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Structuring Hospital-Physician Joint Ventures: Stark, AKS, Antitrust Compliance

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

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Conducted on Tuesday, February 11, 2020

Recorded event now available

or call 1-800-926-7926

This CLE course will prepare hospital and physician counsel to anticipate and minimize risks arising under the Stark Law, Anti-Kickback Statute, and other federal and state laws when establishing hospital-physician joint ventures.


Health systems face reimbursement, cost, and other critical challenges. Joint ventures with physicians benefit hospitals in several ways, including helping them meet government and private payor mandates to provide coverage and access to care. Physicians in joint arrangements gain better managed care contracts and new revenue sources.

Counsel for hospitals and physicians face many legal and regulatory hurdles when assisting clients with establishing joint ventures. A detailed understanding of the issues implicated by joint arrangements is critical to avoid penalties and sanctions.

Listen as our authoritative panel of healthcare counsel reviews current trends in hospital-physician joint ventures and explains the advantages and disadvantages of different joint venture models. The panel will outline best practices for anticipating and minimizing risks arising under the Stark Law, Anti-Kickback Statute, and other federal and state laws when creating joint ventures.



  1. Payment models driving hospital-physician joint ventures
    1. Reimbursement
    2. Value-based payment
    3. Shared savings/ACOs
    4. Payment bundling
  2. Evolution of joint venture models
    1. Full integration: physician employment
    2. Jointly owned facilities
    3. Management and co-management arrangements
    4. Clinical integration
  3. Legal considerations when entering joint ventures
    1. Antitrust concerns
    2. Stark Law and exceptions
    3. Anti-kickback Statute and safe harbors
    4. Tax-exempt status considerations


The panel will review these and other key questions:

  • How have healthcare reform and other recent legislative, regulatory, and enforcement activities impacted the viability of hospital-physician joint ventures?
  • What are the common business models for hospital-physician ventures--and the advantages and disadvantages of each model?
  • What are the Stark Law and anti-kickback risks for hospital-physician joint ventures?
  • What strategies have proven effective for hospital and physician counsel during the creation of joint ventures?


Hilvert, Kevin
Kevin M. Hilvert

Bricker & Eckler

Mr. Hilvert's practice has focused exclusively on representing health care providers on transactional, governance,...  |  Read More

Holland, Robert
Robert M. Holland

Buchanan Ingersoll & Rooney

Mr. Holland focuses his corporate transactions and regulatory practice on assisting healthcare and life sciences...  |  Read More

Strode, Roger
Roger D. Strode

Foley & Lardner

Mr. Strode's practice focuses on health care business transactions, including mergers, acquisitions, corporate...  |  Read More

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