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  • Virtual Physician Visits in Long Term Care – Quality, Costs, and Legal Considerations for Telemedicine - On Demand Recording

    Recorded On: 04/16/2019

    This webinar will discuss use of telemedicine in urgent situations to reduce resident hospitalizations and improve quality of care, while increasing revenue for the nursing facility and reducing costs for the health care system.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Skilled nursing facilities must care for a growing population of frail patients who require significant medical services. Skilled nursing facility physicians are often off-site or unavailable when patient assessments and care recommendations are most urgently needed. 

    This presentation will educate attendees on the use of telemedicine in urgent situations to reduce resident hospitalizations and improve quality of care, while increasing revenue for the participating nursing facility and reducing costs for our healthcare system. This webinar will cover the legal issues that impact telemedicine such as reimbursement, provider licensure, Anti-Kickback, Stark, Corporate Practice of Medicine, HIPAA, Ryan Haight Act, and Informed Consent. 

    The webinar speakers are John Whitman, Wharton School lecturer and long-term care expert, Dr. David Chess, geriatrician, internist, entrepreneur and one of America's pioneers in the use of telemedicine in skilled nursing facilities, and Andrea Lee, post-acute care health care attorney at Honigman LLP.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Post-Acute and Long Term Services

    Andrea N. Lee

    Partner

    Honigman Miller Schwartz and Cohn, LLP
    Detroit, MI
    Bio

    John Whitman

    Executive Director

    The TRECS Institute

    Chalfont, PA

    Dr. David Chess

    Founder, President, and Chief Medical Officer

    Tapestry Telehealth
    Bio

  • Private Equity Interest in Behavioral Health - On Demand Recording

    Recorded On: 04/09/2019

    The webinar will address trends in the behavioral health industry, especially in relation to transnational activity and the role of private equity.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Topics covered will include:  

    1. What is driving this anyhow?  The greater interest and focus in behavioral health generally will be explained by David Weil of Quorum Health.  With the proliferation of parity laws, Medicaid reforms and waivers and the opioid crisis, there has been in increased effort on the part of both governmental and private payers.  Accountable care organizations, clinically integrated networks and population health management initiatives are causing hospitals and systems to pay more attention to integrating behavioral health solutions into their collection of service line offerings.  A largely fragmented market, a staggering demand for behavioral health services, increased funding and opportunities to streamline services, improve services and outcomes and more effective margins are driving the interest of private equity firms.
    2. Why behavioral health?  What does private equity care about?  The present and future private equity investment in behavioral health will be discussed from the private equity professional’s perspective by T. Rudsenske of Cain Brothers.  Mr. Rudsenske will cover the general interest in the sector and specific subsectors of interest, such as psychiatric hospitals, institutions for mental disease and substance use disorder treatment facilities, key factors used by private equity firms to evaluate prospective investments, sector-specific variations in transaction structures, risks and other factors, what firms are active in the sector and predictions for the future.
    3. What value can the lawyer add?  Critical structural and legal issues in private equity transactions will be covered by Justin Watkins of Drinker Biddle.  These will include governance and control, the regulatory landscape, key areas of focus in the due diligence process, post-closing liability concerns, particularly representations and warranties insurance and fraud, and the exit strategy.
    4. What story can you tell me to make this real, to make sense to me?  A case study will be presented by Laura Ashpole, General Counsel, of Community Psychiatry and John Pircon, Principal at New Harbor Capital.  We will learn about the history of Community Psychiatry and the services provided, the background of New Harbor Capital and their interest in health care and particularly behavioral health care, the structure and terms, governance and management/partnership approach related to the investment by New Harbor Capital and operation within the private equity structure.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Behavioral Health

    Partner(s):

    • Business Law and Governance

    David A. Weil, JD, MBA

    Vice President, Legal Services

    Quorum Legal Services
    Quorum Health Resources,
    Brentwood, TN
    Bio

    Todd Rudsenske

    Managing Director

    Cain Brothers
    Bio

    Justin J. Watkins

    Partner

    Drinker Biddle
    Philadelphia, PA
    Bio

    Laura Ashpole

    General Counsel

    Community Psychiatry
    Sacramento, CA
    Bio

    John Pircon

    Principal

    New Harbor Capital
    Bio

  • Fraud and Abuse - Year in Review - On Demand Recording

    Recorded On: 03/14/2019

    • Review of noteworthy settlements and enforcement activity in 2018 • Discussion of last year's significant health care fraud court decisions (including an Escobar update) • Proactive compliance measures to take in 2019 in light of fraud and abuse enforcement trends

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    • Review of noteworthy settlements and enforcement activity in 2018
    • Discussion of last year's significant health care fraud court decisions (including an Escobar update)
    • Proactive compliance measures to take in 2019 in light of fraud and abuse enforcement trends

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Health Care Liability and Litigation Practice Group

    Partner(s):

    • Fraud and Abuse Practice Group

    R. Ross Burris

    Shareholder

    Polsinelli PC
    Atlanta, GA
    Bio

    Lindsey Lonergan

    Deputy General Counsel

    Navicent Health
    Macon, GA
    Bio

    Rebekah N. Plowman

    Partner

    Arnall Golden Gregory
    Atlanta, GA
    Bio

  • 2019 Fair Market Value Webinar Series, Part I - On Demand Recording

    Recorded On: 03/12/2019

    How Much Should a “Rockstar Physician” Make? Key Legal and FMV Issues for Paying Specialized and Highly Productive Physicians

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Topic: How Much Should a “Rockstar Physician” Make? Key Legal and FMV Issues for Paying Specialized and Highly Productive Physicians

    This webinar is the result of collaboration between the AHLA’s Academic Medical Center and FMV affinity groups. In this webinar, valuation and legal experts will discuss the mechanics of determining and documenting FMV for Rockstar physicians (the highly specialized and/or highly productive). Issues covered in the webinar will include:

    • Criteria to assist in assessing who qualifies as a Rockstar physician;
    • Stark Law and Anti-Kickback Statue considerations when it comes to evaluating compensation for highly specialized and productive physicians.
    • The nuances when evaluating compensation arrangements particular to recruitment and employment of Rockstar physicians.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Fair Market Value Affinity Group

    Partnering AHLA Group

    • Hospitals and Health Systems Practice Group
    • Children’s Health Affinity Group

    Andrea Ferrari JD, MPH

    Partner

    Health Care Appraisers
    Boca Raton, FL
    Chair, Public Health Systems Affinity Group
    Bio

    Eric Leafgreen

    HR Provider Compensation Program Director

    Banner Health
    Bio

    Amy Hooper Kearbey

    Partner

    McDermott, Will & Emery
    Washington, DC
    Bio

    Bartt Warner (Moderator)

    Director

    VMG Health
    Nashville, TN
    Bio

  • The Medicare Shared Savings Program: Recent Rulemaking and Trends - On Demand Recording

    Recorded On: 02/27/2019

    Heather Grimsley and Elizabeth November from the Centers for Medicare & Medicaid Services will join us for this webinar to provide an in-depth look at “Pathways for Success,” the final rule on the Medicare Shared Savings Program (MSSP) published in December 2018

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Heather Grimsley and Elizabeth November from the Centers for Medicare & Medicaid Services will join us for this webinar to provide an in-depth look at “Pathways for Success,” the final rule on the Medicare Shared Savings Program (MSSP) published in December 2018

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Accountable Care Organization

    Heather Grimsley

    Director

    Division of ACO Finance & Data Analytics (DAFDA)
    Performance-Based Payment Policy Group
    Center for Medicare at the Centers for Medicare & Medicaid Services

    Elizabeth November

    Health Insurance Specialist

    Performance-Based Payment Policy Group
    Center for Medicare at the Centers for Medicare & Medicaid Services

    Brian Bauer (Moderator)

    Attorney

    Hall Render Killian Heath & Lyman
    Troy, MI
    Bio

  • Highlights of the 2019 Medicare Physician Fee Schedule - On Demand Recording

    Recorded On: 02/19/2019

    This webinar will be comprised of a panel of four experts covering the following hot topics: 1. Streamlining evaluation and management Medicare payment and reduction of clinical burden 2. Practice flexibility provisions for radiology assistants and Medicare payment changes for the delivery of outpatient therapy services as well as reporting changes therapy services 3. Changes to Medicare payment for technology-based services, telehealth services and expansion of payment for telehealth 4. Appropriate Use Criteria for advanced diagnostic imaging

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    This webinar will be comprised of a panel of four experts covering the following hot topics:

    1.  Streamlining evaluation and management Medicare payment and reduction of clinical burden
    2.  Practice flexibility provisions for radiology assistants and Medicare payment changes for the delivery of outpatient therapy services as well as reporting changes therapy services
    3.  Changes to Medicare payment for technology-based services, telehealth services  and expansion of payment for telehealth
    4.  Appropriate Use Criteria for advanced diagnostic imaging

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Regulation, Accreditation, and Payment

    Partner(s):

    •  Physician Organizations

    Timothy P. Blanchard, MHA, JD

    Partner

    Blanchard & Manning, LLP
    Bio

    Lori A. Wink

    Attorney

    Hall Render Killian Heath & Lyman PC
    Milwaukee, WI
    Bio

    Amy M. Joseph

    Partner

    Hooper, Lundy & Bookman, PC
    Boston, MA
    Bio

  • Beyond Advance Directives: What Attorneys Need to Know About Advance Care Planning - On Demand Recording

    Recorded On: 02/13/2019

    * What advance care plans (POLST/MOLST, advance directives, DNRs) are and how they fit into CMS COPs * Identifying a surrogate decision maker for an incapacitated patient or resident * Ethical issues: handling conflicts and facility religious or ethical objections to resident requestsary

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    • What advance care plans (POLST/MOLST, advance directives, DNRs) are and how they fit into CMS COPs 
    • Identifying a surrogate decision maker for an incapacitated patient or resident 
    • Ethical issues: handling conflicts and facility religious or ethical objections to resident requests

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Post-Acute and Long Term Services

    Amy Vandenbroucke

    JD and Executive Director

    National POLST Paradigm
    Washington, DC 
    Bio

    Charlie Sabatino

    Director

    ABA Commission on Law and Aging
    Washington, DC 
    Bio

  • 3D and Bio-printing in Healthcare - On Demand Recording

    Recorded On: 01/10/2019

    Has your hospital or AMC considered using 3D printed devices in patient care? What are the regulatory considerations? Does the AMC become a manufacturer if it creates and uses a 3D printed device? What risks does the AMC taking on when manufacturing and using a 3D printed device. What contracts will be in place? Does the AMC need to purchase product liability insurance? This webinar will provide an overview of the regulatory, contractual and risk considerations when a provider manufactures and/or uses a 3D prined device.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Has your hospital or AMC considered using 3D printed devices in patient care? What are the regulatory considerations? Does the AMC become a manufacturer if it creates and uses a 3D printed device? What risks does the AMC taking on when manufacturing and using a 3D printed device. What contracts will be in place? Does the AMC need to purchase product liability insurance? This webinar will provide an overview of the regulatory, contractual and risk considerations when a provider manufactures and/or uses a 3D printed device.

    Level of Difficulty:  Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Academic Medical Centers and Teaching Hospitals Practice Group

    Elizabeth Kelly (Moderator)

    Associate

    Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, PC
    Boston, MA
    Bio

    Gerald Sullivan

    Senior Attorney

    U.S. Attorney’s Office in the Eastern District of Pennsylvania
    Pennsylvania, PA
    Bio

    Paul S. Gadiock

    Senior Attorney

    Arent Fox LLP
    Washington, DC
    Bio


    Matt Jacobson

    Associate

    Reed Smith, LLP
    Washington, DC
    Bio

  • New Year: New Medicare Advantage, Part D, and Medicaid Managed Care - On Demand Recording

    Recorded On: 01/08/2019

    Medicare Advantage and Medicare Part D Medicaid managed care

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Topic: Medicare Advantage and Medicare Part D Medicaid managed care

    We will discuss recent changes to the Medicare Advantage and Part D programs and the Medicaid managed care program.  The presentation will focus on ways in which Federal policy has changed in the Trump administration's first two years.  The speakers will also weigh in on how Federal policy may evolve in the final two years of President Trump's first term.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Health Plan

    Partner(s):

    • Payers, Plans, and Managed Care

    Emily A. Moseley

    Member

    Strategic Health Law
    Chapel Hill, NC
    Bio

    Annie Hsu Shieh

    Senior Compliance Counsel

    Central Health Plan of California
    Diamond Bar, CA
    Bio

    Jeremy Earl (Moderator)

    Partner

    McDermott Will & Emery
    Washington, DC
    Bio

    Jen McDowell

    Assistant General Counsel

    Express Scripts
    St. Louis, MO
    Bio

  • Review of “Primarily Engaged” Requirements and Provider-Based Departments - On Demand Recording

    Recorded On: 12/14/2018

    Join our panel of legal experts on this December 14, 2018 webinar for a discussion of the “primarily engaged” in inpatient services criteria and scrutiny of provider-based departments. The panel will explore best practices for ongoing compliance with CMS primarily engaged and provider-based requirements and risks of non-compliance. The discussion will also address site-neutral provider-based regulations for off-campus hospital departments and any updates for provider-based departments in light of the final 2019 OPPS rule​.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Join our panel of legal experts on this December 14, 2018 webinar for a discussion of the “primarily engaged” in inpatient services criteria and scrutiny of provider-based departments.  The panel will explore best practices for ongoing compliance with CMS primarily engaged and provider-based requirements and  risks of non-compliance.   The discussion will also address site-neutral provider-based regulations for off-campus hospital departments and any updates for provider-based departments in light of the final 2019 OPPS rule.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Hospitals and Health Systems Practice Group

    Sandra M. DiVarco

    Partner

    McDermott Will & Emery LLP
    Chicago, IL
    Bio

    Mark Faccenda

    Partner

    Norton Rose Dullbright
    Washington Dc
    Bio