The Affordable Care Act in 2012: Understanding the Changes
The Affordable Care Act aims to improve the quality and accessibility of healthcare in the country. However in doing so, it will affect nearly every organization in the industry from manufacturers to providers. With this new regulatory activity, a number of challenges await manufacturers and other healthcare professionals and providers in terms of proper compliance. What are the best practices to mitigate risks and errors?
The Knowledge Group is assembling a panel of key thought leaders and regulators to discuss the fundamentals and updates regarding this topic.
John R. Washlick, Member Co-chair, Health Law Practice Group ,
Overview of expanded federal government enforcement initiatives under the ACA and increased statutory to investigate and exclude providers and vendors under Medicare/Medicaid programs. Topics to be covered include:
- Fraud and Abuse Enforcement Initiatives Under the ACA
- Stark Self-Reporting
- Compliance and Planning Considerations
Kathleen K. Hogan, Esq., Director of Corporate Compliance,
Community Care Physicians, P.C.
As an example of a state’s aggressive enforcement efforts, the program will provide steps taken by the New York State Office of the Medicaid Inspector General to implement the transparency and Medicaid program integrity provisions of the ACA. Topics to be covered include:
- NY State Enforcement Tools
- Provider Compliance Tools
- Compliance plans, self disclosures of overpayments, checking national and state excluded provider lists
Michael R. Callahan, Partner, Health Care Practice Group
Katten Muchin Rosenman LLP
- The provisions and goals of the ACA emphasize a shift which is taking place throughout the industry to base reimbursement not on volume but on value and quality outcomes. Program will provide an overview on various measures reflected in P4P programs, the quality metrics in the final ACO rules, Value Based Purchasing standards, never events and HACs.
- Additionally, the program will discuss how the federal government is investigating and prosecuting providers who fail to adopt and incorporate these measures into their practices and the types of preventative steps to take in order to reduce enforcement as well as professional liability risk.
Who Should Attend:
– Health Care Manufacturers
– Health Care Providers
– Health Services Professionals
– Health Industry Advisors
– Health Care Law Attorneys
– Health Care Advisory Services Consultants
– Health Policy Directors
– Compliance Officers
– State Health Executives/Professionals
– Senior Corporate Management
– Other Related Professionals
Ms. Hogan is the Director of Corporate Compliance for Community Care Physicians, P.C., a physician-owned, physician-run multi-specialty medical group with more than 1,000 employees and over 180 doctors and other clinicians practicing out of 35 offices throughout the New York Capital District. In her current position, Ms. Hogan directs programs, policies and practices to ensure that business units are in compliance with financial policy and reporting regulations.
Prior to joining Community Care Physicians in January of 2012, Ms. Hogan was Acting Chief of Staff and Special Assistant to the Medicaid Inspector General at the New York State Office of the Medicaid Inspector General (OMIG) from June 2008 to January 2012. She served under two governors and two Medicaid Inspector Generals. Under the direction of the Medicaid Inspector General, Ms. Hogan was responsible for oversight and coordination of various agency projects at the Executive level, including evaluating program processes and procedures to promote efficiency and transparency in OMIG’s efforts to preserve the integrity of the NYS Medicaid program. As Acting Chief of Staff, she was also responsible for general oversight of all state-wide operations.
Ms. Hogan is the Director of Corporate Compliance for Community Care Physicians, P.C., a physician-owned, physician-run multi-specialty medical group with …
John R. Washlick is a member of the firm, co-chair of the Health Law Practice Group, and practices in the Philadelphia and Cherry Hill, N.J., offices. His practice includes advising hospitals, physicians, entrepreneurs, and health care organizations on a variety of corporate, tax, and health care regulatory matters and he directs the firm’s health care transactional and corporate compliance practices. Prior to joining Cozen O’Connor, he was a partner at Morgan, Lewis & Bockius LLP, where he directed the firm’s commercial health care practice.
He regularly counsels clients, as both general counsel on routine matters for health care industry clients and outside counsel on specialized issues and projects for clients with in-house legal departments, concerning employment and medical staff relationships; clinical trials; professional service agreements; management and provider contracts; physician recruitment incentives; state and federal fraud and abuse and antireferral prohibitions; patient health care information privacy and security matters under state law and HIPAA; and income producing activities of tax-exempt hospitals. John has extensive experience in tax, corporate and business law, health care mergers and affiliations, and health care joint ventures, including planning and developing hospital/physician integration and incentive compensation arrangements.
John is a member of the Pennsylvania and New Jersey bars, the American and Pennsylvania Bar Associations, the Pennsylvania Society of Health Care Attorneys, and the Health and Hospital Section of the New Jersey State Bar Association. He is a member of the board of directors of the American Health Lawyers Association (AHLA). From 2003 to 2006, he served as chair of the Hospitals and Health Systems Practice Group of the AHLA and is co-chair of the Health Law Committee of the Camden County Bar Association. He is a member of the board of directors of the New Jersey State Bar Association’s Health and Hospital Law Section. He also serves on both the Healthcare Law Committee of the Pennsylvania Bar Association and the Health Law and Non-profit Committees of the Philadelphia Bar Association.
John R. Washlick is a member of the firm, co-chair of the Health Law Practice Group, and practices in the …
Michael R. Callahan has been a practicing health care attorney for 30 years, assisting hospital, health system and medical staff clients on a variety of health care legal issues including accountable care organizations, patient safety organizations, health care antitrust, HIPAA and regulatory compliance, accreditation matters, general corporate, medical staff credentialing and hospital/medical staff relations.
Mr. Callahan is recognized for his experience and knowledge of the health care industry. He is a frequent speaker all around the country on topics including medical staff matters, integrated delivery systems, physician recruitment and retention, Joint Commission and HFAP accreditation, Medicare fraud and abuse, and accountable care organizations. He has presented around the country before organizations such as the American Health Lawyers Association, the American Medical Association, the American Hospital Association, the American Bar Association, the American College of Healthcare Executives, the National Association of Medical Staff Services, the National Association for Healthcare Quality and the American Society for Healthcare Risk Management. Mr. Callahan has been recognized by his peers for his legal acumen, and has been listed as an Illinois Leading Lawyer in Antitrust; as an Illinois Super Lawyer for Health Care (2007–2011); in The Best Lawyers in America (1991–2012); in Corporate Counsel; inMarquis Who’s Who in American Law; and in Chambers USA: America’s Leading Lawyers for Business (2005–2012). In addition, he has an AV Preeminent Peer Review Rating by LexisNexis Martindale-Hubbell. He is also the recipient of the 1995 Illinois Association Medical Staff Services Leadership Award.
Michael R. Callahan has been a practicing health care attorney for 30 years, assisting hospital, health system and medical staff …
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Community Care Physicians, P.C.
About Community Care Physicians, P.C.
About Cozen O
About Katten Muchin Rosenman LLP
As health care has evolved into one of the largest and most intensely regulated industries, Katten’s Health Care Practice has grown in tandem to address all of the business and legal challenges confronting our clients. The integrated nature of our practice and industry teams allows us to provide timely, practical and strategic advice in virtually all areas of law affecting the health care industry – from mergers, acquisitions, affiliations, accountable care organizations and other sophisticated corporate and financial transactions to patient safety organizations, hospital-physician relations, regulatory compliance and tax matters. We are ideally situated to counsel our health care clients on the impact and opportunities of health care reform.
Katten Muchin Rosenman LLP is a full-service law firm with more than 600 attorneys in locations across the United States and an affiliate in London. Clients seeking sophisticated, high-value legal services turn to us for counsel locally, nationally and internationally. Our core areas of practice are corporate, financial services, bankruptcy and creditors’ rights, litigation, real estate, commercial finance, intellectual property and trusts and estates. We represent public and private companies in numerous industries, including a third of the Fortune 100, as well as a number of government and nonprofit organizations and individuals.