Structuring Value-Based Contracts: Key Considerations, Risk Mitigation, and Implementation

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

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Conducted on Tuesday, June 14, 2022

Recorded event now available

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Course Materials

This CLE course will guide counsel on structuring value-based contracts and the key considerations related to various value-based care reimbursement models for both single provider groups or collaboration of providers such as clinically integrated networks. Topics covered will include the new value-based enterprise (VBE) framework under the federal Stark Law and Anti-Kickback Statute. The panel will also discuss the key considerations to assure your organization is ready to enter value-based care models and shared financial risk contracts and how to mitigate risk under the new VBE rules.

Description

The healthcare industry continues to shift to value-based care models that reward healthcare providers for improving patient outcomes and quality of services delivered while also containing the increasing cost of healthcare. These models present a number of strategic choices for providers, including the opportunity to earn incentives for providing high-quality, efficient, and coordinated care as well as opportunities to enter into shared financial risk models for a population of patients. Close collaboration with providers across the care continuum is also an important ingredient for success in managing patient populations and new regulatory exceptions exist to facilitate provider collaboration.

Listen as our authoritative panel of healthcare attorneys examines the parties' key considerations when deciding whether to enter into a value-based contract. The panel will also examine the risks and what steps can be taken to mitigate those risks. The panel will also address key provisions in value-based contracts and offer best practices for structuring such arrangements.

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Outline

  1. The new value-based enterprise framework
  2. Considerations when determining to enter into a value-based contract
  3. Risks and mitigation
  4. Key provisions
  5. Best practices

Benefits

The panel will review these and other important issues:

  • Are you ready to enter into value-based care contracts?
  • What are the critical provisions that should be included in value-based contracts?
  • What steps should counsel take to mitigate potential risks associated with value-based contracts?
  • What are best practices for structuring value-based contracts?
  • What structures and incentives can be utilized under the VBE construct?

Faculty

Malone, Kevin
Kevin J. Malone

Member
Epstein Becker & Green

Managed care organizations trust Mr. Malone to help them understand and navigate their most difficult legal,...  |  Read More

Oliver, Lori
Lori A. Oliver

Shareholder
Polsinelli

Ms. Oliver’s practice focuses on a wide array of healthcare transactional, regulatory, and operational matters....  |  Read More

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