Distance Learning Center

Educating and Connecting the Health Law Community.

Payers, Plans, and Managed Care Practice Group (PPMC)

  • 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.

  • Coronavirus Preparedness for Health Plans - On Demand Recording

    Contains 1 Component(s) Recorded On: 04/02/2020

    This webinar will discuss key guidance, best practices and other insights on the current coronavirus outbreak from a health insurance and managed care plan perspective.

  • Happy Together: A Legal Ethics Webinar on Working with Lawyers and Non-Lawyers in Health Care - On Demand Recording

    Contains 1 Component(s) Recorded On: 12/12/2019

    This webinar brings together individuals who, by the nature of their work or their role, interact frequently with lawyers in a variety of health care settings, including business colleagues, compliance officers, auditor/consultants, government affairs, etc. Lawyers must be aware of the many legal ethics issues that can arise during these types of interactions. The speakers will discuss the application of the ABA model rules to possible situations, including when discussions are and aren’t privileged and the attorney’s responsibility to represent the client. The presentation will also highlight best practices and important considerations in these interactions, such as where can lawyers add value, and common needs and complaints when working with the legal department or outside counsel.

  • Thought Leader Perspectives Webinar - Top 5 Practice Business Issues – What Attorneys Need to Know - On Demand Recording

    Contains 2 Component(s) Recorded On: 11/06/2019

    This course provides healthcare attorneys and business professionals an overview of five key business components in medical practices that are essential to proper functionality and risk mitigation including structure, revenue cycle, coding/compliance, and compensation/production alignment.

  • Legal and Public Policy Perspectives on the Administration’s Price Transparency Initiative - On Demand Recording

    Contains 1 Component(s) Recorded On: 04/04/2019

    AHLA's Antitrust Practice Group and the Payers, Plans and Managed Care Practice Group are delighted to host this joint webinar on price transparency. For years, hospitals and health plans have closely guarded information regarding negotiated prices. Indeed, such data and information has been deemed highly confidential by health industry participants, and viewed as competitively sensitive from an antitrust perspective. As such, the Administration's recent push for price transparency in the health sector has sparked considerable debate in public and private sectors. Will making hospital prices publicly available to consumers result in lower or higher costs? What impact, if any, will the anti-gag clause legislation voted out of the Health Education Labor and Pensions Committee in June 2019 have in the health care industry if signed into law? Are there economic and/or public policy reasons that support the price transparency initiative? What role does or should antitrust law play in these discussions surrounding price transparency? These and other issues will be discussed during this comprehensive webinar by legal and other health care industry experts.​

  • OIG Medicare Compliance Audits -- What You Need to Know and Best Practices for Responding - On Demand Recording

    Contains 1 Component(s) Recorded On: 07/24/2018

    This panel will discuss OIG Medicare Compliance audits and best practices for responding to the same.

  • Financial Statements 101

    Contains 1 Component(s)

    Lawyers who handle the practical dealings of their health care clients, such as mergers, regulatory filings, financial disclosures, and the accounting framework and terminology associated with these transactions. Knowing how to read and analyze financial statements is critical to practicing health law today.

  • Impact of Tax Reform: Guiding Ourselves and Our Clients to Understanding and Success, All Parts - On Demand Recording

    Contains 2 Product(s)

    The December 2017 passage of the federal tax reform law, referred to as the Tax Cuts and Jobs Act (the "Act"), will impact basic business decisions affecting all of our clients, whether taxable or tax-exempt; small, medium or large; providers or payers. Yet there is confusion about the impact of the Act and how, if at all, changes will need to be made to our business structures, plans and operations.

  • The Impact of Tax Reform: Guiding Ourselves and Our Clients to Understanding and Success, PT III - On Demand Recording

    Contains 1 Component(s) Recorded On: 05/21/2018

    The Act creates a whole new world for players in healthcare private equity and international markets. How will changes to corporate and partnership tax rules impact operations and structuring decisions? How will fund managers and investors be impacted by changes to the carried interest and net operating loss rules? How will shifting from a "worldwide" to a 'territorial' tax platform impact international healthcare operators? After navigating the Act's deemed repatriation of foreign income tax hit, will we receive much needed guidance on the new global intangible low-taxed income (GILTI) provisions? Our panelists will tailor their advice to assist sophisticated organizations operating or investing in the healthcare arena.

  • The Impact of Tax Reform: Guiding Ourselves and Our Clients to Understanding and Success, PT IV - On Demand Recording

    Contains 2 Component(s) Recorded On: 04/23/2018

    Getting down to brass tacks, this webinar will focus on what you really need to know to operate your healthcare organization after tax reform. The Act will not merely affect business strategy but daily operations as healthcare providers and payers grapple with both healthcare specific and more generally applicable provisions of the Act. Eliminating the individual mandate will affect the number of insured patients being seen by providers, and thus provider cash flow. The Act's changes will affect all employees and individuals, impacting employee compensation and business related expenses, and thus the ability to recruit new employees (including physicians) and structure fringe benefit programs. Carefully crafted compensation structures, as well as payroll and benefit systems, will have to be expeditiously reviewed and changed, even before interpretive guidance issued. Our panelists will share how they are navigating this uncertainty (i.e., what is a "trade or business" under the new UBIT rules?) and what to prepare for next.

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