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The American Health Law Association (AHLA) is the largest nonprofit, nonpartisan educational organization devoted to legal issues in the health care field with nearly 14,000 members. As part of its educational mission, AHLA's Speaking of Health Law podcasts offer thoughtful analysis and insightful commentary on the legal and policy issues affecting the health care system. AHLA is committed to ensuring equitable access to our educational content. We are continually improving the user experien ...
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.저자 AHLA Podcasts
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the seventh episode, Debbie Ernsberger, Principal, PYA, speaks with Douglas M. Mancino, Partner, Seyfarth Shaw LLP, about the tax-related issues that the health care in…
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Jeff Bushong, Consulting Principal, PYA, speaks with Amy Leopard, Partner, Bradley Arant Boult Cummings LLP, about the current legal and regulatory aspects of artificial intelligence (AI), security, and compliance as it relates to medical practices. They discuss the importance of AI and cybersecurity in medical practices, HIPAA and cybersecurity ch…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the sixth episode, Carol Carden, Managing Principal, PYA, speaks with Joanne (Jody) Joiner, Senior Counsel, Tenet Healthcare, and Gina L. Bertolini, Partner, K&L Gates …
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Alissa Fleming, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, speaks with Sarah Bowman, Principal, PYA, about provider repayment considerations for governmental payers in today’s health care environment. They discuss how these issues are often identified within provider organizations, the timeline for determining the extent of the is…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the fifth episode, Deborah Biggs, Principal, PYA, speaks with Tiffany Buckley-Norwood, Associate Counsel, Trinity Health Corporation, about the impact of the Supreme Co…
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Medical holds are commonly associated only with patients suffering from mental illness, but what happens when a patient needs to be held for treatment or observation due to a non-psychiatric problem? Wendi Campbell Rogaliner, Partner, Bradley Arant Boult Cummings LLP, and Elicia Grilley Green, Associate, Husch Blackwell LLP, discuss the legal and e…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the fourth episode, Lori Foley, Office Managing Principal, PYA, speaks with Jonathan A. Porter, Partner, Husch Blackwell LLP, about the major fraud and abuse issues in …
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.저자 AHLA Podcasts
  continue reading
 
Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the third episode, Michael Ramey, Managing Principal, PYA, speaks with Rosa M. Morales, Counsel, Crowell & Moring LLP, about the major antitrust trends affecting the he…
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Annapoorani Bhat, Consulting Principal and Office Managing Principal, PYA, and Jeanna Gunville, Shareholder, Polsinelli PC, discuss some of the legal and value considerations around service line carveouts and how they are working with their clients on these transactions. Annapoorani and Jeanna are speaking at AHLA’s upcoming conference, Advising Pr…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the second episode, Kathy Reep, Senior Manager, PYA, speaks with Kevin Malone, Member of the Firm, Epstein Becker & Green PC, about trends and developments related to m…
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In the sixth installment of their popular annual series, John D. Carroll, Partner, Sheppard Mullin Richter & Hampton LLP, and Alexis J. Gilman, Partner, Crowell and Moring LLP, are joined by Carol Liu, Counsel, Axinn Veltrop & Harkrider LLP, to discuss 2023's biggest antitrust developments and what attorneys should expect in 2024. Sponsored by Axin…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the first episode, Barry Mathis, Principal, PYA, speaks with Katherine Snow, Privacy Counsel, Hinge Health Inc., and Alya Sulaiman, Partner, McDermott Will & Emery LLP,…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Laura Laemmle-Weidenfeld, Partner, Jones Day, about some of the key health care fraud and abuse trends from 2023 and what to expect in 2024. Laura is the author of the 2023 Cumulative Supplement to the Fifth Edition of AHLA’s Legal Issues in Health Care Fraud and Abuse. From AHL…
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Medicare’s Hospital-Acquired Conditions Reduction Program (HACRP) is a value-based-purchasing program for Medicare that aims to link Medicare payments to a hospital’s level of inpatient health care quality. Jacob Madden, Research Specialist, Program on Regulation, Therapeutics, and Law, Harvard Medical School and Brigham and Women’s Hospital, and C…
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Judith Waltz, Partner, Foley & Lardner LLP, and Faraz Siddiqui, Associate, Hyman Phelps & McNamara PC, discuss some of the key health law developments in 2023 and what to expect in 2024. They focus on issues related to Medicare and Medicaid and drug development and reimbursement. Waltz and Siddiqui are editors of AHLA’s bestselling title, Federal H…
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Health care antitrust is becoming an increasingly prevalent issue at the state level. Effective January 1, 2024, Illinois’ new premerger notification law requires parties to certain health care transactions to provide 30 days prior notice to the state before consummating certain M&A transactions. Herb Allen, Shareholder, Polsinelli PC, speaks with …
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It is critical that health care boards remain aware of trends and developments in corporate governance. This helps board members execute their oversight and decision-making functions and better evaluate the effectiveness of their own board’s operations. Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with Michael Pereg…
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.저자 AHLA Podcasts
  continue reading
 
2023 has been a busy year for information blocking regulations: HHS ONC’s HTI-1 proposed rule in April (which was finalized on December 13, after this podcast was recorded), OIG’s final rule in June, and November’s proposed enforcement rule for health care providers. Dawn Morgenstern, Senior Director of Consulting Services and Chief Privacy Officer…
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In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Rob Yates, Managing Consultant, Berkeley Research Group, speaks with Annie Shieh, Senior Director of Compliance, Bright Health G…
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Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with health care corporate leaders about strategies they are using to help their hospitals and health systems navigate the current challenges facing the industry. They discuss how they are tackling financial headwinds, dealing with inflationary pressures when working with…
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Private equity is increasingly prevalent in the physician practice space, leading to complex arrangements. Richard Chasinoff, Director, Veralon, speaks with Michele Masucci, Partner, Nixon Peabody, about current issues in the private equity backed professional corporation and management services organization (PC-MSO) model of health care delivery. …
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A well-organized, thoughtfully composed, and industry-attentive committee structure can provide substantial support to the governing board of a health care organization, especially when multiple items compete for attention on the board’s agenda. Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with Michael Peregrine, Pa…
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Artificial intelligence (AI) holds great promise for improving health care delivery and management, but to realize its potential and avoid missteps, health care leaders need to establish a strong governance model for the acquisition and use of AI in their organizations. Mikaela Lewis, Principal Consultant, Clearwater, speaks with Andrew Droke, Shar…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Stacy Bratcher, Vice President and General Counsel, Cottage Health, and Kelsey Jernigan, Partner, K&L Gates LLP, about compliant ways that health care organizations can analyze financial data related to referrals and other types of financial information. They discuss how health …
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.저자 AHLA Podcasts
  continue reading
 
Rob Gerberry, Senior Vice President and General Counsel, Summa Health, explores the role Chief Financial Officers (CFOs) play in helping health care systems navigate the financial headwinds facing the industry. CFOs must work with commercial payer partners on pricing, Medicare and Medicaid on payment issues, and Boards on developing appropriate fin…
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In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Alé Dalton, Associate, Bradley Arant Boult Cummings LLP, speaks with Katie Tarr, Shareholder, LBMC. Katie talks about her experi…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Bruce Toppin, Chief Legal Officer, North Mississippi Health Services, and Jamie McIntyre, Director, HealthCare Appraisers, Inc., about co-management arrangements and how Advisory Opinion (AO) 12-22 influenced the approach to co-management. They discuss the impetus for AO 12-22 a…
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Andrew Mahler, Vice President, Consulting Services, Privacy & Compliance, Clearwater, speaks with Robert Kantrowitz, Partner, Kirkland & Ellis LLP, about the evolving regulatory and enforcement landscape around pixel tracking and operationalizing policies and practices to mitigate potential liability. They discuss what tracking technologies are, OC…
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Unified Program Integrity Contractors (UPICs) are unlike other Medicare contractors. Lori Foley, Office Managing Principal, PYA, and Brenna Jenny, Partner, Sidley Austin LLP, discuss some of the basic responsibilities of UPICs, what differentiates UPIC audits from other CMS audits, how UPIC audits progress from probe to referral, recommendations fo…
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Effective September 1, 2023, AHLA’s Dispute Resolution Service (DRS) has developed newly revised commercial arbitration rules. The members of the DRS’ Rules Committee discuss how the DRS operates, why the committee decided to revise the rules, and the specific changes made to the rules. The members of the DRS’ Rules Committee are Gary Qualls, Partn…
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Allan Horwich, Partner, ArentFox Schiff, and Crista Brawley, Associate Vice President for Research, Northwestern University, discuss insider trading in the clinical trial setting. They cover the basics of the law of insider trading, the regulatory process for the approval of a new drug by the FDA, confidentiality agreements, risks related to confid…
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.저자 AHLA Podcasts
  continue reading
 
Dee Anna Hays, Shareholder, Ogletree Deakins, Tiffany Buckley-Norwood, Associate Counsel, Trinity Health, and Gary McLaughlin, Partner, Mitchell Silberberg & Knupp LLP, discuss best practices for employers with remote and hybrid workforces. They consider how time keeping, reimbursement, reasonable accommodation, drug testing, and other policies may…
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In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Rob Yates, Managing Consultant, Berkeley Research Group, speaks with Samuel Shapiro, Assistant U.S. Attorney, Western District o…
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While clinical decision support tools, especially with the advent of artificial intelligence, have the potential to greatly improve patient care, there are concerns related to patient health and safety and fraud and abuse. Anthony Burba, Partner, Barnes & Thornburg LLP, and Gail Javitt, Director, Hyman Phelps & McNamara PC, discuss the promise and …
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Priya Bathija, Founder and CEO, Nyoo Health, and Marc Goldstone, Executive Vice President and Chief Legal Officer, Wellpath, discuss some of the top health law trends of 2023, the biggest challenges and opportunities the industry is facing, and why it is so important for health lawyers to understand the policy making process. Priya and Mark are spe…
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Ramona Thomas, General Counsel, Planned Parenthood of Orange and San Bernardino Counties, Inc., Louise M. Joy, Partner, Joy & Young LLP, and Dr. Sangeeta Sakaria, Medical Director, Emergency Department, UC Irvine, discuss some of the recent changes and updates they have seen in the reproductive health care space, particularly at the state level, an…
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2023 has been a very busy year for the federal antitrust agencies, as it relates to important guidance for the health care industry. Lisl Dunlop, Partner, Axinn Veltrop & Harkrider LLP, speaks with Mark Seidman, Assistant Director for the Mergers IV Division of the FTC’s Bureau of Competition, about the promulgation and repeal of different sets of …
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Artificial intelligence (AI) poses unique opportunities and challenges in the quest for health equity. Roma Sharma, Counsel, Crowell & Moring, and Tienne Anderson, Managing Counsel, St. Jude Children’s Research Hospital, discuss the impact of AI on health equity, some of the nascent AI governing approaches, and health equity considerations that sho…
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AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.저자 AHLA Podcasts
  continue reading
 
In the current health care landscape, joint ventures between for-profit and tax-exempt entities may trigger tax or other reporting consequences that should be considered and addressed at the outset. Jennifer Noel, Corporate Director of Tax, Christiana Care Health System, Robert Friz, Partner, PricewaterhouseCoopers, and Gerald Griffith, Partner, Jo…
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In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Alé Dalton, Associate, Bradley Arant Boult Cummings LLP, speaks with Mara Smith-Kouba, Counsel, Bristol Myers Squibb. Mara talks…
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Mark Silberman, Partner, Benesch Friedlander Coplan & Aronoff LLP, and Gary Cantrell, Specialist Leader, Deloitte, discuss government approaches to investigations during and after the pandemic and guidance for providers and practitioners when responding to government investigations. They cover some of the common areas of fraud that the government h…
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The Pharmacy Benefit Manger (PBM) industry, which is a critical player in transactions that facilitate the pricing and reimbursement of prescription drugs, has experienced a high level of vertical integration and aggregation of market power. Rujul Desai, Partner, Covington & Burling LLP, and Kendra Roberson, Partner, Faegre Drinker Biddle & Reath L…
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Tynan O. Kugler, Principal, PYA, leads a discussion on some of the current challenges affecting health care business transactions, including trends and motivations related to doing deals, balancing antitrust enforcement, the overlap of federal and state regulatory oversight, and reimbursement and cost constraints. Tynan’s panel includes Douglas K. …
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When it comes to physician practices, the rate of employment, acquisition, and alignment activity among health care corporate entities like payers, payer-backed groups, private equity, and major vertically integrated retailers has outpaced similar activity among hospitals and health systems. Danielle Bangs, Director, Veralon, speaks with Mike Flamm…
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