The Affordable Care Act in 2012: Understanding the Changes
Overview:
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.
Agenda:
SEGMENT 1:
John R. Washlick, Member Co-chair, Health Law Practice Group ,
Cozen O’Connor
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
SEGMENT 2:
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
SEGMENT 3:
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 …
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 …
Course Level:
Intermediate
Advance Preparation:
Print and review course materials
Method of Presentation:
On-demand Webcast (CLE)
Prerequisite:
NONE
Course Code:
114141
NASBA Field of Study:
NY Category of CLE Credit:
Total Credits:
2.0 CLE
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SPEAKERS' FIRMS:
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.