Arbeit befasst sich mit den Besonderheiten der MVZ-Insolvenz. Im Vordergrund steht die Frage nach der Massezugehörigkeit von Vermögensteilen eines Medizinischen Versorgungszentrums. So wird untersucht, ob Honorarforderungen des MVZ, die Behandlungs- und Abrechnungserlaubnis und die Praxis (ausstattung) zulasten der gesetzlichen Krankenkassen in Form der Vertragsarztzulassung im Fall der Eröffnung eines Insolvenzverfahrens über das Vermögen des MVZ in die Insolvenzmasseund somit in die Verfügungsgewalt des Insolvenzverwalters fallen. Dabei soll das Zusammenspiel insolvenzrechtlicher Normen (einerseits) und sozial- und berufsrechtlicher Anforderungen (andererseits) aufgezeigt werden, die im Rahmen des Insolvenz- verfahrens über das Vermögen eines medizinischen Versorgungszentrums auftreten können.

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ng5_h h]!5 $< ninf-n[]nM" nd
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h]nd5] 5W ng5_h h]!5 $< nN` 2n Hn[]n > n
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C`enX! <Wh $5n&5! e!5 $<n+h!_nh]n5h]5! h5W `$WnS3]n6 ]_5e\ ]_nW`]_5e!5 $<Wh $5]n3!e $!h <5]ne3+h5n5!3!_\
] ]O5]n ]_n 1`< ]O5]n O5!5O5W<2n G!eX $Wh $n k!n _h5e5n [5 $<e 5!e Wh<<5! ]On _5en R! <!5 $<e QG]<5!n gR! <!5 $<?n
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#` eBN5!] nR! <!5 $< nin>n[]nM2nR6O!5] ]On 0n&5O!h n_5eng5_h h]!5 $<ene2n#
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5e5< O56 ]Oe 30 5<5] 5]nS3]n& ]_n ]_n#X]_5!]nh]nR!<2nTfn4n?!2n n
2nC`]` $n ]<5! `WW5]n_h5n[5O5W ]O5]n
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e ]On+h!_n$h5!65hn_h5n&5! e W`ee ]O n]h $<n_h5n&5! e` ek6 ]OnS5!e<`]_5] n&5!+ nG!<2nS2nM 2 2 -H nTn n
f2-H n&5!+ n n n Tfn 2 C`en65<!h <nh0nd5e5]<Wh $5]n_h5n3!e $!h <5] n_h5neh $n` n !<5hW ]O n= !k ]`$05n
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M 2 H2>fn\ n&S#n B> n&5!
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R !36`<h3] Qe30h<n` $n_h5n[5O5W ]On_5enD` $`! <+5e5]enQ ` $X! <Wh $5nd5h<5!6hW_ ]On ]_nD` $`! <65 5h $\
] ]O5]% n_5!n&5! eO5!h $<e6`! 5h< n_5!n5! `005! ]O n_5en1<`]_5e!5 $<en ]_n_5!nd5!65S5!63<5 nC
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h]n1` $e n ! ]_O5e5< nR!<2nTfn[]n- n1
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h]n1 $]` BdhOO5 n5!<!`Oe`! <!5 $< ninfn[]nT n^
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n&5! e\
!5 $< n12nf-2% h]n_h5n` ee $Wh5PWh $5n 5e5< O56 ]Oe e<X]_hO 5h<n_5!n#X]_5! n&5! n&5e $W2nS2nH 2H>2 TM n n&S[n
> -B M n n&S[n"H-B f n&5!
n"" n M> n >fn 2n1n? dn TM n >Hf n >HT ne3O2nD` $`! <65e $W ee2 C ! $n !W`een_5!n
& ]_5eX! <53!_] ]O G& nh]n_5!nD`ee ]On_5!n&5 `]]<0` $ ]OnS30n 2Hf2 -TnQ& &W2n4n12n M -% n W5< <nO5X]\
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e5< O56 ]Oe!5 $<n 56!` $nO50` $<2ninfn4n& n5!0X $<hO<n_5]n& ]_5e0h]he<5!n k!n 5e ]_$5h<n0h<n= e<h00 ]On
_5en& ]_5e!`<5en 0n !W`een5h]5!nR !36`<h3]e3!_] ]On k!n ! <5 G R
nS2nMT2H 2MHHMnQ& &W2n4n12nMfH>% n W5< <n
O5X]_5!<n_ ! $nR!<2n Hn_5en 2nS30nMf2HT2MH HnQ& &W2n4n12n -"% nh]n_5!n_h5ngh]_5e<`] 3!_5! ]O5]n`]n_`en1< _h\
0n_5!ng5_h h]n5h]e $Wh5PWh $n_5!n !` <he $5]nR e6hW_ ]Onh]nN!`] 5]$X e5!]n ]_n`]_5!5]nO55hO]5<5]n h]!h $\
< ]O5]n_5!nX! <Wh $5]nN!`] 5]S5!e3!O ]One3+h5n?X$5!5enk65!n_h5nX! <Wh $5nB!k ]On ]_nk65!n_h5nR !36`<h3]n n
!5O5W]nhe<2nin n& n5!0X $<hO<n_h5n& ]_5e!5Oh5! ]O n_ ! $n[5 $<eS5!3!_] ]On0h<n= e<h00 ]On_5en& ]_5e!`<5en
_h5n ]<O5W<5n k!n X! <Wh $5n X<hO 5h<nh]n 5h]5!n 56k$!5]3!_] ]On k!n ! <5n G
n h]n_5!n D`ee ]On _5!n&5 `]]<0`\
$ ]OnS30nH 2HM2
nQ& &W2n4n12nM H% n W5< <nO5X]_5!<n_ ! $nR!<2 Tn_5en 2 S2 Hf2 M2MHH nQ& &W2n4n12n""MH%2 in
n& nhe<n0h<n_50n ! ]_O5e5< nS5!5h]6`! n&5! n&5e $W2nS2n M2 M2 -f n n&S[n Mf B-"n 2n`2 n&5!
n - n" %n
n!5O5W]2nC50n#`]_5e!5 $<nS3!65$`W<5]n6W5h65]n_50]` $n_h5n[5O5W]n_5!nX! <Wh $5]n&5! e` ek6 ]O2n= n_h5e50n
7

_h5e5n e<`]_5e!5 $<Wh $5]n = WXeehO 5h<e$h]_5!]hee5n _ ! $n _h5n S5!<!`Oe`! <!5 $<Wh $5]n
[5O5W ]O5]n S5!_!X]O<2
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Ch5n 5hW]`$05n `]n _5!n S5!<!`OeX! <Wh $5]n 5!e3!O ]On 5! 3WO<n
_ ! $n&5e $W een_5en= W`ee ]Oe` ee $ ee5e n+365hn_h5n = W`ee ]Oe5]<e $5h_ ]On5h]5!n
5S5]< 5WW 65e<5$5]_5]n&5_`! e W`] ]On ]<5!+3! 5]nhe<2
"-
Ch5n= W`ee ]OeS5!3!_] ]On k!n 5!<!`OeX! <5
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<!5]n ]_n_h5 _3!<n`]O5e<5WW<5]n ! <5n`]O5+5]_5< nin n444n?!2nMn ! <5\=2n= W`ee ]Oe<!X\
O5!n +5!_5]n ]h $<n _h5n h0n =5]<! 0n WXeehO5!+5he5
fH
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1 $5h_5<n5h]nR! < n_5!n`]WXeeWh $ne5h]5!nR]e<5WW ]Onh0ng=nO50XPnin H"n
4n `n n 1 &n n n _5ee5]n ]e<5]n ` n e5h]5n = W`ee ]On S5! h $<5<n $`< n e X<5!n ` en _50n
=+5 n $`65]n _h5n #X]_5!n _h5n N`005!\ 3_5!n ^5hW65! eO5e5< 5 QSOW2n #
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GRR1
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ng5_h h]!5 $< nin MnD]n %n5!W`ee5] n_h5n OW5h $n[5 $<eO! ]_W`O5n k!n_h5n !!h $< ]OnS3]n ! <5 `0\
05!]n `Wen 7 5]<Wh $\!5 $<Wh $5n N7! 5!e $` <5]n eh]_2n d5e5]<Wh $5n &5! e` ek6 ]OeS3!e $!h <5]n 6hW_5]n _h5n S3]n
_5]n#`]_5eX! <5 `005!]n5!W`ee5]5]nd5h<5!6hW_ ]Oe\ ]_n&5! e3!_] ]O5] n
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n`2`2 2 nin Mn[]n"2n
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_5!n13 h`WS5!eh $5! ]O2nR enR!<2nTHn nW5h<5<neh $n5h]n3!!`]OnS3]n& ]_5eO5e5< 5]nO5O5]k65!n_50n#`]_5e!5 $<n
`62n C5]n ` < 5WW5]n Che eeh3]ee<`]_n 0n 3!!`]On _5en in >n 4n " 1 &n n S3!n W`]_5e!5 $<Wh $50n &5! e!5 $<n 65\
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<5hWhO5nR `ee ]O n+3]` $n_5!n[k O!h n` n_h5n[5 $<e 3!0n5h]5!nA !he<he $5]nB5!e3]n65hn5]<O5O5]e<5$5]_50n
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4
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ng5_h h]!5 $< ninf-n[]nM"2
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1
^R## ?
n= W`ee ]OeS5!3!_] ]O n3!6502n nin -n[]nfT2nG]<5!n= W`ee ]On+h!_n5h]5n7 5]<Wh $\!5 $<Wh $5n&5 O\
]hen_5en&5<!3 5]5]nS5!e<`]_5] n#5he< ]O5]nh0n1/e<50n_5!nS5!<!`OeX! <Wh $5]n5!e3!O ]On ]_n n_5ee5]n h]`] h\
5WW5]n#`e<5]n n5!6!h]O5] n&1 nG!<2nS2n H2H>2MHHH n&n nNRn TB -n[ n?=1nMHH n H n 2 a65!n_h5n !<5hW ]On_5!n
e3 h`WS5!eh $5! ]Oe!5 $<Wh $5]n= W`ee ]On+h!_nh0n[`$05]n5h]5en5!+`W< ]OeS5! `$!5]en5]<e $h5_5]2n= e<X]_hOn
k!n_h5n 5]5$0hO ]On !n 5hW]`$05n`]n_5!nS5!<!`OeX! <Wh $5]n5!e3!O ]Onhe<n_5!n= W`ee ]Oe` ee $ ee nin n1 &n
2ndh_5!e ! $e65$7!_5n k!n ]<e $5h_ ]O5]n_5en= W`ee ]Oe` ee $ ee5enhe<nO502ni Tn1 &nn_5!n&5!
]Oe` e\
e $ ee2n= W`ee ]Oe\ ]_n&5!
]Oe` ee $ eeneh]_n h]!h $< ]O5]n_5!nO505h]e`05]n15W6e<S5!+`W< ]On_5!n ! <5n
]_n_5!nN!`] 5] `ee5] n_h5nh]n_5!n[5O5Wn_5!nN`ee5]X! <Wh $5]n5!5h]hO ]On`]O5OWh5_5!<neh]_2nDk!n_`en5! `$!5]n
S3!n _50n = W`ee ]Oe\ 6 +2n &5!
]Oe` ee $ een h]_5]n _h5n ! <5\=n ]_n O5O565]5] `WWen 5!OX] 5]_n _`en 1 &n N
G=5$]<5en & $n 13 h`WO5e5< 6 $n # 13 h`WS5!+`W< ]OeS5! `$!5]n ]_n 13 h`W_`<5]e $ < n # QR!<2n n _5en 2n S2n
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_ ]O2n Ch5n 1h< ]O5]neh]_n ]h $<n 7 5]<Wh $ nin fHn ! <5\=2n C5!n dh_5!e ! $n O5O5]n_h5n ]<e $5h_ ]On_5en= W`e\
e ]Oe` ee $ ee5enhe<n65h0n&5!
]Oe` ee $ een6h]]5]n5h]5eng3]`<en]` $n&5 `]]<O`65n_5!n ]<e $5h_ ]Onk65!n
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C!h<<+h_5!e ! $e07OWh $ 5h<nS3]n5!<!`OeX! <5]nSOW2n&5! n&5e $W2nS2n T2H-2MHHf n n&S[n"T-BHH2%n&5hn?h $<\
`6$hW 5n_ ! $n_5]n&5!
]Oe` ee $ een0 een6h]]5]n5h]5!nD!he<nS3]n5h]50ng3]`<nO50XPnin Tn444n1 &nnNW`O5nS3!n
_50n13 h`WO5!h $<n5!$365]n+5!_5]2 Q&5hnR6W5$] ]On5h]5en= W`ee ]Oe\ 3_5!n !0X $<hO ]Oe`]<!`Oenhe<n_h5n!h $<hO5n
NW`O5`!<n_h5n 306h]h5!<5nR] 5 $< ]Oe\ ]_n5! Wh $< ]Oe W`O5 nO5O5]nR W`O5]nh]n_5!n= W`ee ]On6 +2n !0X $\
<hO ]On 5! 3WO<n 5hW`] 5 $< ]O2% Ch5n a65! !k ]On _5en 5!h $<en 65e $!X] <n eh $n` n _h5n D5e<e<5WW ]O n _`een 5h]5n
5! `$!5]e\ 3_5!nD3!0 5$W5!nS3!Wh5O5]2nCh5nR]3!_] ]On_5!ne3 3!<hO5]n3WW h5$ ]On_5en&5e $W ee5en_ ! $n_5]n
&5!
]Oe` ee $ een5! 3WO<n]` $nin Tn4n1 &n n_h5nR]3!_] ]On_5!ne3 3!<hO5]n3WW h5$ ]On_ ! $n_`en13 h`WO5\
!h $<n]` $nin- 6n4n?!2n n1
G13 h`WO5!h $<eO5e5< nh]n_5!nD`ee ]On_5!n&5 `]]<0` $ ]OnS30nM"2H 2 T>nQ& &W2n4n
12nM>">% n W5< <nO5X]_5!<n_ ! $nR!<2n n_5en 2nS2nH>2H-2MH HnQ& &W2n4n12n MT%2
"
h] 5W$5h<5]n_5!ne3 h`WS5!eh $5! ]Oe!5 $<Wh $5]n= W`ee ]On+5!_5]nO502nin >n44nfn1 &nn_ ! $n= W`ee ]OeS5!3!_\
] ]O5] O5!5O5W<2nDk!n ! <5n ]_ng=nOhW<n_h5n ! <5\=nS2nM-2H>2 >TnQ& &W2n4n12n>TM%2 Ch5n ! <5\=ne<5WW<nh$!5!n&5\
5h $] ]On`Wen5!3!_] ]On]` $n[5 $<nh0n1h]]5n5h]5en 3!05WW5]n 5e5< 5en_`! n&1 nG!<2nS2n 2HT2MHH" n&n nNRn
f BHMn[ n&1 n n fn1n13 [nf\>>MHnin""n?!2n n1ng5_[nMHHf n fn1n 5e[nMHHf nfTn1n? dnMHHf n -MH2
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f
C`en=5]<! 0n+h!_n !nS5!<!`OeX! <Wh $5]n5!e3!O ]On65!5 $<hO<n ]_nS5! Wh $<5<n ]_n!5 $]5<n0h<n_5!nN`ee5]X! <\
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^R## ?
n
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_`eng= ne3]_5!]n_h5n`]O5e<5WW<5]n ! <5 nd
4
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8

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k$! ]On ]_nR6!5 $] ]One3+h5n0h<nO505h]e`050nB5!e3]`Wn` nO505h]e`05n[5 $] ]On` eO5k6< nSOW2n1
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4
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15

Details

Seiten
Erscheinungsform
Erstausgabe
Erscheinungsjahr
2011
ISBN (eBook)
9783958208452
ISBN (Paperback)
9783958203457
Dateigröße
3.8 MB
Sprache
Deutsch
Institution / Hochschule
Hochschule für Wirtschaft und Umwelt Nürtingen-Geislingen; Standort Geislingen
Erscheinungsdatum
2015 (Oktober)
Schlagworte
medizinisches versorgungszentrum krise insolvenz
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Titel: Medizinisches Versorgungszentrum (MVZ) in Krise und Insolvenz
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123 Seiten
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