Considerations for Academic Medical Centers in Developing Clinically Integrated Networks and ACOs (Fundamental/Intermediate)
Time: 2:00-3:30 PM Eastern (90 minutes)
Session Format: Live Webinar
What started as a legal concept of integrating competitors under the federal antitrust laws has now become a proven model of care across the country. Clinical integration was first identified in 1996 by the Federal Trade Commission (FTC) and Department of Justice (DOJ) Antitrust Division when discussing enforcement intentions with respect to provider networks of otherwise competing providers seeking to jointly contract with commercial payers. The FTC and DOJ emphasized that such provider networks must be integrated—financially or clinically—if they wish to jointly negotiate prices. In the years since, and particularly in the last few years as payment begins to move from volume to value, clinical integration has morphed from an antitrust concept into an operational model of care. The FTC and DOJ also have issued advice on how certain accountable care organizations (ACOs)—another form of provider network—can avoid running afoul of the antitrust laws. This advice, found in a 2011 policy statement, relies heavily on the presumption that the network will be clinically integrated. Many health systems, as well as many Academic Medical Centers and Teaching Hospitals, have formed or are contemplating forming either a clinically integrated network or ACO to transition from a volume-based fee for service system toward a value-based pay for performance system. This webinar is designed to address foundational aspects of a successful clinically integrated network; common committee structures; typical processes for identifying, benchmarking, and measuring targets for improved medical managements; and provide thoughts regarding stakeholder incentives and disincentives.
Level of Difficulty: Fundamental/Intermediate
Fundamental-level programs generally offer topical overviews and are designed to introduce practitioners to issues with which they have little or no familiarity. Speakers will begin the program providing context and background information on this area of health law. This program is designed to provide a basic, general understanding of the subject matter for those who have not practiced law in the specialty and for those with one to two years of experience in this specialty and/or the practice of health law.
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.
- Member of Sponsoring Practice Group(s) (see "Sponsor(s)" tab for details): $99
- Government, Academician, Public Interest, or Solo Practitioner AHLA Member: $75
- Student, Paralegal, or Retired AHLA Member: $50
- Other AHLA Member: $150
- Non-AHLA Member: $325
- AHLA Member Listen with a Colleague Option (see "Listen with a Colleague" tab for details): $75
- AHLA Non-Member Listen with a Colleague Option (see "Listen with a Colleague" tab for details): $95
Sponsoring AHLA Group:
- Academic Medical Centers and Teaching Hospitals Practice Group
- Antitrust Practice Group
Attorney, Health Care Division
Federal Trade Commission
Augusta University Medical Center
Health Care Innovation Practice Chair
Jeffrey S. Jacobovitz
Arnall Golden Gregory, LLP
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