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© 2024 AHLA's Speaking of Health Law
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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 experience for everyone and applying the relevant accessibility standards. If you experience accessibility issues, please contact accessibility@americanhealthlaw.org.
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Jackie Papish, Partner, Barnes & Thornburg LLP, and Peter Dressel, Senior Managing Director, FTI Consulting, discuss Medicare outlier payments in the health care industry and how providers can navigate issues related to fraud, waste, and abuse. They cover what outliers are in the health care context, how the government deals with outliers from a reimbursement perspective, a history of outlier payment government enforcement, and how providers can deal with outlier payments that are the focus of a government fraud and abuse investigation. Sponsored by Stout. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Lori Foley, Office Managing Principal, PYA, speaks with Jay Dewald, Partner, Norton Rose Fulbright, about recent trends and developments related to health care acquisitions. They discuss the Biden Administration’s approach to private equity in health care, diligence and the impact of government payers, examples of Travel Act indictments, state approaches to private equity, and key takeaways related to diligence. Sponsored by PYA.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Lisa Gora, Partner, Epstein Becker Green, and Richard Cheng, Managing Member, Ritter Spencer Cheng, discuss the burgeoning area of psychedelics in the health care industry. They cover some of the driving forces behind the resurging interest in psychedelics, federal and state developments, the contravention between state and federal law, and the future of the psychedelics industry and potential regulatory and legal shifts. Sponsored by Stout.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Andrew Ruskin, Partner, K&L Gates LLP, speaks with Mary Edmondson, Chief Compliance Officer, Inova Health, about the aftermath of last year’s Supreme Court decision in the SuperValu case and how health care organizations can prepare for potential investigations. They discuss how to ensure that stakeholders in an organization feel comfortable raising questions with compliance, how to evaluate whether a current practice is lawful, lessons learned from the Christiana case, and how to demonstrate reasonable steps related to compliance with the 60-day repayment rule.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Michelle Frazier, Chief Compliance and Privacy Officer, Advocate Health, and David Glaser, Shareholder, Fredrikson & Byron, discuss how to mitigate risk using regulatory requirements and guidance. They cover the distinction between law and guidance, the legal authority to support that distinction and how to reconcile that distinction when being proactive about mitigating risk, real world examples of where these distinctions matter, strategies for hiring compliance positions, and the overlap between compliance and legal. Sponsored by Stout. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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.
Dawn Morgenstern, Senior Director of Consulting Services and Chief Privacy Officer, Clearwater, speaks with Betsy Hodge, Partner, Akerman, and Gina Bertolini, Partner, K&L Gates, about the activities that are driving HHS/OCR health IT enforcement trends and what that means for the health care industry. They discuss the flurry of recent activity that appears to be setting the stage for major changes related to privacy and security, AHLA’s recently updated HIT Enforcement Summary Tables, trends related to business associates, and how privacy officers can educate their organizations on these issues. From AHLA’s Health Information and Technology Practice Group. Sponsored by Clearwater.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
The highly competitive talent market, ongoing recovery from the pandemic, and increasing scrutiny of executive compensation are leading health care organizations to assess the fundamentals of their compensation programs. Michael Peregrine, Partner, McDermott Will & Emery LLP, and Bruce Greenblatt, Executive Workforce Practice Leader, SullivanCotter, discuss the top considerations for health care board compensation committees related to health care tax-exempt organizations. Sponsored by SullivanCotter. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman, speaks with Tony Maida, Partner, McDermott Will & Emery, and Jennifer Michael, Member, Bass Berry & Sims, about the state of value-based care and the rules related to value-based enterprises (VBEs). They discuss the trends and developments they are seeing in value-based care; examples or hypotheticals that provide a good illustration of the VBE rules; and issues related to fair market value, commercial reasonableness, and volume/value. Tony co-authored an article for AHLA’s Health Law Connections magazine last year related to these topics. From AHLA’s Fraud and Abuse Practice Group. Sponsored by Carnahan Group. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 tenth episode, Sarah Bowman, Principal, PYA, speaks with Jolee H. Bollinger, Deputy General Counsel, Sharp HealthCare, and Andrew D. Ruskin, Partner, K&L Gates LLP, about potential 340B activity in 2024 as drug manufacturers continue to tighten access to 340B pricing. They discuss the impact of the Genesis case, how covered entities can navigate this uncertain environment and protect their access to 340B pricing, and trends pertaining to audits of covered entities. Sponsored by PYA. Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Jessica Stack, Principal Consultant, TriCurve, speaks with Clare Moylan, Principal, Gibbins Advisors LLC, and Andrea Cunha, Partner, K&L Gates LLP, about how distressed health care transactions are different from other types of transactions and what is driving them. They discuss examples of distressed transactions, the types of buyers involved in these transactions, situations where bankruptcy is an effective tool, and the risks of conducting these transactions outside of bankruptcy. From AHLA’s Business Law and Governance Practice Group. Sponsored by Carnahan Group. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 ninth episode, Karin Anderson, Principal & Corporate Counsel, PYA, speaks with Carolyn V. Metnick, Partner, Sheppard Mullin Richter & Hampton LLP, about the impact of tracking technology on health care and the accompanying legal and regulatory issues. They discuss what tracking technology is, what OCR is requiring of HIPAA-covered entities, recommendations for health care providers to ensure they are complying with OCR, and current enforcement and litigation activities. Sponsored by PYA.Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
Health care organizations' cybersecurity practices are under the microscope like never before. Jon Moore, Chief Risk Officer and Head of Consulting Services and Client Success, Clearwater, speaks with Iliana Peters, Shareholder, Polsinelli, about recent state and federal actions regarding the regulation of health care cybersecurity. They discuss why risk analysis is so important yet challenging for health care organizations, New York’s proposed regulations on health care cybersecurity programs, HHS’ concept paper outlining its cybersecurity strategy for the health care sector, and how health care organizations can navigate this complex regulatory environment. Sponsored by Clearwater.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 eighth episode, Martie Ross, Consulting Principal, PYA, speaks with Caroline Brown, Partner, Brown & Peisch PLLC, about current proposals that are on the table for Medicaid that may come to fruition in 2024. They discuss how the regulatory process works between CMS and the states and the proposed rules related to quality rating systems, payment adequacy and access, medical loss ratio, network adequacy requirements, and prior authorization. Sponsored by PYA.Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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.
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 industry faces. They discuss what tax-exempt organizations should anticipate related to community benefit, Section 501(r) compliance, best practices regarding community benefit data, and executive compensation. Sponsored by PYA.Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 challenges, enforcement activities, and risk management strategies for medical practices. Sponsored by PYA. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 LLP, about the constantly changing reproductive health space. They discuss recent federal developments, the interplay between EMTALA and state laws, abortion access at the state level, the impact of the Cox case in Texas, litigation related to interstate travel, and issues related to privacy. Sponsored by PYA.Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 issue and quantifying the repayment, the important and often overlooked sampling/universe data methodology considerations, 60-day repayment obligations, and areas of compliance risk identified based on recent client work. Sponsored by PYA. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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 Court’s decision in Students for Fair Admissions v. Harvard/UNC on diversity programs across the country. They discuss the impacts at the federal and state levels, how diversity programs can navigate this new environment, and best practices for creating a pipeline of diversity in health care. From AHLA’s Labor and Employment Practice Group. Sponsored by PYA.Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.
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