A national medical staffing company attempted to take over Eugene Emergency Physicians’ contract to work at local hospitals. Local doctors used a new state law to oppose the measure. straw/Digital Vision Vectors/Getty Images hide title toggle title straw/Digital Vision Vectors/Getty Images For the latest stories on the science of healthy living, subscribe to NPR health
A national medical staffing company attempted to take over Eugene Emergency Physicians’ contract to work at local hospitals. Local doctors used a new state law to oppose the measure.
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Between shifts in the emergency room, Dr. Dan McGee was in an Oregon courtroom. He was fighting for his practice: Eugene Emergency Physicians (EEP). The group of more than 40 physicians and physician assistants work in multiple emergency departments; was being replaced by a national company.
“This was a big moment, David and Goliath stuff,” McGee said. “You see 14 of their lawyers sitting there and you see three of ours.”
Those attorneys argued that ApolloMD, the national company, violated Oregon’s corporate practice of medicine law. The 2025 law prohibits corporations from taking control of a medical practice’s operations and finances.
The case sparked national interest because Oregon’s new law targets loopholes that large staffing companies have been using to circumvent the state’s corporate medicine laws.

Money to control
Most states have laws requiring doctors to own medical practices, not corporations. These regulations seek to put the interests of patients before profit motives. In recent years, companies have used a model in which a doctor technically owns the local practice, but as Erin Fuse Brown, a professor at Brown University, explains, those doctor owners are often not involved in care and cede hiring, firing and other operational functions to the corporation.
Fuse Brown said these deals are attractive to hospitals because these companies often promise more revenue and take on the responsibilities that come with running an emergency room.
“There is concern that these investors or these corporate management companies do not fully control the operations and clinical decisions of those who are trained to provide patient care,” Fuse Brown said.
The connection to patient care worried Dr. Jonas Pologe, who works for Eugene Emergency Physicians, in the Eugene, Oregon, area. ApolloMD offered jobs to local doctors, but Pologe worried that if he rejected the decisions ApolloMD made, he could lose hours of work.
“There’s certainly a chance that if you make enough stink, you’ll think something needs to change and they’ll just stop giving you turns,” Pologe said.

ApolloMD CEO Dr. Yogin Patel said the group does not infringe on the way its doctors practice. He says the company is being unfairly lumped in with broader concerns about doctors’ feelings of disempowerment at the hands of corporate medical takeovers.
A closely followed experiment
Fuse Brown, policy experts and independent doctors theorized that updating state corporate medicine laws could be a solution to limiting the control that management companies can exert over doctors.
Oregon is the first state to try this, and the case brought by the Eugene doctors’ group is the first test of that law. McGee, who heads the Eugene doctors’ group, says his colleagues at other hospitals in the state were literally watching his case.
“You could hear it almost like background music in an elevator,” McGee says he was told. “At key moments, suddenly the nurses would burst into cheers.”
Before any decision, the hospital system abandoned its plan to work with ApolloMD and reached an agreement to stick with the local McGee Physician Group.
“This is a huge victory for independent physician groups over corporate medicine,” McGee said. “This is a turning point.”
The American Academy of Emergency Medicine (AAEM) supported Eugene doctors as part of the organization’s strategy to protect independent practices. AAEM President Dr. Vicki Norton said Oregon has the strictest law in the country.
“This indicates that that law works and we need to replicate it in other states to really strengthen their corporate practice laws,” Norton said.
California and Vermont have passed laws similar to Oregon’s, and lawmakers in other states, including Rhode Island and New Mexico, are considering related bills.
In Virginia, an independent group of emergency doctors who were replaced by a large staffing firm is meeting with state lawmakers to try to change their laws.
Impact on Oregon Physicians
Back in Oregon, the open question is how the law may affect the medical practice market.
Some of the largest companies, Envision Healthcare, TeamHealth and USACS, declined to answer NPR’s questions about whether this case or the new law changed their perspective on investing in Oregon practices.
Opponents of the legislation warned lawmakers that many physician groups depend on outside investment to survive.
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