Anti-Kickback Statute and New Stark Law Compliance in Managed Care Contracts
Navigating Safe Harbors and Physician Incentive Plan Rules, Limiting Civil Monetary Penalty Exposure
Recording of a 90-minute CLE webinar with Q&A
This CLE webinar will provide guidance to healthcare counsel on ensuring compliance under the Anti-Kickback Statute (AKS) and new Stark law. The panel will also provide best practices for counsel on structuring arrangements to fit within the AKS safe harbors and Stark exceptions and the PIP rules for managed care contracting.
- Application of the AKS, the Stark law and the safe harbors
- Physician incentive plan rules
- Civil monetary penalty exposure
The panel will review these and other key issues:
- What risk-sharing arrangement between a managed care organization and physician does not constitute a financial arrangement under Stark?
- What is the scope of the AKS and Stark safe harbors?
- What are the exceptions in AKS and Stark that create flexibility for managed care contracting?
Donald H. Romano
Foley & Lardner
Mr. Romano has extensive experience counseling hospitals, skilled nursing facilities and academic medical centers and... | Read More
Mr. Romano has extensive experience counseling hospitals, skilled nursing facilities and academic medical centers and health systems on compliance, reimbursement and litigation issues involving the complex array of federal regulations governing relationships with physicians. He counsels clients on payment issues relating to the Medicare and Medicaid programs, and regulatory compliance matters, particularly those pertaining to the Anti-Kickback Statute, the physician self-referral statute (Stark Law), HIPAA, and the Medicare enrollment regulations. He previously was a partner in another D.C. based law firm, and prior to that he had over 25 years of experience in the Department of Health and Services, including as a senior attorney in the Office of General Counsel.Close
J. Mark Waxman
Foley & Lardner
Mr. Waxman chairs the firm's Health Care Industry Team. He focuses on healthcare issues and handles issues... | Read More
Mr. Waxman chairs the firm's Health Care Industry Team. He focuses on healthcare issues and handles issues related to research and technology, integrated delivery systems, trade associations, governance, strategic business counseling, federal program fraud and abuse, reimbursement and managed care contracting. Prior to joining Foley, he served as President and General Counsel of CareGroup Inc.Close