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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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Tara Sklar, Faculty Director, Health Law & Policy Program, University of Arizona James E. Rogers College of Law, and Kathryn Huber, MD, Kaiser Permanente, discuss the prevalence of cognitive impairments as the U.S. population ages and the implications this has for the future of digital health care. They cover the legal and regulatory landscape and …
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Ritu Cooper, Shareholder, Hall Render Killian Heath & Lyman PC, Greg Demske, Partner, Goodwin Procter LLP, and Melissa Wong, Partner, Holland & Knight, discuss strategies that health care organizations can employ when dealing with fraud and abuse investigations. They cover the full life cycle of an investigation, sharing their own insights and expe…
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Alé Dalton, Partner, Bradley Arant Boult Cummings LLP, speaks with Mara Smith-Kouba, Counsel, Bristol Myers Squibb, and Avery Schumacher, Associate, Epstein Becker & Green PC, about the experiences and challenges of Millennial and Gen Z health law professionals. They discuss the takeaways from a survey of early career professionals by Major, Lindse…
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Jon Moore, Head of Consulting Services and Client Success and Chief Risk Officer, Clearwater, speaks with Leah Voigt, Chief Compliance Officer, Corewell Health, and Dr. Mark Sendak, Population Health and Data Science Lead, Duke Institute for Health Innovation, about the policies, procedures, and structures that guide the application of artificial i…
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Hope Levy-Biehl, Partner, Davis Wright Tremaine LLP, and Ryan Thurber, Shareholder, Polsinelli PC, discuss the growing trend of shifting patient care for acute illnesses into the home. They cover the federal hospital at-home waiver, state-level developments, special considerations related to the at-home care model, factors driving the growth of the…
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Ashlee Gray, General Counsel, Transforming Age, and Aleah Schutze, Of Counsel, Steptoe & Johnson PLLC, discuss how long term care providers can navigate the legal and practical considerations of medical marijuana. They cover the current legal and regulatory landscape, legal and compliance risks for providers, and best practices for providers regard…
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James L. Burke, Hall Render Killian Heath & Lyman PC, and Carmen Johnson discuss how to use value-based enterprise (VBE) within the Stark and Anti-Kickback safe harbors to advance health systems’ needs. They cover the four components of VBE, the Stark and Anti-Kickback VBE rules, and how creating a VBE can be a good strategy and significantly reduc…
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Joseph Zielinski, Compliance and Privacy Officer, CarDon & Associates, and Michelle R. Adams, Associate General Counsel, Ensign Services, discuss how to measure a long-term care facility’s compliance and ethics program. They cover why compliance is so important in the context of long-term care facilities, existing compliance and ethics frameworks, …
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Eric Setterlund, Partner, Bradley Arant Boult Cummings LLP, speaks with Melissa Soliz, Partner, Coppersmith Brockelman PLC, Annie Harrington, Chief Legal Officer, Pyx Health, and Sarah Raybin, Counsel, Vanderbilt University Medical Center, about how to launch a successful social determinant of health (SDOH) platform for sharing data among a patient…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about how the Biden Administration’s antitrust and competition enforcement initiatives are impacting health care board duties. They discuss how health care antitrust risk and enforcement have changed and how hea…
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The health care industry is still parsing the effects of the Supreme Court’s recent decisions in Loper Bright Enterprises v. Raimondo, which ends Chevron deference, and SEC v. Jarkesy, which entitles defendants to a jury trial when the government seeks civil penalties. Chip Hutzler, Partner, HMS Valuation Partners, speaks with Greg Demske, Partner,…
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On June 20, a federal judge in Texas sided with the American Hospital Association in its lawsuit against the Department of Health and Human Services’ (HHS’) updated guidance on the use of tracking technologies. Andrew Mahler, Vice President, Consulting Services, Privacy & Compliance, Clearwater, speaks with Carolyn V. Metnick, Partner, Sheppard Mul…
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For more than six years and nearly 80 episodes, Norm Tabler has entertained AHLA with his unique take on recent health law and other legal developments. Now, Norm bids farewell to the Lighter Side of Health Law. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.…
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Ramona Thomas, General Counsel & Vice President of Risk and Compliance, Planned Parenthood of Orange and San Bernardino Counties, about the recent Supreme Court decisions that impact women’s health. They discuss FDA v. AHM and the use of mifepristone in medication abortions, Moyle v. United States and…
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Edo Banach, Partner, Manatt Phelps & Phillips LLP, and Keith Lagnese, Chief Medical Officer, Sutter Care at Home, discuss the structure and delivery of palliative care. They cover issues related to regulation, oversight, and reimbursement. Edo and Keith spoke about this topic at AHLA’s 2024 Long Term and Post-Acute Care Law and Compliance in San Di…
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Dan Grauman, Managing Director and CEO, Veralon, speaks with Cristina Cavalieri, SVP and University Counsel, Thomas Jefferson University Hospital, and Jeannie C. Frey, SVP, Chief Legal Officer and General Counsel, CHRISTUS Health, about health care system governance structures. They discuss the drivers of health care governance structure changes, h…
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Valerie G. Rock, Principal, PYA, and Kristin M. Bohl, Member, Bass Berry & Sims PLC, discuss the 2024 Medicare Physician Fee Schedule (MPFS) Final Rule, specifically changes related to Evaluation and Management (E/M) visits. They cover CMS’ Framework for Health Equity and requirements related to clinical integration, community-based organizations, …
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Naseem Sayani, General Partner, Emmeline Ventures, about how the current legal and regulatory landscape is impacting innovation and investment in women’s health. They discuss the connection between investment and innovation and access to health care, where investment and innovation are taking place, h…
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Alexis L. Angell, Shareholder, Polsinelli PC, Lindsey P. Ridgway, Vice President, Deputy General Counsel, Integris Health, and Scott Nichols, Partner, Nichols Brar Weitzner & Thomas, share their insights and experiences on a range of medical staff issues. They cover physician behavior and professionalism concerns, physician health issues, HR and pe…
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Jeff J. Wurzburg, Senior Counsel, Norton Rose Fulbright, Mackenzie S. Wallace, Partner, Thompson Coburn, and Elise D. Brennan, Partner, Conner & Winters LLP, discuss the lifecycle of payer/provider disputes and some of the current trends in this area. They cover considerations related to outstanding accounts receivable, the benefits of arbitration,…
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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.Di AHLA Podcasts
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Adriana Benedict, General Counsel, Hey Jane, about recent litigation related to women’s health and how the Comstock Act is specifically being litigated in this area. They discuss the Supreme Court’s recent decision in FDA v. AHM; the FDA’s allowance of mail-order medication abortion; the history of th…
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Kate Taylor, Associate Principal, ECG Management Consultants, Caleb Knight, Member, Flaherty Sensabaugh Bonasso PLLC, and Marc Goldstone, Executive Vice President and General Counsel, Wellpath, discuss how the Department of Justice (DOJ) uses its enforcement mechanisms to ensure providers are complying with health care laws and regulations. They co…
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Andrew Mahler, Vice President, Consulting Services, Privacy & Compliance, Clearwater, speaks with Sara Shanti, Partner, Sheppard Mullin, about the legal framework surrounding mental health apps and what is currently happening in the industry. They discuss issues related to data protection, transparency, and sharing, along with enforcement and litig…
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Section 1557 is both the nation’s first civil rights law for health care and the first federal civil rights law to focus specifically on nondiscrimination in health care. Stefanie Doyle, Associate, Baker Donelson, and Bruce J. Lederman, President and Chief Executive Officer, Charles E. Smith Life Communities, discuss the provisions of the Section 1…
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Ramona Thomas, General Counsel & Vice President of Risk and Compliance, Planned Parenthood of Orange and San Bernardino Counties, about the legal landscape two years after the Dobbs decision and the two decisions expected from the Supreme Court related to reproductive health. They discuss FDA v. AHM a…
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Anthony J. Burba, Partner, Barnes & Thornburg, Henry C. Leventis, United States Attorney, Middle District of Tennessee, and Ted Lotchin, Chief Compliance Officer, UNC Health, discuss new and developing risks and opportunities amid the changing health care compliance landscape. They cover the DOJ’s main areas of focus, key compliance trends and prio…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the role of health care corporate boards in reviewing major transactions. They discuss key elements of corporate policies related to transactions, the board’s standard of conduct when reviewing transaction…
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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.Di AHLA Podcasts
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Alaina Crislip, Member, Jackson Kelly PLLC, Claire Turcotte, Director Of Legal Services, Premier Health, and Chip Hutzler, Partner, HMS Valuation Partners, discuss successes and challenges regarding health system service line strategies, including reevaluating strategies on specific service lines, addressing service lines with extra capacity, embar…
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Douglas Mancino, Partner, Seyfarth Shaw LLP, and Ruth Madrigal, Principal, KPMG, discuss recent tax-related developments in the health care space. They cover 501(r) compliance, the 4960 excise tax on compensation in excess of $1 million, criticisms that have been levied against tax-exempt health care organizations, and Inflation Reduction Act tax c…
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Joseph Miller, Co-Chair, Antitrust Practice, Mintz Levin, and Holden Brooks, Partner, McGuireWoods, discuss recent developments in the health care antitrust space. They cover the DOJ’s health care monopolies task force, private equity in health care, Hart-Scott-Rodino changes, the FTC’s final rule on non competes, state statutes, Indiana’s pre-tran…
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Christopher P. Kenny, Partner, King & Spalding LLP, and Christina A. Hughes, Counsel, Powers Pyles Sutter & Verville PC, discuss some of the key issues related to provider-based status. They cover challenges related to the public awareness, notice of co-insurance, and distance requirements; and the difference between billing something as “provider-…
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Omenka Nwachukwu, Principal Consultant, Clearwater, speaks with Robert Kantrowitz, Partner, Kirkland & Ellis, about the key issues surrounding health care data privacy and the various points of intersection from a regulatory standpoint. They discuss challenges related to inferential data and de-identified data, federal and state privacy laws, the r…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Charles Oppenheim, Partner, Hooper Lundy & Bookman PC, about trends, updates, reforms, and developments related to the Stark Law. They discuss the history of Stark and recent reforms, how both new and experienced lawyers can approach Stark, practical applications of the 2021 cha…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about how health care corporate boards can effectively exercise oversight of the corporate legal function. They discuss the general counsel’s dual reporting relationship, the history of the corporate responsibil…
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John Howlett, Senior Vice President and Chief Marketing Officer, Clearwater, speaks with Carolyn V. Metnick, Partner, Sheppard Mullin Richter & Hampton LLP, and Vanessa K. Burrows, Partner, Simpson Thacher & Bartlett LLP, about the current regulatory and legal landscape of artificial intelligence (AI) in health care. They discuss some of the most c…
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Kim H. Looney, Partner, K&L Gates LLP, and John E. Kelly, Partner, Barnes & Thornburg LLP, discuss the current dynamics of private equity in health care. They cover why private equity is interested in health care and what segments they are most interested in, private equity deal trends, public scrutiny of private equity, federal and state oversight…
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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.Di AHLA Podcasts
  continue reading
 
Kate Heffernan, Member, Epstein Becker Green, and Elizabeth McEvoy, Partner, Hinckley Allen, discuss how research misconduct is regulated in the United States. They cover research integrity as it relates to the law, how approaches to research integrity have changed over the years, how the legal stakes have been raised for institutions and scientist…
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Health systems are beginning to address the many issues that come with the physician enterprise. Rudd Kierstead, Director, Veralon, speaks with Victoria Sheridan, Counsel, Corporate & Regulatory Affairs, Atlantic Health System, about some of the motivating issues, key factors, and main goals related to integrating the physician enterprise. They als…
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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 re…
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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 appr…
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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 fut…
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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 raisin…
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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 pro…
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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.Di AHLA Podcasts
  continue reading
 
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 tha…
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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…
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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 hypot…
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