Co-Management Arrangements in Healthcare: Compliance in Hospital-Physician Arrangements
Recording of a 90-minute CLE webinar with Q&A
This CLE webinar will provide guidance to counsel for healthcare facilities and physicians on the legal implications of co-management arrangements. The panel will review applicable laws, regulations and fair market value considerations to structure the arrangements to meet compliance requirements.
Outline
- Co-management arrangements defined
- Service line co-management arrangements
- Model
- Payment arrangements
- Key regulatory concerns
- Civil Monetary Penalty statute
- Anti-kickback statute
- Physician Self-Referral statute (Stark)
- False Claims Act
- Provider-based status rules
- Tax exemption/intermediate sanctions
- Antitrust
- Co-management arrangements: hospital vs. physician’s perspective
- Fair market value and business considerations
Benefits
The panel will review these and other key issues:
- What steps can hospitals, physicians and their counsel take to ensure compliance with health care laws?
- What are the key regulatory concerns for healthcare providers considering co-management arrangements?
- What are the key drivers of the valuation process regarding these arrangements?
- What are some common pitfalls to avoid in these arrangements?
Faculty
Alexis Finkelberg Bortniker
Senior Counsel
Foley & Lardner
Ms. Bortniker focuses her practice on health care law, specifically transactional and regulatory matters with an... | Read More
Ms. Bortniker focuses her practice on health care law, specifically transactional and regulatory matters with an emphasis on counseling health systems, hospitals, and other providers in managed care and physician contracting. Previously, she was with Choate Hall & Stewart LLP where she gained experience working directly with health care organizations on regulatory and corporate compliance issues, including the development of internal policies and procedures and the review of contracts and employment relationships.
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Donald H. Romano
Of Counsel
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.
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Scott M. Safriet, CVA, MBA
Partner
HealthCare Appraisers
Mr. Safriet has more than 20 years of broad healthcare experience, the last 13 of which have been spent exclusively on... | Read More
Mr. Safriet has more than 20 years of broad healthcare experience, the last 13 of which have been spent exclusively on a healthcare valuation focus, primarily addressing any type of agreement or compensation arrangement which may have Stark and/or Anti-Kickback implications. Prior to becoming a Partner at HealthCare Appraisers, Mr. Safriet served as Vice President of Sales and Business Development for a national in-home care services organization and as a senior executive with a national healthcare consulting firm whose emphasis was on strategy, business planning and acquisitions/mergers and joint ventures. Mr. Safriet is a Certified Valuation Analyst (CVA) and holds a Master of Business Administration (MBA) in Corporate Finance. He is a frequent speaker and author on healthcare valuation topics.
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