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Clinically Integrated Networks in a Value-Based Care World and the New Regulatory Landscape: What You Need To Know

Legal and Regulatory Issues for CINs, Organizational Structure, Governance, and More

Recording of a 90-minute CLE video webinar with Q&A

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Conducted on Thursday, August 24, 2023

Recorded event now available

or call 1-800-926-7926

This CLE course will address legal, regulatory and market changes that are important to the future formation and operation of hospital-physician clinically integrated networks (CINs) and Accountable Care Organizations (ACOs). The topics will include recent regulatory activity and changes in key aspects of federal and state antitrust law, healthcare fraud and abuse laws, information privacy and data sharing regulations, corporate practice of medicine and fee splitting restrictions, and state and federal tax law. The course will provide an opportunity for Q&A to allow listeners to focus the discussion on what is most relevant to them.


The growing need for value-based care delivery has been driving stakeholders across the healthcare industry to collaborate and transact in innovative ways to manage costs and improve quality and efficiency in healthcare delivery. With the recent proliferation of risk-based payment models and the stressors and resource limitations of provider shortages, providers of all types are exploring options to simultaneously improve quality, lower cost and improve population health. Against the backdrop of new regulations from multiple government agencies, several recent large CIN and ACO transactions provide interesting lessons for providers considering similar collaborations.

Listen as our authoritative panel of experts provides an in-depth discussion of new legal developments affecting CINs and similar structures, how the regulatory questions and answers for these types of physician-alignment structures may differ going forward, and what physicians, hospitals, payors, care navigators and ancillary parties may need to consider when planning participation in a CIN.



  1. Overview of selected key recent and proposed changes and case law developments in Federal and state antitrust law, healthcare fraud and abuse laws, payor regulations, information privacy and data sharing, corporate practice of medicine restrictions, and state and federal tax law
  2. Current and future organizational and governance issues in the evolving regulatory environment, including issues related to monitoring and maximizing participant financial incentives while ensuring compliant, fair market value and commercially reasonable payments
  3. What can be learned from recent case law and examples in the market
  4. Suggestions for best practices going forward, including for information tracking and payments of incentives and distributions


The panel will review these and other key issues:

  • Regulatory and compliance questions CINs face under new Federal and state laws and regulations, including the physician self-referral, anti-kickback, antitrust, corporate practice of medicine, fee splitting and tax exemption laws and regulations
  • Factors healthcare providers and their counsel should consider when selecting and managing value-based population health incentive programs in 2023
  • When and why contributions to and payments from a CIN should be evaluated for fair market value and reasonableness
  • Special considerations when CIN participants are hospital-employed physicians, not-for-profit entities and/or private equity investors


Compton, Lara
Lara D. Compton

Mintz Levin Cohn Ferris Glovsky and Popeo

Ms. Compton is a trusted advisor to clients ranging from traditional health care providers to disrupter digital health...  |  Read More

Ferrari, Andrea
Andrea M. Ferrari, JD, MPH

Principal and General Counsel
Pinnacle Healthcare Consulting

Ms. Ferrari has more than 25 years of experience in the healthcare industry in various counsel, consulting and...  |  Read More

Watson, Mark
Mark C. Watson

Hancock Daniel

Mr. Watson focuses on the representation of various providers, including hospitals, health systems, physician groups,...  |  Read More

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