AHLA's Speaking of Health Law

Jennifer Hutchens, Partner, Dechert LLP, and Thomas Spellman, Associate General Counsel & Vice President, Fresenius Medical Care, discuss the role that joint ventures are currently playing in the health care industry and what to expect when engaging in a joint venture. They cover why joint ventures are so popular right now and issues related to the corporate practice of medicine, the Stark Law and Anti-Kickback Statute, antitru...

Claire O’Brien, Partner, Brooks Pierce, and Terri Harris, Partner, Fox Rothschild, discuss key considerations and practical insights for health care providers responding to subpoenas and other legal demands. They cover why it may be risky for a health care provider to simply comply with a subpoena or other legal demand; factors that affect a provider response; and issues related to HIPAA, 42 CFR Part 2, state law requirements...

Rob Gerberry, Adjunct Faculty, University of Notre Dame, speaks with Michael Peregrine about one of the “nuts and bolts” elements of corporate governance—the structure, organization, and operation of board committees. They discuss why this is the perfect time to address committee practice issues; how to create actionable items related to committee practices; considerations related to committee structure, subject m...

HHS has been implementing rulemaking related to information blocking since the passage of the 21st Century Cures Act a decade ago, and providers have taken note. Dennis Sapien-Pangindian, Founding Attorney, DSP Advocates PC, and Ammon Fillmore, Associate Chief Legal Officer for Information & Technology, AdventHealth, discuss what information blocking is and why it has become a real enforcement issue, the legal framework and com...

Catherine Kirkland, Partner, King & Spalding LLP, and Baxter Morgan, Senior Counsel, Husch Blackwell LLP, discuss the landscape of Medicaid financing a year after the passage of the One Big Beautiful Bill Act, now known as the Working Families Tax Cut Act. They cover provider taxes and impending cuts, the hold harmless rule and litigation involving Florida and Texas, and potential alternative sources of Medicaid financing. Cath...

Two common types of chronic care management and monitoring are chronic condition management (CCM) and remote patient monitoring (RPM). Rachel V. Rose, Rachel V. Rose—Attorney at Law PLLC, and Pam D’Apuzzo, Managing Director, VMG Health, discuss the regulatory landscape related to CCM and RPM. They cover issues related to compliance, coding, fraud and abuse, and the Chartspan False Claims Act case. Rachel and Pam wrote a...

Jon Joseph, Partner, Christian & Barton, and Taryn Stone, Partner, Ice Miller, discuss recent developments in the corporate practice of medicine (CPOM) and the effect on health care transactions. They cover different state approaches to CPOM, how the current CPOM landscape has affected diligence considerations and other factors related to health care transactions, how artificial intelligence may impact CPOM laws, issues related...

One year after the passage of the Working Families Tax Cut Act (formerly known as the One Big Beautiful Bill Act), states and providers are continuing to grapple with the biggest changes to Medicaid in a generation. Harsh P. Parikh, Partner, Nixon Peabody LLP, Lloyd A. Bookman, Founding Partner, Hooper Lundy & Bookman PC, and Anne Winter, Senior Managing Director, FTI Consulting, discuss CMS’ June 1 interim final rule rel...

Bankruptcy can change the balance of power in a dispute with Medicare and Medicaid in a significant way. Augie Curtis, Counsel, Offit Kurman, and Samuel Maizel, Partner, Dentons, discuss key restructuring issues related to distressed Medicare and Medicaid providers. They cover issues related to jurisdiction, Medicare and Medicaid provider agreements during bankruptcy, offset and recoupment, and suspension of Medicare and Medicaid p...

Harriet Wall, President and CEO, LW Consulting, Inc., speaks with Rachel Hold-Weiss, Partner, Benesch Friedlander Coplan & Aronoff LLP, about the ins and outs of Unified Program Integrity Contractor (UPIC) audits and corporate integrity agreements (CIAs). They discuss how UPICs decide who to audit, what a UPIC audit appeal process is like, what providers should do within 48 hours of receiving an initial letter from a UPIC, advi...

Rob Gerberry, Adjunct Faculty, University of Notre Dame, speaks with Michael Peregrine about challenges related to defining the role of the Board Chair. They use the controversy around the recently fired chairman of BP as a case study, discussing key takeaways for health care industry leadership and how to implement an appropriate governance construct around the role of Board Chair.

Watch this episode: https://www.youtube.com/watch?...

Greg Doggett, Counsel, Powers Pyles Sutter & Verville PC, and Felicity Homsted, CEO, FQHC 340B Compliance, discuss the current legal and regulatory landscape of the 340B program. They cover the intersection of 340B with the Inflation Reduction Act, concerns about the Rebate Model, pharmaceutical manufacturer restrictions and data requirements for covered entities, AbbVie’s patient definition lawsuit, state reporting requi...

Neal Shah, Shareholder, Polsinelli, speaks with Scott Strickland, Attorney, Hall Render Killian Heath & Lyman PC, about what the Center for Medicare and Medicaid Innovation (CMMI) has been doing in the health care space. They discuss examples of some of the more prominent CMMI models, the distinction between CMMI models and traditional CMS models, health care industry responses to CMMI models, what the next generation of CMMI m...

Tyler Dysart, Associate, King & Spalding LLP, speaks with Kennedy Bunch, Attorney, Hall Render Killian Health & Lyman PC, Mitchell Surface, Associate, Maynard Nexsen PC, and Parker Zopp, Associate, Jackson Kelly PLLC, about how to survive and thrive at small and regional law firms. They discuss how their pre-law school experiences influenced their decision to pursue careers in health law, how they acquired the skills needed...

Melissa Soliz, Partner, Coppersmith Brockelman PLC, speaks with Brendan Keeler, Interoperability Practice Lead, HTD Health, and Amy Bagge-Smith, General Counsel and Head of Regulatory Affairs, Arcadia, about the cases that are currently shaping interoperability law and how the health care industry is responding. They discuss which legal theories are gaining traction and which ones are appearing more fragile, impacts on national fra...

In honor of Father’s Day, Alé Dalton, Partner, Bradley Arant Boult Cummings LLP, speaks with Dougie Barnard, Attorney, Hall Render Killian Health & Lyman PC, and Travis Lloyd, Member, Bass Berry & Sims PLC, about how fatherhood has shaped their health law career journeys. They discuss how fatherhood changed their perspective on what a successful career means, the importance of parental leave and how organizations can ...

Rachel Ludwig, Partner, DLA Piper, speaks with John Saran, Partner, Holland & Knight, Regan Parker, CEO, Association for Responsible Healthcare Investment, and Robbie Allen, CEO, U.S. Heart & Vascular, about the latest legal and regulatory developments related to corporate ownership of health care providers. They discuss the recent evolution of these laws and regulations at the state level, recurring trends, unintended cons...

Randy Fearnow speaks with Jaya White, Partner, Quarles & Brady LLP, about the regulatory landscape surrounding the growing home infusion industry. They discuss issues related to the Medicare HIT benefit; home infusion-specific state licensure requirements; ambulatory infusion suites, IV hydration clinics, and med spas; Indiana’s recent requirement that their Medicaid home care providers must also be certified for Medicare...

Jamie Ostroff, Chief Legal Officer, California Medical Association, speaks with Kinda Serafi, Partner, Manatt Health, and Jarrod McNaughton, Chief Executive Officer, Inland Empire Health Plan, about the role Medicaid managed care plans are playing in supporting new Medicaid program requirements under the One Big Beautiful Bill Act. They focus on work reporting requirements; renewals and redeterminations; tracking cost-sharing; and ...