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Compensating Employed Physicians
Key Stark Law Considerations
Presented by:
Joseph N. Wolfe
. Joseph Wolfe is a partner with Hall Render, the largest health care focused law firm in the country, now
with offices nationwide. Hall Render attorneys provide advice and counsel to some of the nation's
largest health systems, hospitals and medical groups on a broad range of regulatory, operational and
strategic matters. Mr. Wolfe regularly counsels clients on a national basis regarding compliance-focused
physician compensation strategies. He is a frequent speaker on issues related to the physician self-
referral statute (Stark Law), hospital-physician transactions, physician compensation and health care fair
market value issues. Before attending law school at the University of Wisconsin, he served as a combat
engineer in the United States Army.
Relevant presentations specific to health care contracting trends include:
• Right Sizing Your FMV and Commercial Reasonableness Process: Finding an Approach that Aligns with
Industry Guidance and Developing Best Practices, and What Works for You - AHLA Webinar (March 7, 2018).
• What Keeps You up at Night? Case Studies in Challenging Fair Market Value and Commercial Reasonableness
Analyses - Physicians and Hospitals Law Institute (February 5, 2017) New Orleans, LA.
• Fair Market Value and Commercial Reasonableness 101: Distinguishing Between Legal Requirements,
Developing Best Practices and Dogma – AHLA Webinar (December 6, 2017).
• A Fair Market Value Primer for Health Lawyers and Compliance Officers - Fraud and Compliance Institute
(October 5, 2017) Baltimore, MD.
• How to Use and Not Abuse MGMA and Other Survey Data in FMV Compliance Programs – Physicians and
Hospitals Law Institute (February 1, 2017) Orlando, FL.
• Acronym Soup: CJR, BPCI, OCM, MIPS, and APMs, What Do They Mean for FMV and Reasonableness in
Compensation – AHLA Webinar (December 6, 2016).
• MIPS and MACRA: What Healthcare Valuators Need to Know Now – BVR Webinar (November 29, 2016).
• Strategies for Developing Compliant Physician Compensation Plans - AMGA Compensation Collaborative
(November 10, 2016) New York, NY.
• Physician Compensation Data: Questions and Answers for the Era of Value Based Reimbursement - AHLA
Webinar (August 29, 2016).
• Innovation Through Alignment: Strategies and Emerging Models for Successful AMC Physician Partnerships:
AHLA AMC Conference (March 14-15, 2016) Washington, DC.
• Exploring Gainsharing and ACO Compensation Trends - AMGA Annual Meeting (March 10, 2016) Orlando, FL.
• Maintaining Compliance While Compensating Physicians for Quality and Cost Savings; HFMA, National
Payment Innovation Summit (February 12, 2016) Memphis, TN.
Joseph N. Wolfe, Esq.
Health Care Attorney
Hall, Render, Killian, Heath
& Lyman, PC.
General Disclaimer
• This program is a general discussion of legal and business issues; it should
not be relied upon as legal, valuation, business, financial, or other
professional advice.
• Mr. Wolfe will provide his own views and not those of his current or past
employers or clients.
• This presentation may include a discussion of hypothetical scenarios. Any
hypothetical scenario is intended to elicit thoughtful and lively discussion,
but will not represent actual events.
• This webinar may include a discussion of certain ongoing or settled qui
tam or other lawsuits. The discussion is based on publicly available
documents and allegations in the lawsuits. We wish to remind
participants that allegations are allegations only and that the list of cases
and related issues we discuss may not be comprehensive.
3
Webinar Agenda
I. Introductory Concepts
II. Overview of the Regulatory Standards
III. Drafting Employment Agreements
IV. Case Studies and Best Practices
V. Question and Answer
Part I: Introductory Concepts
5

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Key Stark Law Considerations for Compensating Employed Physicians

  • 1. Compensating Employed Physicians Key Stark Law Considerations Presented by: Joseph N. Wolfe
  • 2. . Joseph Wolfe is a partner with Hall Render, the largest health care focused law firm in the country, now with offices nationwide. Hall Render attorneys provide advice and counsel to some of the nation's largest health systems, hospitals and medical groups on a broad range of regulatory, operational and strategic matters. Mr. Wolfe regularly counsels clients on a national basis regarding compliance-focused physician compensation strategies. He is a frequent speaker on issues related to the physician self- referral statute (Stark Law), hospital-physician transactions, physician compensation and health care fair market value issues. Before attending law school at the University of Wisconsin, he served as a combat engineer in the United States Army. Relevant presentations specific to health care contracting trends include: • Right Sizing Your FMV and Commercial Reasonableness Process: Finding an Approach that Aligns with Industry Guidance and Developing Best Practices, and What Works for You - AHLA Webinar (March 7, 2018). • What Keeps You up at Night? Case Studies in Challenging Fair Market Value and Commercial Reasonableness Analyses - Physicians and Hospitals Law Institute (February 5, 2017) New Orleans, LA. • Fair Market Value and Commercial Reasonableness 101: Distinguishing Between Legal Requirements, Developing Best Practices and Dogma – AHLA Webinar (December 6, 2017). • A Fair Market Value Primer for Health Lawyers and Compliance Officers - Fraud and Compliance Institute (October 5, 2017) Baltimore, MD. • How to Use and Not Abuse MGMA and Other Survey Data in FMV Compliance Programs – Physicians and Hospitals Law Institute (February 1, 2017) Orlando, FL. • Acronym Soup: CJR, BPCI, OCM, MIPS, and APMs, What Do They Mean for FMV and Reasonableness in Compensation – AHLA Webinar (December 6, 2016). • MIPS and MACRA: What Healthcare Valuators Need to Know Now – BVR Webinar (November 29, 2016). • Strategies for Developing Compliant Physician Compensation Plans - AMGA Compensation Collaborative (November 10, 2016) New York, NY. • Physician Compensation Data: Questions and Answers for the Era of Value Based Reimbursement - AHLA Webinar (August 29, 2016). • Innovation Through Alignment: Strategies and Emerging Models for Successful AMC Physician Partnerships: AHLA AMC Conference (March 14-15, 2016) Washington, DC. • Exploring Gainsharing and ACO Compensation Trends - AMGA Annual Meeting (March 10, 2016) Orlando, FL. • Maintaining Compliance While Compensating Physicians for Quality and Cost Savings; HFMA, National Payment Innovation Summit (February 12, 2016) Memphis, TN. Joseph N. Wolfe, Esq. Health Care Attorney Hall, Render, Killian, Heath & Lyman, PC.
  • 3. General Disclaimer • This program is a general discussion of legal and business issues; it should not be relied upon as legal, valuation, business, financial, or other professional advice. • Mr. Wolfe will provide his own views and not those of his current or past employers or clients. • This presentation may include a discussion of hypothetical scenarios. Any hypothetical scenario is intended to elicit thoughtful and lively discussion, but will not represent actual events. • This webinar may include a discussion of certain ongoing or settled qui tam or other lawsuits. The discussion is based on publicly available documents and allegations in the lawsuits. We wish to remind participants that allegations are allegations only and that the list of cases and related issues we discuss may not be comprehensive. 3
  • 4. Webinar Agenda I. Introductory Concepts II. Overview of the Regulatory Standards III. Drafting Employment Agreements IV. Case Studies and Best Practices V. Question and Answer
  • 5. Part I: Introductory Concepts 5