Managing the Transition to Value-Based Alternative Payment Models for Healthcare Providers and Payors

Navigating State Regulations and Overcoming New Challenges

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


Wednesday, April 12, 2017
1:00pm-2:30pm EDT, 10:00am-11:30am PDT


This CLE webinar will provide guidance to counsel for healthcare providers and payors on managing the shift from fee-for-service to value-based alternative payment models (APM). The panel will discuss evolving state regulatory schemes and how to overcome the challenges presented by state regulations when transitioning to an APM.

Description

Healthcare payors and providers are working to align financial incentives and allocate financial risk so that providers are absorbing more of the financial burden in exchange for increased patient volume and greater potential financial gains. State approaches to regulating these value-based APMs vary and are continuing to evolve, creating new legal and operational challenges for health plans and providers as the shift to APMs accelerates.

Both health plans and providers need to understand the legal landscape, how different states are approaching the task of protecting providers and patients, and how to deal most effectively with the regulatory challenges—including creative structures to minimize regulatory burdens.

Listen as our authoritative panel of healthcare attorneys examines the current regulatory environment and provides insight into different state regulatory approaches. The panel will also provide guidance to navigating the new regulations and overcoming the challenges while making the transition to APMs.

Outline

  1. A historical perspective: The evolution of insurance industry regulation
  2. Value-based APMs: An overview
  3. Current regulatory environment
    1. Characteristics of APMs that may impact the regulatory burden
    2. Representative state regulatory approaches (California, Tennessee, New Jersey and others)
    3. Recent state developments and proposals
  4. Best practices for managing regulatory challenges
    1. Providers in an insurance world: Dealing with comprehensive regulatory regimes
    2. Navigating uncertain regulatory landscapes and new regulations, including creative alternative structures
  5. Looking ahead

Benefits

The panel will review these and other key issues:

  • What are the common features of APMs that impact state regulatory framework?
  • What are the trends in state regulatory approaches?
  • What hurdles do healthcare providers and payors operating in multiple state face as a result of differing state regulations?

Faculty

Kate McDonald, Partner
McDermott Will & Emery, Washington, D.C.

Ms. McDonald focuses her practice on transactional and regulatory counseling for clients in the healthcare industry, with particular focus on federal and state healthcare government programs and the intersection between healthcare payors and providers. She regularly advises health insurers, healthcare government contractors, healthcare providers and other clients on compliance with healthcare laws and regulations.

J. Peter Rich, Partner
McDermott Will & Emery, Los Angeles

Mr. Rich practices almost exclusively in the healthcare field, advising hospitals, medication groups, and health plans, as well as health industry clients. He has formed and restructured many types of managed care organizations, including ACOs, other types of physician-hospital organizations and similar integrated healthcare delivery systems, as well as HMOs and other types of health plans.


Live Webinar

Live Webinar $297.00

Add a colleague on the same connection in the same room for only $97.00 in the shopping cart or by calling customer service.

This webinar is eligible for at least 1.5 general CLE credits.

CLE credits are not available for PR.

*In KS, OH, PA, for more than 1 attendee on the connection you must contact Strafford CLE via email or call 1-800-926-7926 ext. 35 prior to the program for special instructions.


Recordings

CLE On-Demand - Streaming Video

Includes recorded streaming video of full program plus PDF handouts.

On-demand is the only recorded format recognized for CLE credits in DE, IN, KS, LA, MS, NC, OH, OK, SC, TN, VA, WI.

AK, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN*, KS, KY, LA, ME, MN, MO, MT, NC, ND, NH**, NJ, NM, NV, NY, OH*, OK, OR, PA, SC, TN, TX, UT, VA, VT, WA, WI, WV, WY (Note: Some states restrict CLE eligibility based on the age of a program. Refer to our state CLE Map for additional information.)

*Only available for attorneys admitted for more than two years. For OH CLE credits, only programs recorded within the current calendar year are eligible - contact the CLE department for verification.

**NH attendees must self-determine if a program is eligible for credit and self-report their attendance.

CLE On-Demand Video $297.00
Available 48 hours after the live event

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Recorded Event

Includes full event recording plus handouts (available after live webinar).

Strafford is an approved provider and self-study CLE credit is available in most states.

AK, AZ, CA, CO, CT, FL, GA, HI, IA, ID, IL, KY, ME, MN, MO, MT, ND, NJ, NM, NY, OR, PA, TN, TX, UT, VT, WA, WV, WY (Note: Some states restrict CLE eligibility based on the age of a program. Refer to our state CLE Map for additional information.)

Strafford will process CLE credit for one person on each recording.

Additional copies of a recording can be purchased at a discount. Please call Strafford Customer Service toll-free at 1-800-926-7926 ext 10 or email customerservice@straffordpub.com to place your order.

Recorded Webinar Download $297.00
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Recorded Audio Download (MP3) $297.00
Available 24 hours after the live event

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DVD (Slide Presentation with Audio) $297.00 plus $9.45 S&H
Available ten business days after the live event

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Registration Plus Recorded Event

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Live Webinar & Webinar Download $394.00

Recorded Webinar Download Only $97.00 with Registration/Webinar Combo

Live Webinar & Audio Download $394.00

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DVD (Slide Presentation with Audio) Only $97.00 with Registration/DVD Combo


Webinar

Strafford webinars offer several options for participation: online viewing of speaker-controlled PowerPoint presentations with audio via computer speakers or via phone; or audio only via telephone (download speaker handouts prior to the program).  Please note that our webinars do not feature videos of the presenters.

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CLE Credits By State

See CLE State Map >

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Customer Reviews

The seminar was very informative and detailed, and I enjoyed the different perspectives of the speakers.

Melanie Martin

Cozen O'Connor

The materials were excellent and well organized.
 

Kevin Duthoy

Bewley, Lassleben & Miller

The speakers included a significant number of best practices, which are critical to application of the law.

Deirdre J. Kamber

Fitzpatrick Lentz & Bubba

I appreciated the speakers' insight and was pleasantly surprised how helpful I found the presentation.

Heidi Brasher

McAfee & Taft

Very concise - provided what was needed, yet also included many examples, thoughts and ideas.

Ron Keith

Skilled Care

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Health Law Advisory Board

Lowell C. Brown

Partner

Arent Fox

Jennifer L. Evans

Shareholder

Polsinelli

Ryan S. Johnson

Shareholder

Fredrikson & Byron

Gina M. Kastel

Partner

Faegre Baker Daniels

Karen S. Lovitch

Member

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo

David A. Manko

Partner

Rivkin Radler

John J. Miles

Principal

Ober Kaler

C. Elizabeth O'Keeffe

Counsel

Wyatt, Tarrant & Combs

J. Peter Rich

Partner

McDermott Will & Emery

Donald H. Romano

Of Counsel

Foley & Lardner

Judith A. Waltz

Partner

Foley & Lardner

John R. Washlick

Shareholder

Buchanan Ingersoll & Rooney

Jesse A. Witten

Partner

Drinker Biddle & Reath

or call 1-800-926-7926

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