Hospital–Physician Joint Ventures Under Heightened Government Scrutiny

Legal Strategies for Creating, Restructuring or Unwinding Joint Arrangements in an Uncertain Regulatory Environment

CD/DVD of a 90-minute CLE teleconference with Q&A


Conducted on Thursday, November 20, 2008
Now available on CD/DVD


Description

Recent legislative and regulatory activity, increased government enforcement, and a deteriorating economic environment have created uncertainty among providers and hospitals about the continued viability of hospital–physician joint ventures.

CMS recently finalized changes that will prohibit "under arrangements" joint ventures and disallow many per-click lease arrangements. Members of Congress are also pushing for changes to the Stark Law’s “whole hospital” exception that could significantly limit hospital-physician joint ventures.

Given the changing landscape, it is critical that hospitals and physicians examine their current business arrangements and the legal issues implicated, and prepare to possibly restructure or dismantle their joint ventures.

Listen as our panel of healthcare attorneys reviews the current regulatory and enforcement activities affecting hospital–physician joint ventures and offers best practices for creating, restructuring or unwinding joint ventures in light of the changing regulatory and enforcement environment.

Outline

  1. Overview of recent regulatory activity affecting joint ventures
    1. Stark Phase III Final Rule
    2. 2008 Medicare Physician Fee Schedule
    3. 2009 Medicare Inpatient Prospective Payment System Rule
  2. Under arrangements
    1. History and current enforcement trends
    2. Issues in creating, restructuring and unwinding
  3. Per click arrangements
    1. History and current enforcement trends
    2. Issues in creating, restructuring and unwinding
  4. Whole hospital ventures
    1. History and current enforcement trends
    2. Issues in creating, restructuring and unwinding

Benefits

The panel will review these and other key questions:

  • How are current legislative, regulatory and enforcement activities impacting the viability of hospital–physician joint ventures?
  • What are the Stark and anti-kickback risks of hospital–physician joint ventures?
  • What strategies have proven effective for physician and provider counsel during the creation, restructuring or unwinding of a hospital–physician joint venture?

Faculty

Roger D. Strode, Jr., Partner
McDermott Will & Emery, Chicago

He focuses on healthcare business transactions, including corporate restructurings and joint ventures. He has served as lead counsel in the formation of numerous physician–hospital joint ventures.

Catherine T. Dunlay, Partner
Schottenstein Zox & Dunn, Columbus, Ohio

She is Co-Leader of the firm's Healthcare Practice Group. She represents hospitals, physicians and other healthcare organizations in joint ventures, including hospital–physician relationships.

Lorin E. Patterson, Partner
Reed Smith, Falls Church, Va.

He focuses on healthcare joint venture formation, planning and development. He assists healthcare clients in the formation and capitalization of physician-owned entities. He frequently speaks at national conferences focusing on physician-owned ancillary services.

Ordering

Teleconference on CD

Purchase a CD of the full event proceedings, including Q&A and PDF files of all handouts (available 10 days after the seminar).

For CLE only, this program is pre-approved for self-study credit in AK, AZ, CA, MO, MT, VT, WV.

Self-study CLE credits are also available in CT*, CO, GA, ID, KY, LA, ME, NV, ND, NY*, OR, TX, UT, WA, WI, WY.
Please call us if you will be self-reporting in one of these states. *For CT and NY, Strafford needs to process the CLE — see below to purchase this option

Self-study CPE is not offered on CD purchases.

CD $297.00 plus $9.45 S&H


CLE Processing on CD/DVD (NY and CT Only)

CLE processing for listening to the CD/DVD is available for an additional $65 per person per state in NY and CT.

CLE on CD Processing $65.00

Program Materials

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CLE Credit

Strafford seminars qualify for CLE credits in every state that accredits teleconferences. They offer you a high quality, cost effective, and convenient CLE option, with no lost travel time or expenses.

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Customer Reviews

Good handouts and up to date references.

Andrew Davis

Lieben Whitted Houghton Slowiaczek & Cavanagh

Content was superb.

Patrick Webb

Webb & Carey

The program was very to the point — no fluff.

Brian McNamara

Wright Lindsey & Jennings

This was my first experience with an interactive CLE.  It was good not to have to leave my office for the program.

Patricia Hays

Vestcom International

The back-and-forth between the panelists made the program easy to listen to. The slides were very well done.

Chris Kelly

Mayer Brown

Health Law Advisory Board

Lowell C. Brown

Partner

Arent Fox

Paul Danello

Partner

Baker & Daniels

Heidi Y. Echols

Partner

McDermott Will & Emery

John J. Miles

Principal

Ober Kaler

Gregg D. Reisman

Partner

Garfunkel Wild & Travis

Donald H. Romano

Partner

Arent Fox

Jesse A. Witten

Deputy Associate Attorney General

U.S. Department of Justice