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  • MACRA and Medicare Payment: MIPS and APMs, All Parts (Intermediate) - On Demand Recording

    This two-part webinar will explore the ins and outs of the two major changes to Medicare's payment system implemented by the Medicare Access and CHIP Reauthorization Act of 2015. Part I will address the Medicare Incentive Payment System (MIPS). Part II will discuss Alternative Payment Models (APMs). The webinar series will feature discussion from private sector attorneys and attorneys who have worked or work for the Centers for Medicare and Medicaid Services in the drafting of applicable regulations.

    Time (All Sessions): 90 minutes
    Sessions Format: On Demand Reocording

    This two-part webinar will explore the ins and outs of the two major changes to Medicare's payment system implemented by the Medicare Access and CHIP Reauthorization Act of 2015. Part I will address the Medicare Incentive Payment System (MIPS). Part II will discuss Alternative Payment Models (APMs). The webinar series will feature discussion from private sector attorneys and attorneys who have worked or work for the Centers for Medicare and Medicaid Services in the drafting of applicable regulations.   

    Level of Difficulty: Intermediate

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area.

    • AHLA Member: $290
    • Non-AHLA Member: $550
    • Regulation, Accreditation and Payment Practice Group 
    • Physicians Organization 

    Live Webinars

    Live webinars are eligible for Continuing Legal Education (CLE) credit. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    • For attorneys licensed in states in which live distance learning programs are approved and AHLA possesses approved provider/sponsor status: AHLA webinars are pre-approved for CLE credit. Certificates of completion are made available immediately following the webinar upon completion of the course evaluation. Those states are: Indiana, Louisiana, New Jersey, New York, Pennsylvania, and Virginia.
    • For attorneys licensed in states in which live distance learning programs are approved and AHLA does not possess approved provider/sponsor status: participants are able to apply directly to their state accrediting body for approval for and accreditation of AHLA-sponsored webinars. The application and agenda are available for download during the live event and any time thereafter; certificates of completion are made available immediately following the webinar upon completion of the course evaluation.
    • In states in which live distance learning programs are not approved, it is still possible to obtain CLE credit by applying directly to the state's accrediting body for “self-study" credit where applicable.

    Other, Non-CLE Credits

    AHLA webinars are only presumptively approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    Prior to a live event, you may test your web browser to be sure you have the required Flash software. To do so, direct your web browser to the following URL: www.ec.commpartners.com. Click on the "Browser Test." If you pass the test, you will see a Congratulations message. If you do not, you will be given instructions on where you can download the newest version of Flash. This is a free download.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser.

  • Specialty Pharmacy: A Primer on Regulatory and Compliance Concerns (Intermediate) - On Demand Recording

    Recorded On: 01/18/2018

    Specialty pharmacy is expected to be a $235 billion industry sector in 2018, up from $92 billion in 2012, and by 2020 will represent 44% of pharmacy revenues. Specialty pharmacies often deliver high cost medications, with individualized care plans, and typically provide increased coordination of care amongst the provider, pharmacy, nursing care, the payer and the patient. Their business models, operations and risks are distinctly different from those of traditional “brick and mortar” pharmacies. This overview session will address the role and state of the industry sector, basic regulatory concerns with specialty pharmacy business models and operations, and identify some key compliance risks. Our presenters include a former member of a state pharmacy board who now operates a specialty pharmacy, an attorney whose practice revolves around counseling specialty pharmacies in issues ranging from set-up and ongoing operations to investigation responses, and a representative from the HHS Office of Inspector General, Office of Investigations, who will speak about the OIG’s areas of interest with respect to specialty pharmacies.

    Time: 90 minutes
    Session Format: On Demand Recording

    Specialty pharmacy is expected to be a $235 billion industry sector in 2018, up from $92 billion in 2012, and by 2020 will represent 44% of pharmacy revenues.  Specialty pharmacies often deliver high cost medications, with individualized care plans, and typically provide increased coordination of care amongst the provider, pharmacy, nursing care, the payer and the patient.  Their business models, operations and risks are distinctly different from those of traditional “brick and mortar” pharmacies.   

    This overview session will address the role and state of the industry sector, basic regulatory concerns with specialty pharmacy business models and operations, and identify some key compliance risks.  Our presenters include a former member of  a state pharmacy board who now operates a specialty pharmacy, an attorney whose practice revolves around counseling specialty pharmacies in issues ranging from set-up and ongoing operations to investigation responses, and a representative from the HHS Office of Inspector General, Office of Investigations, who will speak about the OIG’s areas of interest with respect to specialty pharmacies.  

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Regulation, Accreditation, and Payment 

    Michael Cohen, DHSc, JD, PA-C

    Operations Officer, Investigations Unit

    U.S. Department of Health & Human Services
    Office of Inspector General
    Miami Lakes, FL

    Michael R. Hess

    Member

    Bass, Berry & Sims PLC
    Memphis, TN
    Bio

    Dr. Sajal Roy, PharmD

    Chief Executive Officer

    Factor One Source/FAST Pharmacy
    Cumberland, MD
    Bio

    Judith A. Waltz

    Partner and Business Lawyer

    Foley & Lardner LLP
    San Francisco, CA
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • The Collision of Fair Market Value and Commercial Reasonableness in Physician Compensation Arrangements: An Exploration of Recent Trends, Industry Guidance and Developing Best Practices, Part II (Intermediate/ Advanced)- On Demand Recording

    Recorded On: 01/17/2018

    Oversight over physician compensation arrangements within a health care organization typically rests with the governing board and under many structures the oversight is delegated down to a compensation committee of the board. The oversight ultimately developed by a healthcare organization is often driven by corporate structure, risk tolerance or other factors. This webinar will explore the expanding role of boards and committees in physician compensation oversight, in decision-making and in day-to-day policy and process implementation. Our panel of experts will discuss emerging governance structures, reporting and documentation requirements, approval processes, and other developing best practices in the industry that can help appropriately engage the board and/ or committee in oversight, while avoiding meddling.

    Time: 90 minutes
    Session Format: On Demand Recording

    Oversight over physician compensation arrangements within a health care organization typically rests with the governing board and under many structures the oversight is delegated down to a compensation committee of the board.  The oversight ultimately developed by a healthcare organization is often driven by corporate structure, risk tolerance or other factors.  This webinar will explore the expanding role of boards and committees in physician compensation oversight, in decision-making and in day-to-day policy and process implementation.  Our panel of experts will discuss emerging governance structures, reporting and documentation requirements, approval processes, and other developing best practices in the industry that can help appropriately engage the board and/ or committee in oversight, while avoiding meddling. 

    Highlights of the webinar will include:

    • Guidance on board fiduciary duties and responsibility for oversight over compensation matters.
    • Trending compensation governance structures.
    • Governance pitfalls from recent enforcement actions.
    • Documentation that supports compensation governance (e.g., bylaws, charters, compensation plans, charters, etc.).
    • The scope of management's role in compensation matters.  

    Level of Difficulty:Intermediate/ Advanced

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area.

    Advanced-level programs offer in-depth discussions regarding complex legal issues and review special nuances of a subject matter. There will be no review the fundamentals of the law, and speakers will assume the audience is very knowledgeable about this specialty of health law. This program is designed to provide a narrowed, highly technical analysis of the subject matter for those practicing health law in this specialty eight or more years and/or those whose practice consistently and intensely focused in the covered subject area.

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Fair Market Value Affinity Group of the Hospitals and Health Systems Practice Group

    Co-sponsoring AHLA Groups:

    • Hospitals and Health Systems Practice Group

    Bill Horton

    Partner

    Jones Walker LLP
    Birmingham AL
    Bio

    Steven H. Pratt

    Attorney

    Hall Render
    Indianapolis, IN
    Bio

    Stephen Ross, MHA, FHFMA, CMPE

    Sr. Manager

    Coker Group
    Gainesville, GA
    Bio

    Alaina N. Crislip, MPH, JD, (Moderator)

    Associate General Counsel

    Thomas Health System, Inc.
    Charleston, WV
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • MACRA and Medicare Payment Medicare Incentive Payment System (MIPS) (Intermediate) - On Demand Recording

    Recorded On: 01/10/2018

    This webinar will explore the ins and outs of the major changes to Medicare's payment system implemented by the Medicare Access and CHIP Reauthorization Act of 2015. Part I will address the Medicare Incentive Payment System (MIPS) and feature discussion from private sector attorneys and attorneys who have worked or work for the Centers for Medicare and Medicaid Services in the drafting of applicable regulations.

    Time: 90 minutes
    Session Format: On Demand Recording

    This webinar will explore the ins and outs of the major changes to Medicare's payment system implemented by the Medicare Access and CHIP Reauthorization Act of 2015. Part I will address the Medicare Incentive Payment System (MIPS) and feature discussion from private sector attorneys and attorneys who have worked or work for the Centers for Medicare and Medicaid Services in the drafting of applicable regulations.

    Level of Difficulty: Intermediate 

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area.

    • AHLA Member: $145
    • Non-AHLA Member: $275
    • RAP PG 
    • Physicians Organization 

    Nalini Pande, Esq.

    Managing Director

    Sappho Strategies, LLC
    Washington, DC
    Bio

    James P. Sharp

    Health Insurance Specialist

    U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
    Baltimore, MD
    Bio

    Daniel F. Shay, Esq.

    Attorney

    Alice G. Gosfield and Associates PC
    Philadelphia, PA
    Bio

    Kristin M. Bohl, Esq (Moderator)

    Shareholder

    Baker Donelson
    Baltimore, MD
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • Back to Work After Baby: How to Survive and Thrive in Working Parenthood (Intermediate) - On Demand Recording

    Recorded On: 01/04/2018

    Having a baby and going back to work can throw anyone's life off kilter. Join this webinar to learn practical and effective strategies for planning your return to work after parental leave, and for continuing to survive and thrive as a working parent in your workplace.

    Time: 90 minutes
    Session Format: On Demand Recording

    Having a baby and going back to work can throw anyone's life off kilter. Join this webinar to learn practical and effective strategies for planning your return to work after parental leave, and for continuing to survive and thrive as a working parent in your workplace.

    During the webinar, we will focus on the following four themes to help working parent life go more smoothly:

    • Creating a mindful mindset;
    • Mapping out logistics;
    • Turning parenthood into a leadership opportunity at work; and
    • Building supportive communities.

     Level of Difficulty: Intermediate

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area. 

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Academic Medical Centers and Teaching Hospitals Practice Group
    • Antitrust Practice Group Business Law and Governance Practice Group
    • Business Law and Governance Practice Group 
    • Fraud and Abuse Practice Group 
    • Health Care Liability and Litigation Practice Group 
    • Health Information and Technology Practice Group 
    • Hospitals and Health Systems Practice Group 
    • In-House Counsel Practice Group 
    • Labor and Employment Practice Group 
    • Life Sciences Practice Group 
    • Medical Staff, Credentialing and Peer Review Practice Group 
    • Payers, Plans and Managed Care Practice Group 
    • Physician Organizations Practice Group 
    • Post-Acute and Long Term Services Practice Group 
    • Regulation, Accreditation, and Payment Practice Group 
    • Tax and Finance Practice Group 

    Lori Mihalich-Levin, JD

    Partner

    Dentons US LLP
    Washington, DC
    Bio

    Jeremy Smith, MBA

    Senior Financial Analyst

    Bank of America
    Newark, DE
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • What Keeps You and Your Clients Up at Night? Brainstorming Thorny Fraud and Abuse Issues (Advanced) - On Demand Recording

    Recorded On: 12/15/2017

    The Fraud and Abuse Practice Group provides issue summaries and brief analysis of relevant judicial, administrative, and settlement decisions as well as regulatory developments regarding enforcement efforts and compliance responses; and provides a resource to members facing enforcement initiatives and/or designing compliance strategies. This advanced webinar is designed to Review Trial Court Interpretations of the Anti-Kickback Statute and Stark Law When a Case goes to Trial, False Claims Act Cases Based on Anti-Kickback Violations When Relator Allegations Become the Latest Interpretation of the Law, and The Stark Law including an exploration into Commercial Reasonableness (and other Stark Law Issues).

    Time: 90 minutes
    Session Format: On Demand Recording

    The Fraud and Abuse Practice Group provides issue summaries and brief analysis of relevant judicial, administrative, and settlement decisions as well as regulatory developments regarding enforcement efforts and compliance responses; and provides a resource to members facing enforcement initiatives and/or designing compliance strategies. This advanced webinar is designed to Review Trial Court Interpretations of the Anti-Kickback Statute and Stark Law When a Case goes to Trial, False Claims Act Cases Based on Anti-Kickback Violations  When Relator Allegations Become the Latest Interpretation of the Law, and The Stark Law including an exploration into Commercial Reasonableness (and other Stark Law Issues).

    Level of Difficulty: Advanced

    Advanced-level programs offer in-depth discussions regarding complex legal issues and review special nuances of a subject matter. There will be no review the fundamentals of the law, and speakers will assume the audience is very knowledgeable about this specialty of health law. This program is designed to provide a narrowed, highly technical analysis of the subject matter for those practicing health law in this specialty eight or more years and/or those whose practice consistently and intensely focused in the covered subject area. 

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Fraud and Abuse Practice Group 

    Kevin McAnaney

    Attorney

    Law Offices of Kevin McAnaney
    New York, NY
    Bio

    Jennifer Cihon

    Sr. Trial Counsel

    DOJ
    Washington, DC
    Bio

    Renee Brooker

    Counsel

    Finch McCranie LLP
    Washington, DC
    Bio

    Eva Gunasekera

    Counsel

    Finch McCranie LLP
    Washington, DC
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • Provider Appeals and the Medicare Backlog: New Initiatives and Approaches (Intermediate) - On Demand Recording

    Recorded On: 12/14/2017

    Despite the success of the Office of Medicare Hearings and Appeals (OMHA) in reducing the backlog of provider appeals, OMHA continues to receive more appeals than it has the resources to adjudicate in a timely manner. The delay in appeal processing has been the subject of significant concern in the provider community. This webinar is designed to discuss the various new initiatives OMHA is introducing the help with this backlog as well as discuss new rules that address these issues in more detail. The panelists will discuss the current status of appeals, the new rules related to the backlog and the initiatives being introduced to reduce the delays, and strategies providers and their counsel can consider as they deal with these matters. Specifically, the panel plans to address the role of attorney adjudicators, escalation, the Health and Human Service’s Department Appeals Board precedential decision authority, and the simplified escalation process. The panel also intends to discuss issues the provider community struggles with in this area such as cash flow matters for smaller providers and the overpayment demands with significant interest rates. The presentation will involve a point and counter point dialogue between OMHA representatives and the provider community on these important issues.

    Time: 90 minutes
    Session Format: On Demand Recording

    Despite the success of the Office of Medicare Hearings and Appeals (OMHA) in reducing the backlog of provider appeals, OMHA continues to receive more appeals than it has the resources to adjudicate in a timely manner. The delay in appeal processing has been the subject of significant concern in the provider community. This webinar is designed to discuss the various new initiatives OMHA is introducing the help with this backlog as well as discuss new rules that address these issues in more detail.  The panelists will discuss the current status of appeals, the new rules related to the backlog and the initiatives being introduced to reduce the delays, and strategies providers and their counsel can consider as they deal with these matters. Specifically, the panel plans to address the role of attorney adjudicators, escalation, the Health and Human Service’s Department Appeals Board precedential decision authority, and the simplified escalation process. The panel also intends to discuss issues the provider community struggles with in this area such as cash flow matters for smaller providers and the overpayment demands with significant interest rates. The presentation will involve a point and counter point dialogue between OMHA representatives and the provider community on these important issues.

    Level of Difficulty: Intermediate

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • [Insert sponsor name]
    Co-sponsoring AHLA Groups:

    • [Insert sponsor name]

    Maria Ramirez

    Director, Division Of Appeals Operations, Medicare Enrollment and Appeals Group

    Center for Medicare
    U.S. Department of Health and Human Services
    Baltimore, MD

    Lanchi Bombalier

    Partner

    Arnall Golden Gregory LLP
    Atlanta, GA
    Bio

    Jason M. Green

    Chief Advisor and Deputy Ethics Counselor

    Office of Medicare Hearings and Appeals
    U.S. Department of Health & Human Services
    Washington, DC
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • Narrow and Tiered Provider Networks: What Plans and Providers Need to Know (Intermediate/Advanced) - On Demand Recording

    Recorded On: 12/13/2017

    This webinar is designed to examine the legal implications for both health plans and providers associated with narrow and tiered health plan provider networks. As narrow and tiered provider networks become more common, health plans and providers must ensure their network development and contracting strategies take into account these unique legal considerations. This webinar also will provide an overview of state and federal regulatory requirements that bear on provider network adequacy and provider network development.

    Time: 90 minutes
    Session Format: On Demand Recording

    This webinar is designed to examine the legal implications for both health plans and providers associated with narrow and tiered health plan provider networks. As narrow and tiered provider networks become more common, health plans and providers must ensure their network development and contracting strategies take into account these unique legal considerations. This webinar also will provide an overview of state and federal regulatory requirements that bear on provider network adequacy and provider network development.

    Our panelist intend to explore contractual issues raised by narrow and tiered networks for both health plans and providers and will provide practical tips for counsel who face these issues, and provide a range of perspectives on narrow and tiered networks. Jackie Selby and David King bring their experience representing a range of providers and health plans, and Jeff Wurzburg will provide the regulator's perspective from HHS's Office of General Counsel.

    Level of Difficulty: Intermediate/Advanced 

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area.

    Advanced-level programs offer in-depth discussions regarding complex legal issues and review special nuances of a subject matter. There will be no review the fundamentals of the law, and speakers will assume the audience is very knowledgeable about this specialty of health law. This program is designed to provide a narrowed, highly technical analysis of the subject matter for those practicing health law in this specialty eight or more years and/or those whose practice consistently and intensely focused in the covered subject area.

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Payers, Plans and Managed Care Practice Group 

    Co-sponsoring AHLA Groups:

    • Academic Medical Centers and Teaching Hospitals Practice Group
    • Antitrust Practice Group
    • Fraud & Abuse Practice Group
    • Health Care Liability and Litigation Practice Group
    • Hospitals Health System Practice Group
    • In-House Counsel Practice Group
    • Medical Staff, Credentialing, and Peer Review Practice Group
    • Post-Acute and Long-Term Services Practice Group
    • Regulation, Accreditation, and Payment Practice Group 

    David A. King

    Member

    Bass Berry & Sims
    Nashville, TN
    Bio

    Jackie Selby

    Member

    Epstein Becker Green
    New York, NY
    Bio

    Jeff J. Wurzburg

    Office of the General Counsel

    U.S. Health and Human Services
    Washington, DC
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • DEA Enforcement (Intermediate) - On Demand Recording

    Recorded On: 12/12/2017

    The webinar will review the recent landscape of administrative, civil and criminal actions brought and penalties obtained by U.S. Attorney's Offices and the Drug Enforcement Administration (DEA) involving violations of the Controlled Substances Act and related rules in the Code of Federal Regulations, including investigative techniques such as audits and administrative warrants the DEA regularly employs. The webinar also will address the requirements when prescribing through TeleHealth, trends in state Prescription Drug Monitoring Programs laws, applicability of medical marijuana laws to hospitals and will discuss best practices to follow for hospital pharmacies in assuring compliance with controlled substances laws. The panelist for the webinar intend to review practical tips for responding to such investigative techniques, and discuss the best strategies to avoid DEA audits or potential revocation/suspension of DEA registrations.

    Time: 90 minutes
    Session Format: On Demand Recording

    The webinar will review the recent landscape of administrative, civil and criminal actions brought and penalties obtained by U.S. Attorney's Offices and the Drug Enforcement Administration (DEA) involving violations of the Controlled Substances Act and related rules in the Code of Federal Regulations, including investigative techniques such as audits and administrative warrants the DEA regularly employs. The webinar also will address the requirements when prescribing through TeleHealth, trends in state Prescription Drug Monitoring Programs laws, applicability of medical marijuana laws to hospitals and will discuss best practices to follow for hospital pharmacies in assuring compliance with controlled substances laws. The panelist for the webinar intend to review practical tips for responding to such investigative techniques, and discuss the best strategies to avoid DEA audits or potential revocation/suspension of DEA registrations.  

    Level of Difficulty: Intermediate

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area.  

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Regulation, Accreditation and Payment Practice Group 

    Co-sponsoring AHLA Groups:

    • Business Law and Governance Practice Group
    • In-House Counsel Practice Group 
    • Medical Staff, Credentialing and Peer Review Practice Group 

    Daniel Gillen

    Chief

    Drug Enforcement Administration
    U.S. Department of Justice
    Washington, DC

    William P. Keane

    Partner

    Farella Braun + Martel
    San Francisco, CA
    Bio

    Natalia Mazina

    Counsel

    Klein, Hockel, Iezaa & Patel P.C.
    San Francisco, CA
    Bio

    Dennis Wichern

    Special Agent in Charge

    Drug Enforcement Administration
    U.S. Department of Justice
    Washington, DC

    Judith A. Waltz (Moderator)

    Partner and Business Lawyer

    Foley & Lardner LLP
    San Francisco, CA
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.

  • 2018 ACA Outlook: Subsidies and Marketplaces under the Trump Administration - On Demand Recording

    Recorded On: 12/07/2017

    Over a year has passed since President Trump was elected to office, and although the ACA is still the law of the land, there continues to be significant uncertainty concerning the outlook for the individual and exchange marketplaces. Our panel will examine the legislative outlook for health reform, recent executive actions impacting health reform and open enrollment, ongoing judicial challenges concerning ACA subsidies, and the responses of states and consumers. The discussion will look at the impacts of potential and actual changes on numerous groups, including providers, payers, the uninsured, Marketplace enrollees, and employers.

    Time: 90 minutes
    Session Format: On Demand Recording

    Over a year has passed since President Trump was elected to office, and although the ACA is still the law of the land, there continues to be significant uncertainty concerning the outlook for the individual and exchange marketplaces.  Our panel will examine the legislative outlook for health reform, recent executive actions impacting health reform and open enrollment, ongoing judicial challenges concerning ACA subsidies, and the responses of states and consumers.  The discussion will look at the impacts of potential and actual changes on numerous groups, including providers, payers, the uninsured, Marketplace enrollees, and employers.

    Level of Difficulty: Intermediate

    Intermediate-level programs generally offer focused discussions regarding common legal issues pertaining to the program topic. Intermediate programs include legal updates and changes in the law. Speakers will assume the audience has a working knowledge of this specialty of health law, and there will be limited review of the fundamentals. This program is designed to provide a targeted, comprehensive analysis of the subject matter for those practicing law in this specialty for three to seven years and/or those whose practice is periodically focused in the covered subject area. 

    • AHLA Member: $145
    • Non-AHLA Member: $275

    Sponsoring AHLA Group:

    • Health Care Reform Educational Task Force

    Co-sponsoring AHLA Groups:

    • Academic Medical Centers and Teaching Hospitals Practice Group
    • Health Care Liability and Litigation Practice Group
    • Hospitals and Health Systems Practice Group
    • In-House Counsel Practice Group
    • Life Sciences Practice Group
    • Medical Staff, Credentialing and Peer Review Practice Group
    • Payers, Plans and Managed Care Practice Group
    • Physician Organizations Practice Group
    • Regulation, Accreditation and Payment Practice Group 
    • Tax and Finance Practice Group 

    A. Xavier Baker

    Partner

    Crowell & Moring
    Washington, DC
    Bio

    Katrina A. Pagonis

    Partner

    Hooper Lundy & Bookman PC
    San Francisco, CA
    Bio

    Mark Weller

    Partner

    Dentons
    Washington, DC
    Bio

    Rick L. Hindmand (Moderator)

    Member

    McDonald Hopkins LLC
    Chicago, IL
    Bio

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgs@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 11 or higher. If you are using a Mac, please use the Safari web browser.