Co-Management Arrangements in Healthcare: Compliance in Hospital-Physician Arrangements

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


Conducted on Wednesday, October 6, 2021

Recorded event now available

or call 1-800-926-7926
Course Materials

This CLE course 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.

Description

Healthcare providers are facing pressure to improve the quality of patient care while managing costs in a competitive marketplace. Co-management arrangements offer an opportunity to enhance the quality and efficiency of medical care by providers.

In co-management arrangements, physicians work collaboratively with hospitals to assist in managing a hospital department or service line to improve quality and outcomes. Under these arrangements, the healthcare system and the physicians have vested interests, responsibilities, and accountability. When entering into such arrangements, counsel to healthcare systems and physicians must take care to avoid violating various federal and state statutes, including anti-kickback laws, the Stark Law and state self-referral statutes, and the federal civil monetary penalty statute.

Listen as our authoritative panel examines co-management arrangements and the critical legal and regulatory concerns, fair market value considerations, and structural guidance. The panel will also offer insight into these arrangements from the hospitals' and physicians' perspectives.

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Outline

  1. Co-management arrangements defined
    1. Service line co-management arrangements
    2. Model
    3. Payment arrangements
  2. Key regulatory concerns
    1. Civil monetary penalty statute
    2. Anti-kickback statute
    3. Physician self-referral statute (Stark)
    4. False Claims Act
    5. Provider-based status rules
    6. Tax exemption/intermediate sanctions
    7. Antitrust
  3. Co-management arrangements: hospital vs. physician perspective
  4. 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 healthcare laws?
  • What are the critical 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

Dutton, Thomas
Thomas E. Dutton

Partner
Jones Day

For 38 years, Mr. Dutton has helped hospitals, health systems, insurance companies, and large physician groups design...  |  Read More

Kapp, Jeffrey
Jeffrey L. Kapp

Partner
Jones Day

Mr. Kapp practices in the area of healthcare transactions and has more than 25 years of experience in M&A and...  |  Read More

Mathias, William
William T. (Bill) Mathias

Shareholder
Baker Donelson Bearman Caldwell & Berkowitz

Mr. Mathias represents clients across the U.S. in all areas of the health care industry, with a particular emphasis on...  |  Read More

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Strafford will process CLE credit for one person on each recording. All formats include course handouts.

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