Anti-Kickback Statute and Stark Law Compliance in Managed Care Contracts

Navigating Safe Harbors and Physician Incentive Plan Rules, Limiting Civil Monetary Penalty Exposure

A live 90-minute CLE webinar with interactive Q&A


Wednesday, October 23, 2019

1:00pm-2:30pm EDT, 10:00am-11:30am PDT

Early Registration Discount Deadline, Friday, September 27, 2019

or call 1-800-926-7926

This CLE webinar will guide healthcare counsel on ensuring compliance with the Anti-Kickback Statute (AKS) and Stark law in managed care contracting and downstream provider arrangements. The panel will also provide best practices for counsel on structuring arrangements to fit within the AKS safe harbors and Stark exceptions and the applicable physician incentive plan rules.

Description

As providers enter into new payment models, it is important to remember that payment models need to remain compliant with the fraud and abuse laws, including the AKS and Stark law. The AKS and Stark law provide several safe harbors and exceptions that shield certain alternative payment arrangements from the prohibitions outlined by the AKS and Stark. These safe harbors, such as those for eligible managed care organizations, create flexibility in managed care contracting and allow payment arrangements that could otherwise present a risk of violating the AKS.

Counsel for healthcare providers and payers must consider the requirements of the AKS and Stark law and the safe harbors and exceptions when contracting with managed care companies and when structuring downstream arrangements with providers. Counsel must also understand when physician incentive payments are subject to Civil Monetary Penalty (CMP) Statute liability, or conversely, are protected under the PIP rules.

Listen as our authoritative panel of health law counsel reviews the various AKS safe harbors potentially applicable to managed care arrangements and downstream provider arrangements. The presenters will address situations that trigger Stark concerns, examine the Stark exceptions for managed care arrangements and safe harbors, and discuss the CMP Statute and the PIP rules. The panel will also outline guidance for counsel to healthcare providers and payers on structuring arrangements to fit within the AKS safe harbors and Stark exceptions and the PIP rules for managed care contracting.

READ MORE

Outline

  1. Application of the AKS, Stark law, and safe harbors
  2. Physician incentive plan rules
  3. Civil monetary penalty exposure

Benefits

The panel will review these and other key issues:

  • When does a risk-sharing arrangement between a managed care organization and physician constitute a financial arrangement under Stark?
  • What rules are applicable when structuring downstream provider arrangements?
  • 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 contracts and downstream provider arrangements?

Faculty

Bortniker, Alexis
Alexis Finkelberg Bortniker

Partner
Foley & Lardner

Ms. Bortniker is a member of the firm’s Healthcare Industry Team. Her practice focuses on transactional and...  |  Read More

Young, Torrey
Torrey K. Young

Senior Counsel
Foley & Lardner

Ms. Young is a member of the firm’s Health Care Industry Team and the Government Enforcement Defense &...  |  Read More

Live Webinar

Buy Live Webinar
Includes Early Discount Savings of $50 (through 09/27/19)

Live Webinar

$247

Buy Live Webinar & Recording
Includes special savings of $250 (through 09/27/19)

Live Webinar & Download

$344

Live Webinar & DVD

$344 + $19.45 S&H

Other Formats
— Anytime, Anywhere

Includes Early Discount Savings of $50 (through 09/27/19)

Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

CLE On-Demand Video

48 hours after event

$247

Download

48 hours after event

$247

DVD

10 business days after event

$247 + $19.45 S&H