Structuring Commercial ACOs: Payor and Provider Perspectives

Evaluating Payment Models, Negotiating Contract Terms, Ensuring Federal and State Law Compliance

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


Conducted on Thursday, October 2, 2014

Recorded event now available

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Program Materials

This CLE webinar will provide healthcare counsel with guidance on addressing the legal issues of commercial accountable care arrangements, ranging from selecting the pricing model and structuring the contract to implementing procedures to ensure compliance with both federal and state laws. We will also review certain key strategic and business issues associate with commercial ACO development.

Description

As the healthcare system undergoes many changes, payors and healthcare providers are making constant adjustments to meet the new demands of the marketplace. Healthcare providers are increasingly initiating commercial accountable care arrangements, which are distinctly different from Medicare ACOs.

Payors, providers and their counsel should weigh the pros and cons of different payment/pricing models to determine which model best suits the goals the provider seeks to achieve with the commercial ACO. Healthcare counsel must carefully structure commercial ACOs to ensure compliance with both federal and state law.

Listen as our authoritative panel of healthcare attorneys discusses trends and legal issues impacting healthcare providers’ and payors’ use of commercial ACOs. The panel will examine contract structuring considerations, key provisions, compliance concerns, including Stark, Anti-Kickback Statute, licensing and corporate practice of medicine.

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Outline

  1. Overview and current trends
  2. Payment/pricing models
  3. Contract structuring considerations—key terms
  4. Federal law compliance issues
  5. State law compliance issues

Benefits

The panel will review these and other key questions:

  • The benefits and risks of the different payment/pricing models.
  • The key contract terms that healthcare counsel for payors and providers should keep in mind when structuring a commercial accountable care arrangement.
  • The salient federal and state laws impacting commercial ACOs?

Faculty

Buck, Charles
Charles Buck

Partner
McDermott Will & Emery

Mr. Buck provides regulatory and transactional representation in connection with acquisitions, joint ventures,...  |  Read More

Rich, J. Peter
J. Peter Rich

Partner
McDermott Will & Emery

Mr. Rich practices almost exclusively in the healthcare field, advising hospitals, medication groups, and health plans,...  |  Read More

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Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

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