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
This CLE course 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.
- Overview and current trends
- Payment/pricing models
- Contract structuring considerations—key terms
- Federal law compliance issues
- State law compliance issues
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?
McDermott Will & Emery
Mr. Buck provides regulatory and transactional representation in connection with acquisitions, joint ventures,... | Read More
Mr. Buck provides regulatory and transactional representation in connection with acquisitions, joint ventures, strategic affiliations, conversions to tax-exempt status, and other transactional matters. He also advises clients forming accountable care organizations (ACOs). His regulatory practice focuses on federal fraud and abuse and the Stark law; obtaining and maintaining tax-exemption; HIPAA and health information privacyClose
J. Peter Rich
McDermott Will & Emery
Mr. Rich practices almost exclusively in the healthcare field, advising hospitals, medication groups, and health plans,... | Read More
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.Close