Distance Learning Center

Educating and Connecting the Health Law Community.

Hospitals and Health Systems Practice Group (HHS)

  • Medicare Advantage Risk Adjustment: Legal Issues for MA Plans, Providers, and Vendors

    Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/25/2020 at 2:00 PM (EDT)

    The topic will be Medicare Advantage risk adjustment legal risks and compliance strategies.

  • Cutting Edge Issues and Trends in Health Care Fair Market Value, Part III: Advanced Practice Providers – How the COVID-19 Pandemic Changed the Utilization and Deployment of APPs

    Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/18/2020 at 2:00 PM (EDT)

    Historically physicians were the sole clinical provider for most patients across the country; however, over the past few decades nurse practitioners, nurse midwives, nurse anesthetists, and physician assistants (“Advanced Practice Providers or APPs”) have expanded the concept of a provider. The COVID-19 pandemic required health systems across the country to deploy APPs in various ways and the governments around the country waived many restrictions around APPs. This webinar will focus those concepts including strategies around compensation of these individuals with a focus on long term implications for effective utilization of APPs.

  • Cutting Edge Issues and Trends in Health Care Fair Market Value Webinar Series, All Parts - On Demand Recording

    Contains 2 Product(s)

    This webinar series will examine three cutting edge fair market value (FMV) issues that health care organizations are facing in 2020. Notably, health care organizations are exploring FMV in the context of joint venture structures and unique arrangements with private equity backed entities. Many are also structuring value-based arrangements and are seeking methods to determine and document FMV compensation for care coordination, quality, and cost containment. Finally, health care organizations nationwide are developing more innovative compensation models with Advanced Practice Providers (NPs, PAs, CNMs, CRNAs) that align with industry FMV principles. Please join our panel of experts as they delve into these three top cutting-edge issues.

  • Value-Based Payments in Public and Not-for-Profit Hospitals in the Age of COVID-19

    Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/17/2020 at 2:00 PM (EDT)

    Value based payments have changed the nature and types of arrangements and transactions between providers. The changes have included increases in risk-based contracting and in alignment strategies that rely on payment principles that were previously less common, such as gainsharing, capitation and subsidization. Hospitals and health systems that are tax supported, not-for-profit or otherwise serve the social safety net have special considerations when structuring and entering into new types of risk and payment arrangements. These special considerations are layered on a complex patchwork of more general laws and considerations that affect all hospitals and health systems. Our panel of experts will identify and discuss the complex and expanding scope of considerations in the context of the new hospital realities created by COVID-19.

  • Value-Based Payments in Public and Not-for-Profit Hospitals in the Age of COVID-19 - On Demand Recording

    Contains 1 Component(s) Recorded On: 06/17/2020

    Value based payments have changed the nature and types of arrangements and transactions between providers. The changes have included increases in risk-based contracting and in alignment strategies that rely on payment principles that were previously less common, such as gainsharing, capitation and subsidization. Hospitals and health systems that are tax supported, not-for-profit or otherwise serve the social safety net have special considerations when structuring and entering into new types of risk and payment arrangements. These special considerations are layered on a complex patchwork of more general laws and considerations that affect all hospitals and health systems. Our panel of experts will identify and discuss the complex and expanding scope of considerations in the context of the new hospital realities created by COVID-19.

  • Crisis or Opportunity?: Hospitals Serving Special Populations and the Legal Challenges of Integrated, Accountable, and Coordinated Care Part II: Data or Bust

    Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/04/2020 at 2:00 PM (EDT)

    Access to appropriate data, technology, and analytics are pivotal to a hospital or health system achieving financial success in the era of value-based payment. Likewise, the ability to attract professional talent and offer both competitive pricing and positive patient experiences and outcomes will be key to ensuring financial viability as we enter an unprecedented age of health care transparency, accountability, and consumerism. For hospitals and health systems that serve a charitable or public mission or are otherwise part of the public health safety net, the common challenges of securing appropriate talent, technology, and patient experience may be exacerbated by the regulatory and financial realities in which they operate, including the obligations of their public or charitable mission, the related heightened compliance risks that come with serving large Medicare and/or Medicaid populations, and the potential stumbling blocks of public purchasing and financing restrictions. Our panel will provide case studies and discuss strategies and solutions for regulatory challenges related to contracting for data, technology, telemedicine, professional staff, and services.

  • Crisis or Opportunity?: Hospitals Serving Special Populations and the Legal Challenges of Integrated, Accountable and Coordinated Care, All Parts - On Demand Recording

    Contains 1 Product(s)

    Hospitals and health systems that are tax-supported, non-profit, rural and/or otherwise part of the public safety-net face many of the same challenges as other hospitals in the transition to accountable and coordinated care. However, they also have some different challenges and issues arising from the specific regulatory scheme in which they operate and the patient populations, capital restrictions and other restrictions and obligations that they must navigate. This three-part webinar series will focus on the emerging legal, regulatory and related operational concerns for these hospitals and health systems as they transition to integrated, accountable and coordinated care models. The webinar series will be a collaboration with the In-House Counsel, Business Law and Governance, Tax and Finance, Health Information Technology, Antitrust and Academic Medical Centers Practice Groups, as well Enterprise Risk Management Task Forces.

  • State AG Enforcement Actions Against Health Providers - On Demand Recording

    Contains 1 Component(s) Recorded On: 05/13/2020

    Webinar will explore recent state attorney general enforcement actions against health care providers, including the California attorney general's recent settlement with Sutter Health over its pricing and managed care contracting practices and the North Carolina attorney general and Department of Justice's settlement with Atrium Health involving similar allegations.

  • Crisis or Opportunity?: Hospitals Serving Special Populations and the Legal Challenges of Integrated, Accountable and Coordinated Care Part I: Convergence and Collaboration - On Demand Recording

    Contains 1 Component(s) Recorded On: 05/07/2020

    This session will explore the historical and emerging legal and regulatory obstacles for public, not-for-profit, rural and/or safety net hospitals and health systems that are looking to coordinate or integrate care through partnerships, affiliations, alliances or acquisitions. Topics will include: (i) special capital-related restrictions for tax-supported and not-for-profit entities, including restrictions related to bond financing, public or charitable mission and private inurement; (ii) unique and heightened contracting risks for some types of health systems from state and Federal taxation, public integrity and payor fraud and abuse laws; and (iii) the sometimes-dueling obligations of transparency, collaboration and antitrust law.

  • Lessons from Hahnemann University Hospital: What We can Learn About Operational Questions, Legal Options, and Danger Zones for Bankrupt Hospitals - On Demand Recording

    Contains 1 Component(s) Recorded On: 03/24/2020

    Overview of Legal Realities, Obligations, and Recourse for Safety-Net Hospitals in Times of Trouble and Operational Questions, Legal Options, and Danger Zones

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