Concierge Medicine: Complying With Medicare Regulations, State Laws and Anti-Kickback/Anti-Referral Laws

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

Conducted on Thursday, October 8, 2015

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will provide healthcare counsel with a review of key legal issues involved in concierge medicine practices, including applicable laws and regulations. The panel will offer guidance on evaluating and structuring such arrangements.


Whether called concierge care, retainer medical care, direct primary care or boutique medicine, the popularity of this practice model is on the rise due to a growing number of providers opting to avoid the legal risks and reimbursement pressures common to traditional models. Concierge medical practices can be conducted through several different models, each involving benefits and risks for physicians.

In evaluating and structuring concierge practices, counsel to healthcare providers must understand and carefully consider federal and state law issues, understand valuation, and ensure compliance with Medicare rules, contractual issues, and state and anti-kickback/anti-referral laws.

Listen as our authoritative panel of healthcare attorneys explains the key legal and business considerations with concierge medicine, including applicable laws and regulations. The panel will offer strategies for evaluating and structuring concierge practices to meet compliance requirements.



  1. Concierge medicine—current trends
  2. Key structural and legal considerations
    1. Evaluating the models
    2. Periodic fee for enhanced or preferred access
    3. Periodic fee for access and medical services
    4. Per visit access fee
    5. Fee for non-covered services
  3. Legal considerations
    1. Medicare participation
      1. Opting out requirements
    2. Managed care
    3. State laws
    4. Anti-kickback/anti-referral/improper remuneration
    5. Contractual issues
    6. Data privacy


The panel will review these and other key questions:

  • What pressures are driving the increase in concierge medicine practices and how does the approach mitigate those issues?
  • What are the different business models being used for concierge practices—and the benefits and risks of each?
  • What are the key legal and business considerations counsel to providers should consider when structuring a concierge practice?


Blau, Michael
Michael L. Blau

Foley & Lardner

Mr. Blau's practice focuses on advising clients on corporate and regulatory matters, including mergers,...  |  Read More

James Eischen, Jr.
James Eischen, Jr.

Higgs Fletcher & Mack

Mr. Eischen has 25 years’ experience representing commercial interests locally, nationally, and internationally....  |  Read More

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