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The American Health Law Association (AHLA) is the largest nonprofit, nonpartisan educational organization devoted to legal issues in the health care field with nearly 14,000 members. As part of its educational mission, AHLA's Speaking of Health Law podcasts offer thoughtful analysis and insightful commentary on the legal and policy issues affecting the health care system. AHLA is committed to ensuring equitable access to our educational content. We are continually improving the user experien ...
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Jackie Papish, Partner, Barnes & Thornburg LLP, and Peter Dressel, Senior Managing Director, FTI Consulting, discuss Medicare outlier payments in the health care industry and how providers can navigate issues related to fraud, waste, and abuse. They cover what outliers are in the health care context, how the government deals with outliers from a re…
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Lori Foley, Office Managing Principal, PYA, speaks with Jay Dewald, Partner, Norton Rose Fulbright, about recent trends and developments related to health care acquisitions. They discuss the Biden Administration’s approach to private equity in health care, diligence and the impact of government payers, examples of Travel Act indictments, state appr…
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Lisa Gora, Partner, Epstein Becker Green, and Richard Cheng, Managing Member, Ritter Spencer Cheng, discuss the burgeoning area of psychedelics in the health care industry. They cover some of the driving forces behind the resurging interest in psychedelics, federal and state developments, the contravention between state and federal law, and the fut…
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Andrew Ruskin, Partner, K&L Gates LLP, speaks with Mary Edmondson, Chief Compliance Officer, Inova Health, about the aftermath of last year’s Supreme Court decision in the SuperValu case and how health care organizations can prepare for potential investigations. They discuss how to ensure that stakeholders in an organization feel comfortable raisin…
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Michelle Frazier, Chief Compliance and Privacy Officer, Advocate Health, and David Glaser, Shareholder, Fredrikson & Byron, discuss how to mitigate risk using regulatory requirements and guidance. They cover the distinction between law and guidance, the legal authority to support that distinction and how to reconcile that distinction when being pro…
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.AHLA Podcasts による
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Dawn Morgenstern, Senior Director of Consulting Services and Chief Privacy Officer, Clearwater, speaks with Betsy Hodge, Partner, Akerman, and Gina Bertolini, Partner, K&L Gates, about the activities that are driving HHS/OCR health IT enforcement trends and what that means for the health care industry. They discuss the flurry of recent activity tha…
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The highly competitive talent market, ongoing recovery from the pandemic, and increasing scrutiny of executive compensation are leading health care organizations to assess the fundamentals of their compensation programs. Michael Peregrine, Partner, McDermott Will & Emery LLP, and Bruce Greenblatt, Executive Workforce Practice Leader, SullivanCotter…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman, speaks with Tony Maida, Partner, McDermott Will & Emery, and Jennifer Michael, Member, Bass Berry & Sims, about the state of value-based care and the rules related to value-based enterprises (VBEs). They discuss the trends and developments they are seeing in value-based care; examples or hypot…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the tenth episode, Sarah Bowman, Principal, PYA, speaks with Jolee H. Bollinger, Deputy General Counsel, Sharp HealthCare, and Andrew D. Ruskin, Partner, K&L Gates LLP,…
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Jessica Stack, Principal Consultant, TriCurve, speaks with Clare Moylan, Principal, Gibbins Advisors LLC, and Andrea Cunha, Partner, K&L Gates LLP, about how distressed health care transactions are different from other types of transactions and what is driving them. They discuss examples of distressed transactions, the types of buyers involved in t…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the ninth episode, Karin Anderson, Principal & Corporate Counsel, PYA, speaks with Carolyn V. Metnick, Partner, Sheppard Mullin Richter & Hampton LLP, about the impact …
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Health care organizations' cybersecurity practices are under the microscope like never before. Jon Moore, Chief Risk Officer and Head of Consulting Services and Client Success, Clearwater, speaks with Iliana Peters, Shareholder, Polsinelli, about recent state and federal actions regarding the regulation of health care cybersecurity. They discuss wh…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the eighth episode, Martie Ross, Consulting Principal, PYA, speaks with Caroline Brown, Partner, Brown & Peisch PLLC, about current proposals that are on the table for …
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.AHLA Podcasts による
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the seventh episode, Debbie Ernsberger, Principal, PYA, speaks with Douglas M. Mancino, Partner, Seyfarth Shaw LLP, about the tax-related issues that the health care in…
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Jeff Bushong, Consulting Principal, PYA, speaks with Amy Leopard, Partner, Bradley Arant Boult Cummings LLP, about the current legal and regulatory aspects of artificial intelligence (AI), security, and compliance as it relates to medical practices. They discuss the importance of AI and cybersecurity in medical practices, HIPAA and cybersecurity ch…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the sixth episode, Carol Carden, Managing Principal, PYA, speaks with Joanne (Jody) Joiner, Senior Counsel, Tenet Healthcare, and Gina L. Bertolini, Partner, K&L Gates …
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Alissa Fleming, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, speaks with Sarah Bowman, Principal, PYA, about provider repayment considerations for governmental payers in today’s health care environment. They discuss how these issues are often identified within provider organizations, the timeline for determining the extent of the is…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the fifth episode, Deborah Biggs, Principal, PYA, speaks with Tiffany Buckley-Norwood, Associate Counsel, Trinity Health Corporation, about the impact of the Supreme Co…
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Medical holds are commonly associated only with patients suffering from mental illness, but what happens when a patient needs to be held for treatment or observation due to a non-psychiatric problem? Wendi Campbell Rogaliner, Partner, Bradley Arant Boult Cummings LLP, and Elicia Grilley Green, Associate, Husch Blackwell LLP, discuss the legal and e…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the fourth episode, Lori Foley, Office Managing Principal, PYA, speaks with Jonathan A. Porter, Partner, Husch Blackwell LLP, about the major fraud and abuse issues in …
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.AHLA Podcasts による
  continue reading
 
Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the third episode, Michael Ramey, Managing Principal, PYA, speaks with Rosa M. Morales, Counsel, Crowell & Moring LLP, about the major antitrust trends affecting the he…
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Annapoorani Bhat, Consulting Principal and Office Managing Principal, PYA, and Jeanna Gunville, Shareholder, Polsinelli PC, discuss some of the legal and value considerations around service line carveouts and how they are working with their clients on these transactions. Annapoorani and Jeanna are speaking at AHLA’s upcoming conference, Advising Pr…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the second episode, Kathy Reep, Senior Manager, PYA, speaks with Kevin Malone, Member of the Firm, Epstein Becker & Green PC, about trends and developments related to m…
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In the sixth installment of their popular annual series, John D. Carroll, Partner, Sheppard Mullin Richter & Hampton LLP, and Alexis J. Gilman, Partner, Crowell and Moring LLP, are joined by Carol Liu, Counsel, Axinn Veltrop & Harkrider LLP, to discuss 2023's biggest antitrust developments and what attorneys should expect in 2024. Sponsored by Axin…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the first episode, Barry Mathis, Principal, PYA, speaks with Katherine Snow, Privacy Counsel, Hinge Health Inc., and Alya Sulaiman, Partner, McDermott Will & Emery LLP,…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Laura Laemmle-Weidenfeld, Partner, Jones Day, about some of the key health care fraud and abuse trends from 2023 and what to expect in 2024. Laura is the author of the 2023 Cumulative Supplement to the Fifth Edition of AHLA’s Legal Issues in Health Care Fraud and Abuse. From AHL…
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Medicare’s Hospital-Acquired Conditions Reduction Program (HACRP) is a value-based-purchasing program for Medicare that aims to link Medicare payments to a hospital’s level of inpatient health care quality. Jacob Madden, Research Specialist, Program on Regulation, Therapeutics, and Law, Harvard Medical School and Brigham and Women’s Hospital, and C…
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Judith Waltz, Partner, Foley & Lardner LLP, and Faraz Siddiqui, Associate, Hyman Phelps & McNamara PC, discuss some of the key health law developments in 2023 and what to expect in 2024. They focus on issues related to Medicare and Medicaid and drug development and reimbursement. Waltz and Siddiqui are editors of AHLA’s bestselling title, Federal H…
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Health care antitrust is becoming an increasingly prevalent issue at the state level. Effective January 1, 2024, Illinois’ new premerger notification law requires parties to certain health care transactions to provide 30 days prior notice to the state before consummating certain M&A transactions. Herb Allen, Shareholder, Polsinelli PC, speaks with …
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It is critical that health care boards remain aware of trends and developments in corporate governance. This helps board members execute their oversight and decision-making functions and better evaluate the effectiveness of their own board’s operations. Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with Michael Pereg…
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.AHLA Podcasts による
  continue reading
 
2023 has been a busy year for information blocking regulations: HHS ONC’s HTI-1 proposed rule in April (which was finalized on December 13, after this podcast was recorded), OIG’s final rule in June, and November’s proposed enforcement rule for health care providers. Dawn Morgenstern, Senior Director of Consulting Services and Chief Privacy Officer…
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In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Rob Yates, Managing Consultant, Berkeley Research Group, speaks with Annie Shieh, Senior Director of Compliance, Bright Health G…
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Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with health care corporate leaders about strategies they are using to help their hospitals and health systems navigate the current challenges facing the industry. They discuss how they are tackling financial headwinds, dealing with inflationary pressures when working with…
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Private equity is increasingly prevalent in the physician practice space, leading to complex arrangements. Richard Chasinoff, Director, Veralon, speaks with Michele Masucci, Partner, Nixon Peabody, about current issues in the private equity backed professional corporation and management services organization (PC-MSO) model of health care delivery. …
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A well-organized, thoughtfully composed, and industry-attentive committee structure can provide substantial support to the governing board of a health care organization, especially when multiple items compete for attention on the board’s agenda. Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with Michael Peregrine, Pa…
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Artificial intelligence (AI) holds great promise for improving health care delivery and management, but to realize its potential and avoid missteps, health care leaders need to establish a strong governance model for the acquisition and use of AI in their organizations. Mikaela Lewis, Principal Consultant, Clearwater, speaks with Andrew Droke, Shar…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Stacy Bratcher, Vice President and General Counsel, Cottage Health, and Kelsey Jernigan, Partner, K&L Gates LLP, about compliant ways that health care organizations can analyze financial data related to referrals and other types of financial information. They discuss how health …
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.AHLA Podcasts による
  continue reading
 
Rob Gerberry, Senior Vice President and General Counsel, Summa Health, explores the role Chief Financial Officers (CFOs) play in helping health care systems navigate the financial headwinds facing the industry. CFOs must work with commercial payer partners on pricing, Medicare and Medicaid on payment issues, and Boards on developing appropriate fin…
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In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Alé Dalton, Associate, Bradley Arant Boult Cummings LLP, speaks with Katie Tarr, Shareholder, LBMC. Katie talks about her experi…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Bruce Toppin, Chief Legal Officer, North Mississippi Health Services, and Jamie McIntyre, Director, HealthCare Appraisers, Inc., about co-management arrangements and how Advisory Opinion (AO) 12-22 influenced the approach to co-management. They discuss the impetus for AO 12-22 a…
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Andrew Mahler, Vice President, Consulting Services, Privacy & Compliance, Clearwater, speaks with Robert Kantrowitz, Partner, Kirkland & Ellis LLP, about the evolving regulatory and enforcement landscape around pixel tracking and operationalizing policies and practices to mitigate potential liability. They discuss what tracking technologies are, OC…
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Unified Program Integrity Contractors (UPICs) are unlike other Medicare contractors. Lori Foley, Office Managing Principal, PYA, and Brenna Jenny, Partner, Sidley Austin LLP, discuss some of the basic responsibilities of UPICs, what differentiates UPIC audits from other CMS audits, how UPIC audits progress from probe to referral, recommendations fo…
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Effective September 1, 2023, AHLA’s Dispute Resolution Service (DRS) has developed newly revised commercial arbitration rules. The members of the DRS’ Rules Committee discuss how the DRS operates, why the committee decided to revise the rules, and the specific changes made to the rules. The members of the DRS’ Rules Committee are Gary Qualls, Partn…
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Allan Horwich, Partner, ArentFox Schiff, and Crista Brawley, Associate Vice President for Research, Northwestern University, discuss insider trading in the clinical trial setting. They cover the basics of the law of insider trading, the regulatory process for the approval of a new drug by the FDA, confidentiality agreements, risks related to confid…
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.AHLA Podcasts による
  continue reading
 
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