This document discusses a webinar presented by Epstein Becker Green on health care fraud investigations. It provides an agenda for the webinar which includes discussions of the current regulatory environment, enforcement trends and settlements, an overview of the False Claims Act, types of government inquiries, and mitigating risks. It also provides background information on the Alliance of Wound Care Stakeholders and their mission and members. Key risk areas for wound care enforcement are identified as upcoding, inadequate documentation, and falsely certifying attendance or supervision.
ACA Information Reporting on Forms 1094 and 1095 B&C: Getting Ready for 2017 ...Epstein Becker Green
Join Michelle Capezza, Member of the Firm at Epstein Becker Green, and Howard M. Gerver, President of ACA Managed Services, for a conversation regarding best practices for ACA information reporting, addressing such topics as:
* Data collection and troubleshooting
* Addressing invalid names and social security numbers
* Determining whether an offer of qualifying coverage was made and assigning the correct code
* Employee Status Codes
* Misclassified workers
* Approaching corrections and penalties
* New Developments
With the first year of ACA information reporting completed, it is time to prepare for 2016 information reporting that will be filed in 2017. As the potential for IRS audits and penalties loom, explore some of the pitfalls and lessons learned from the recent inaugural process in order to streamline and improve your compliance with the requirements.
Webinar recorded on September 8, 2016.
http://www.ebglaw.com/events/aca-information-reporting-on-forms-1094-and-1095-bc-getting-ready-for-2017-webinar/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Mental Health Parity Implementation: Are We There Yet? – Behavioral Health Cr...Epstein Becker Green
Epstein Becker Green Webinar, with Attorney Lesley Yeung - March 22, 2016.
Part of the Behavioral Health Crash Course Webinar Series.
This webinar will provide:
* An overview of the current status of implementation of mental health parity and key challenges that health plans are facing with implementation
* Mental health parity challenges in court
* Additional legislative efforts
For more information, visit http://www.ebglaw.com/events/mental-h....
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
FDA Cybersecurity Recommendations to Comply with NIST - Wearables Crash Cours...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Kim Tyrrell-Knott - Wearables Crash Course Webinar Series - June 21, 2016.
Cybersecurity is a serious risk management issue for all technology and wearables and other wireless technologies, in particular. This session will address FDA's recommendations for a comprehensive cybersecurity program that manages risks throughout the product life cycle.
http://www.ebglaw.com/events/fda-cybersecurity-recommendations-to-comply-with-nist-a-best-practice-for-all-wearables-wearables-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Privacy and Wearables - Wearables Crash Course Webinar SeriesMeltem Tarhan
Epstein Becker Green Webinar with Attorney Patricia M. Wagner - Wearables Crash Course Webinar Series - June 28, 2016.
Wearables can collect a significant amount of information. This session will discuss what you should disclose to consumers, what legal limitations may restrict your use or disclosure of data collected, and how to navigate the process.
http://www.ebglaw.com/events/privacy-and-wearables-wearables-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Sixteen for '16: Key Healthcare Legal, Regulatory and Policy Issues for 2016Epstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
Corporate Behavioral Health Care: “Not So Fast” – Behavioral Health Crash Cou...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Kevin J. Ryan - March 15, 2016
This webinar series should be of interest to providers, payors, private equity investors, and other health care and mental health stakeholders.
This webinar will provide:
* A discussion of the concept of the "corporate practice of medicine" and other professional services:
* Who is allowed to employ licensed professionals may vary by state
* Professional corporations
* The management of professional corporations
* National expansion
* The scope of practice issues
Learn more: http://www.ebglaw.com/events/corporate-behavioral-health-care-not-so-fast-behavioral-health-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Managed Care and Behavioral Health - Behavioral Health Crash Course Webinar S...Epstein Becker Green
Epstein Becker Green Webinar, with Attorney Jackie Selby - March 29, 2016
This webinar series should be of interest to providers, payors, private equity investors, and other health care and mental health stakeholders.
This webinar will provide:
* An overview of the unique contract issues related to behavioral health services
* Reforms in Medicaid managed care plans and behavioral health
http://www.ebglaw.com/events/managed-...
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Recent Investigation and Enforcement Trends: 2016 Compliance and TPL Focused ...Epstein Becker Green
Presented by Mark S. Armstrong, Member of the Firm, Epstein Becker Green.
http://www.ebglaw.com/investment-banks-private-equity/private-equity-resource-center/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
ACA Information Reporting on Forms 1094 and 1095 B&C: Getting Ready for 2017 ...Epstein Becker Green
Join Michelle Capezza, Member of the Firm at Epstein Becker Green, and Howard M. Gerver, President of ACA Managed Services, for a conversation regarding best practices for ACA information reporting, addressing such topics as:
* Data collection and troubleshooting
* Addressing invalid names and social security numbers
* Determining whether an offer of qualifying coverage was made and assigning the correct code
* Employee Status Codes
* Misclassified workers
* Approaching corrections and penalties
* New Developments
With the first year of ACA information reporting completed, it is time to prepare for 2016 information reporting that will be filed in 2017. As the potential for IRS audits and penalties loom, explore some of the pitfalls and lessons learned from the recent inaugural process in order to streamline and improve your compliance with the requirements.
Webinar recorded on September 8, 2016.
http://www.ebglaw.com/events/aca-information-reporting-on-forms-1094-and-1095-bc-getting-ready-for-2017-webinar/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Mental Health Parity Implementation: Are We There Yet? – Behavioral Health Cr...Epstein Becker Green
Epstein Becker Green Webinar, with Attorney Lesley Yeung - March 22, 2016.
Part of the Behavioral Health Crash Course Webinar Series.
This webinar will provide:
* An overview of the current status of implementation of mental health parity and key challenges that health plans are facing with implementation
* Mental health parity challenges in court
* Additional legislative efforts
For more information, visit http://www.ebglaw.com/events/mental-h....
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
FDA Cybersecurity Recommendations to Comply with NIST - Wearables Crash Cours...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Kim Tyrrell-Knott - Wearables Crash Course Webinar Series - June 21, 2016.
Cybersecurity is a serious risk management issue for all technology and wearables and other wireless technologies, in particular. This session will address FDA's recommendations for a comprehensive cybersecurity program that manages risks throughout the product life cycle.
http://www.ebglaw.com/events/fda-cybersecurity-recommendations-to-comply-with-nist-a-best-practice-for-all-wearables-wearables-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Privacy and Wearables - Wearables Crash Course Webinar SeriesMeltem Tarhan
Epstein Becker Green Webinar with Attorney Patricia M. Wagner - Wearables Crash Course Webinar Series - June 28, 2016.
Wearables can collect a significant amount of information. This session will discuss what you should disclose to consumers, what legal limitations may restrict your use or disclosure of data collected, and how to navigate the process.
http://www.ebglaw.com/events/privacy-and-wearables-wearables-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Sixteen for '16: Key Healthcare Legal, Regulatory and Policy Issues for 2016Epstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
Corporate Behavioral Health Care: “Not So Fast” – Behavioral Health Crash Cou...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Kevin J. Ryan - March 15, 2016
This webinar series should be of interest to providers, payors, private equity investors, and other health care and mental health stakeholders.
This webinar will provide:
* A discussion of the concept of the "corporate practice of medicine" and other professional services:
* Who is allowed to employ licensed professionals may vary by state
* Professional corporations
* The management of professional corporations
* National expansion
* The scope of practice issues
Learn more: http://www.ebglaw.com/events/corporate-behavioral-health-care-not-so-fast-behavioral-health-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Managed Care and Behavioral Health - Behavioral Health Crash Course Webinar S...Epstein Becker Green
Epstein Becker Green Webinar, with Attorney Jackie Selby - March 29, 2016
This webinar series should be of interest to providers, payors, private equity investors, and other health care and mental health stakeholders.
This webinar will provide:
* An overview of the unique contract issues related to behavioral health services
* Reforms in Medicaid managed care plans and behavioral health
http://www.ebglaw.com/events/managed-...
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Recent Investigation and Enforcement Trends: 2016 Compliance and TPL Focused ...Epstein Becker Green
Presented by Mark S. Armstrong, Member of the Firm, Epstein Becker Green.
http://www.ebglaw.com/investment-banks-private-equity/private-equity-resource-center/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Digital Health Devices and Clinical Trials – Wearables Crash Course Webinar S...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Daniel G. Gottlieb - Wearables Crash Course Webinar Series - June 14, 2016.
Wearables can collect valuable data in clinical trials. However, there is not a lot of clarity on how wearables are regulated. This session will help you understand why this uncertainty exists and provide you with strategies for navigating these muddy regulatory waters.
See http://www.ebglaw.com/events/digital-health-devices-and-clinical-trials-wearables-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Investments in Behavioral Health: Drivers and Outlook - Behavioral Health Cra...Epstein Becker Green
Webinar by attorney Purvi Maniar of Epstein Becker Green - April 5, 2016. Part of the Behavioral Health Crash Course Webinar Series.
This webinar will provide:
* A discussion of the main drivers of growth in investment in behavioral health, including the focus on population health management and mental health parity laws
* The outlook for providers of behavioral health services, including an overview of areas of legal focus and potential competition
http://www.ebglaw.com/events/investme...
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Outlook for 2017 and Beyond - Five Exposures to Watch in Health CareEpstein Becker Green
Mark Lutes, Chair of the Board of Directors of Epstein Becker Green and a Member of the firm’s Health Care and Life Sciences practice, delivered the attached keynote presentation, "Outlook for 2017 and Beyond - Five Exposures to Watch," at the Healthcare Financial Forum on March 15, 2017.
The Trump Administration’s policies, and decisions made by Congress, will transform how providers deliver care and receive payment for healthcare services. While President Trump’s February 28 speech to Congress offered few details of a White House vision on health care reform, clues as to a potential future are offered in bills under consideration in the House. In this interactive presentation, we will help finance executives predict the top exposures for their organizations in 2017 by reviewing elements of the shift in the payment paradigm, the Washington policy context and its impact on the threats and opportunities facing their organizations, and the outlook for further legislative and regulatory change.
Key exposures that will be covered include:
Executives Orders & Scrutiny of Regulation
Tax Reform Impacting Commercial Health Care Coverage
Medicare Trends
Exchange Population Coverage Changes
Medicaid Expansion Population Financing Changes
http://www.ebglaw.com/events/healthcare-financial-forum-outlook-for-2017-and-beyond-five-exposures-to-watch/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
View from Washington Hot Topics in Health Care Regulation CMS & FDAEpstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
The Impact of the AMP Final Rule: Legal, Operational, and Financial Considera...Epstein Becker Green
Part 1 of a webinar series that examines the average manufacturer price (“AMP”) Final Rule and its effect on drug pricing and contracting. Hosted by Epstein Becker Green and EBG Advisors.
The long-awaited issuance of the Final Rule addressing AMP under the Medicaid Drug Rebate Program has provided clarity in some respects but left other issues open to interpretation. In the wake of the Final Rule, other regulatory developments are already showing signs of further impacting many of the same issues.
Using the AMP Final Rule as a baseline, we will address the evolution of some of the most significant issues affecting drug pricing and contracting. We hope you can attend one or both of the sessions in this two-part series.
In this session, Constance A. Wilkinson, Member of the Firm at Epstein Becker Green, will address how the AMP final rule can impact your business. This discussion will examine various legal, operational, and financial factors, including the impact on fee-for-service arrangements with customers, value-based pricing, and reimbursement.
http://www.ebglaw.com/events/the-effect-of-the-average-manufacturer-price-final-rule-on-drug-pricing-and-contracting-part-1-the-impact-of-the-amp-final-rule-legal-operational-and-financial-considerations/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
By Carrie Valiant of Epstein Becker Green.
http://www.ebglaw.com/carrie-valiant/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Delivering Care Under the MACRA Final Rule: Implementation Considerations and...Epstein Becker Green
Presented November 18, 2016, by Mark Lutes, Robert F. Atlas, and Lesley R. Yeung of Epstein Becker Green and EBG Advisors.
http://www.ebglaw.com
http://www.ebgadvisors.com
Post-Election Analysis of Health Care Legislative & Regulatory TrendsEpstein Becker Green
Presentation by attorneys Lynn Shapiro Snyder and Ted Kennedy, Jr., at the Oppenheimer Conference, March 21-22, 2017.
For more information, visit http://www.ebglaw.com/investment-banks-private-equity/private-equity-resource-center/#Presentations
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Top Health Care Regulatory Trends: New Risks and OpportunitiesEpstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
Enterprise Risk Management & Cybersecurity: Is Your Health Plan Ready?Epstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
A wider net will be cast in 2016 as many more employers and industries will be subject to scrutiny and enforcement efforts by the Occupational Safety and Health Administration (OSHA) for the first time.
This webinar will explain why this change is happening and delve deeper into what it means to you and your organization. Additionally, the webinar will discuss the anticipated overall direction of OSHA in 2016.
Topics will include:
* The broader range of industries targeted for OSHA enforcement, including health care
* Reporting and recordkeeping requirements
* The expected staggering increase in fines assessed for OSHA violations
* Increased emphasis on joint employer responsibility
* Whistleblowing and its impact on your business
* Rulemaking and potential changes in current programs
http://www.ebglaw.com/events/osha-forecast-developments-to-watch-in-2016-and-beyond/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Gregory R. Mitchell - Substance Use Disorders Crash Course Webinar Series - June 20, 2017.
Discussion Points:
* To whom, and what, does 42 CFR Part 2 (Confidentiality of SUD Patient Records) apply?
* How do the recent changes to 42 CFR Part 2 affect patient consent forms?
* How do the recent changes to audit and evaluation access rights and the definition of “qualified service organizations” affect access to protected records?
* When do you need to think about state laws relating to substance use records?
Take a coffee break every Tuesday in June at 2 p.m. ET to join us for a 15-minute webinar covering substance use disorder (SUD) issues!
http://www.ebglaw.com/events/whats-new-about-privacy-and-consent-for-substance-use-records-substance-use-disorders-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Jackie Selby - Substance Use Disorders Crash Course Webinar Series - June 13, 2017.
Discussion Points:
* How would the American Health Care Act impact SUD services?
* What is the U.S. Department of Health and Human Services doing differently regarding SUD services?
* How does the executive budget proposal impact SUDs?
* Are parity requirements for SUD services going to change?
Take a coffee break every Tuesday in June at 2 p.m. ET to join us for a 15-minute webinar covering substance use disorder (SUD) issues!
http://www.ebglaw.com/events/sud-and-health-care-reform-what-are-the-key-changes-being-considered-by-congress-and-the-trump-administration-substance-use-disorders-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Lots of talk about new medicaid rules, data, metrics, scores, MLR, network adequacy and more. Lots of new data sources on the way in and out MSIS and TMSIS, oh my! Here's something just for fun we thew together. Wonder how medicaid docs do versus medicaid doctors? Is supply aligned with demand (prevalence and provider coverage)? How about unnecessary spend and no value care? Crazier still, think they could succeed in risk arrangements?
Short presentation alerting physicians as to how the False Claims Act can affect their medical practice, including fines and exclusion from medicare and medicaid programs.
Digital Health Devices and Clinical Trials – Wearables Crash Course Webinar S...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Daniel G. Gottlieb - Wearables Crash Course Webinar Series - June 14, 2016.
Wearables can collect valuable data in clinical trials. However, there is not a lot of clarity on how wearables are regulated. This session will help you understand why this uncertainty exists and provide you with strategies for navigating these muddy regulatory waters.
See http://www.ebglaw.com/events/digital-health-devices-and-clinical-trials-wearables-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Investments in Behavioral Health: Drivers and Outlook - Behavioral Health Cra...Epstein Becker Green
Webinar by attorney Purvi Maniar of Epstein Becker Green - April 5, 2016. Part of the Behavioral Health Crash Course Webinar Series.
This webinar will provide:
* A discussion of the main drivers of growth in investment in behavioral health, including the focus on population health management and mental health parity laws
* The outlook for providers of behavioral health services, including an overview of areas of legal focus and potential competition
http://www.ebglaw.com/events/investme...
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Outlook for 2017 and Beyond - Five Exposures to Watch in Health CareEpstein Becker Green
Mark Lutes, Chair of the Board of Directors of Epstein Becker Green and a Member of the firm’s Health Care and Life Sciences practice, delivered the attached keynote presentation, "Outlook for 2017 and Beyond - Five Exposures to Watch," at the Healthcare Financial Forum on March 15, 2017.
The Trump Administration’s policies, and decisions made by Congress, will transform how providers deliver care and receive payment for healthcare services. While President Trump’s February 28 speech to Congress offered few details of a White House vision on health care reform, clues as to a potential future are offered in bills under consideration in the House. In this interactive presentation, we will help finance executives predict the top exposures for their organizations in 2017 by reviewing elements of the shift in the payment paradigm, the Washington policy context and its impact on the threats and opportunities facing their organizations, and the outlook for further legislative and regulatory change.
Key exposures that will be covered include:
Executives Orders & Scrutiny of Regulation
Tax Reform Impacting Commercial Health Care Coverage
Medicare Trends
Exchange Population Coverage Changes
Medicaid Expansion Population Financing Changes
http://www.ebglaw.com/events/healthcare-financial-forum-outlook-for-2017-and-beyond-five-exposures-to-watch/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
View from Washington Hot Topics in Health Care Regulation CMS & FDAEpstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
The Impact of the AMP Final Rule: Legal, Operational, and Financial Considera...Epstein Becker Green
Part 1 of a webinar series that examines the average manufacturer price (“AMP”) Final Rule and its effect on drug pricing and contracting. Hosted by Epstein Becker Green and EBG Advisors.
The long-awaited issuance of the Final Rule addressing AMP under the Medicaid Drug Rebate Program has provided clarity in some respects but left other issues open to interpretation. In the wake of the Final Rule, other regulatory developments are already showing signs of further impacting many of the same issues.
Using the AMP Final Rule as a baseline, we will address the evolution of some of the most significant issues affecting drug pricing and contracting. We hope you can attend one or both of the sessions in this two-part series.
In this session, Constance A. Wilkinson, Member of the Firm at Epstein Becker Green, will address how the AMP final rule can impact your business. This discussion will examine various legal, operational, and financial factors, including the impact on fee-for-service arrangements with customers, value-based pricing, and reimbursement.
http://www.ebglaw.com/events/the-effect-of-the-average-manufacturer-price-final-rule-on-drug-pricing-and-contracting-part-1-the-impact-of-the-amp-final-rule-legal-operational-and-financial-considerations/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
By Carrie Valiant of Epstein Becker Green.
http://www.ebglaw.com/carrie-valiant/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Delivering Care Under the MACRA Final Rule: Implementation Considerations and...Epstein Becker Green
Presented November 18, 2016, by Mark Lutes, Robert F. Atlas, and Lesley R. Yeung of Epstein Becker Green and EBG Advisors.
http://www.ebglaw.com
http://www.ebgadvisors.com
Post-Election Analysis of Health Care Legislative & Regulatory TrendsEpstein Becker Green
Presentation by attorneys Lynn Shapiro Snyder and Ted Kennedy, Jr., at the Oppenheimer Conference, March 21-22, 2017.
For more information, visit http://www.ebglaw.com/investment-banks-private-equity/private-equity-resource-center/#Presentations
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Top Health Care Regulatory Trends: New Risks and OpportunitiesEpstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
Enterprise Risk Management & Cybersecurity: Is Your Health Plan Ready?Epstein Becker Green
From Epstein Becker Green and EBG Advisors: Policy & Legal Trends Impacting Health Care Investment - for more information, please visit http://www.ebglaw.com/PEdownloads
A wider net will be cast in 2016 as many more employers and industries will be subject to scrutiny and enforcement efforts by the Occupational Safety and Health Administration (OSHA) for the first time.
This webinar will explain why this change is happening and delve deeper into what it means to you and your organization. Additionally, the webinar will discuss the anticipated overall direction of OSHA in 2016.
Topics will include:
* The broader range of industries targeted for OSHA enforcement, including health care
* Reporting and recordkeeping requirements
* The expected staggering increase in fines assessed for OSHA violations
* Increased emphasis on joint employer responsibility
* Whistleblowing and its impact on your business
* Rulemaking and potential changes in current programs
http://www.ebglaw.com/events/osha-forecast-developments-to-watch-in-2016-and-beyond/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Gregory R. Mitchell - Substance Use Disorders Crash Course Webinar Series - June 20, 2017.
Discussion Points:
* To whom, and what, does 42 CFR Part 2 (Confidentiality of SUD Patient Records) apply?
* How do the recent changes to 42 CFR Part 2 affect patient consent forms?
* How do the recent changes to audit and evaluation access rights and the definition of “qualified service organizations” affect access to protected records?
* When do you need to think about state laws relating to substance use records?
Take a coffee break every Tuesday in June at 2 p.m. ET to join us for a 15-minute webinar covering substance use disorder (SUD) issues!
http://www.ebglaw.com/events/whats-new-about-privacy-and-consent-for-substance-use-records-substance-use-disorders-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Jackie Selby - Substance Use Disorders Crash Course Webinar Series - June 13, 2017.
Discussion Points:
* How would the American Health Care Act impact SUD services?
* What is the U.S. Department of Health and Human Services doing differently regarding SUD services?
* How does the executive budget proposal impact SUDs?
* Are parity requirements for SUD services going to change?
Take a coffee break every Tuesday in June at 2 p.m. ET to join us for a 15-minute webinar covering substance use disorder (SUD) issues!
http://www.ebglaw.com/events/sud-and-health-care-reform-what-are-the-key-changes-being-considered-by-congress-and-the-trump-administration-substance-use-disorders-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Lots of talk about new medicaid rules, data, metrics, scores, MLR, network adequacy and more. Lots of new data sources on the way in and out MSIS and TMSIS, oh my! Here's something just for fun we thew together. Wonder how medicaid docs do versus medicaid doctors? Is supply aligned with demand (prevalence and provider coverage)? How about unnecessary spend and no value care? Crazier still, think they could succeed in risk arrangements?
Short presentation alerting physicians as to how the False Claims Act can affect their medical practice, including fines and exclusion from medicare and medicaid programs.
Fico unleashes new analytics for fighting america's $700+ billion healthcare ...aldrencarlo
FICO Insurance Fraud Manager 3.3 adds link analysis, facility model to boost detection of fraud rings and suspicious providers
MINNEAPOLIS, Oct. 2, 2012 -- /PRNewswire/ -- FICO (NYSE:FICO), the leading provider of predictive analytics and decision management technology, today released the latest version of FICO® Insurance Fraud Manager, the most advanced system for detecting and preventing healthcare insurance fraud, waste and abuse. FICO® Insurance Fraud Manager 3.3 integrates link analysis with business rules and predictive analytics, and also adds a facility model for detecting fraud at a hospital or an outpatient provider.
"Fraud has always been a part of the insurance business, but the magnitude of insurance fraud today is startling," said Russ Schreiber, who leads FICO's insurance practice. "Experts estimate the annual cost of health care fraud, waste and abuse in the US to be upwards of $700 billion, and last May one Medicare fraud scam alone racked up $452 million. Now, with FICO Insurance Fraud Manager 3.3, insurers have a better way to fight back."
FICO Insurance Fraud Manager 3.3 boasts the first fully integrated link analysis capability with an insurance fraud application. Insurers who previously had to configure separate link analysis tools can now save time and improve results with an easy-to-use solution preconfigured to use health care claims data. With FICO Insurance Fraud Manager 3.3, insurers can investigate organized fraud rings using the visualization capabilities of a proven link analysis tool set, and easily create displays that reveal connections between disparate claims, patients and providers.
"Integrating link analysis with Insurance Fraud Manager's powerful analytics and our advanced business rules gives insurers three ways to combat fraud, waste and abuse," said James Evans, vice president of network and financial management at McKesson Health Solutions, which provides Insurance Fraud Manager's analytics to U.S. insurers via its InvestiClaim® solution. "This triple protection gives insurers a powerful tool for fighting fraud, waste and abuse."
The new facility model in FICO® Insurance Fraud Manager 3.3 scans enormous volumes of claims data for recurring, suspicious activity at a hospital or an outpatient provider. Telltale signs may include unusual scheduling with a single patient, unusually expensive procedures, and even such issues as patients being discharged and readmitted, which can indicate problems with quality of care.
Universal American, which piloted this model with FICO, received a 2012 FICO Decision Management Award this month for its use of FICO Insurance Fraud Manager to control costs and prevent fraud losses. Universal American, a leading provider of health benefits to people with Medicare, has implemented the FICO Insurance Fraud Manager solution into their claims workflow prior to payment, and integrated it with their claims platform, Facets.
Sampling of training program material for health care fraud, abuse and compliance training for health care providers. contact Chiropractic Compliance Consultants for more at 913-369-9000, or visit our website at cccpfc.com
Any healthcare reform short of Single Payer leaves the entire US system open to waste, fraud and duplication of effort. This short presentation describes a 'Best Practices' method of handling this area.
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Epstein Becker Green
Although mental health and substance abuse (behavioral health) services have historically been segregated from traditional medical care, its impact on patients’ well-being, physical health and cost-of-care has become increasingly critical to improving clinical quality outcomes while significantly decreasing financial costs by tens of billions of dollars. Drs. Daviss and Coleman will discuss the advances in policy and practice regarding the integration of behavioral health with physical health, as well as some of the gaps in identifying, aggregating, and analyzing data critical to a more holistic and comprehensive view of the individual.
In addition, the speakers will:
* Identify the clinical, legal, social, and financial impacts of behavioral health disorders on chronic medical conditions.
* Describe the challenges involved in improving clinical and financial outcomes in patients with chronic medical conditions who also have behavioral health symptoms and/or conditions.
* Demonstrate the rewards for implementing new information technology applications and analysis for better clinical and financial outcomes for these specific populations.
Moderator
* Mark E. Lutes, Member of the Firm and Chair of Epstein Becker Green's Board of Directors
Speakers
* Charles A. Coleman, PhD, Senior Sponsor of IBM's Population Health Insights and Programs Management of IBM's Healthcare Solutions Board
* Steven R. Daviss, MD, DFAPA, Chief Medical Officer at M3 Information, LLC, a DC-based mobile mental health information technology company that developed the peer-reviewed multi-dimensional, patient-centered mental health screening tool, M3Clinician
Epstein Becker Green Webinar - Moderated by Mark E. Lutes - http://www.ebglaw.com/events/the-challenges-and-rewards-of-integrating-behavioral-health-into-primary-care-%E2%80%93-thought-leaders-in-population-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
This is an overview of VoIP fraud, different types of fraud and what telecommunication carriers are doing to combat this issue. Types of fraud include International / Premium Number Fraud, Impersonation / Social Engineering, Service Degradation / Denial of service. Presented by Mark Magnusson at KazooCon 2015.
The House of Representatives is marking up the American Health Care Act, a bill to repeal and replace the Affordable Care Act and to reframe Medicaid financing. If final legislation passes that looks even partly like this bill, many in the health industry will be impacted.
During this webinar, we will help attendees predict the top exposures for their organizations by reviewing the effects of the bill’s provisions and possibilities of change as the legislative process unfolds.
Moderator:
Philo D. Hall
Associate
Epstein Becker Green
Presenters:
Robert F. Atlas
President
EBG Advisors
Drew Willison
Strategic Advisor
National Health Advisors
http://www.ebglaw.com/events/overview-and-implications-of-the-house-republican-bill/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Alignment and Simplification of Quality Measures Across Markets – Value-Based...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Richard H. Hughes IV - Value-Based Payments Crash Course Webinar Series - May 10, 2016.
Topics include:
* An overview of the current quality measurement landscape across federal health programs
* A summary of Centers for Medicare & Medicaid Services and industry efforts to align quality measurement sets across programs.
* A look ahead to the areas of quality measurement emphasis and future developments
http://www.ebglaw.com/events/alignment-and-simplification-of-quality-measures-across-markets-value-based-payments-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Opportunities and Barriers in Pharmaceutical Pricing: Average Manufacturer Pr...Epstein Becker Green
Part 2 of a webinar series that examines the average manufacturer price (“AMP”) Final Rule and its effect on drug pricing and contracting. Hosted by an Epstein Becker Green and EBG Advisors.
The long-awaited issuance of the Final Rule addressing AMP under the Medicaid Drug Rebate Program has provided clarity in some respects but left other issues open to interpretation. In the wake of the Final Rule, other regulatory developments are already showing signs of further impacting many of the same issues.
Using the AMP Final Rule as a baseline, we will address the evolution of some of the most significant issues affecting drug pricing and contracting. We hope you can attend one or both of the sessions in this two-part series.
In this session, Dr. Samuel R. Nussbaum, M.D., Strategic Consultant at EBG Advisors, and Lesley R. Yeung, Associate at Epstein Becker Green, will examine the pay-for-value and alternative approaches to pharmaceutical pricing. The speakers will discuss opportunities and barriers as well as highlight real-world examples.
http://www.ebglaw.com/events/the-effect-of-the-average-manufacturer-price-final-rule-on-drug-pricing-and-contracting-part-2-opportunities-and-barriers-in-pharmaceutical-pricing/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Healthcare costs in the U.S. might be of interest to many. The U.S. is an important non-European country for health economists and decision-analytic modelers because it is a large country in terms of its population size and an even larger market not just but also for health care services and goods. Also, much of not just basic but also translational research including HEOR comes out of the U.S. incl. the original idea for cost-effectiveness analysis.
Regardless of whether you’re American or not, most people have pretty strong ideas about the U.S. Edvard de Bono, not the U2 singer but the originator of the term Lateral Thinking, famously said that the U.S. are not a country but an idea.
This talk attempts to compare the United States’ health care expenditures and outcomes with others around the world; to highlight relevant recent controversies in the U.S. health policy debate related to costs; and to explore why U.S. care is so expensive (and what can be done about it).
This presentation discuss major applications of AI in Healthcare including medical diagnostics, personalized treatments and optimizing US healthcare system. This presentation also discuss some of the challenges of implementing AI in healthcare.
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
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http://youtu.be/a9oEtRwoVxs
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The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
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The YouToons Get Ready for Obamacare
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Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
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Review the two interactive digital features: Coverage Reform
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and Delivery Reform
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.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
DQ 2-21.The ACA was signed in 2010 by President Obama, this pl.docxelinoraudley582231
DQ 2-2
1.
The ACA was signed in 2010 by President Obama, this plan had 3main goals; to reduce the cost of medical coverage, provide health insurance for more people and to protect patients from the insurance companies in areas such as denial of coverage or increased cost due to pre-existing conditions. Health insurance is something that no one should be without, preventative care and treatment for illness is very expensive without a plan. The ACA has provided coverage for so many people that did without due to costs, lack of access or pre-existing conditions.
Medical insurance premiums continually increase and this has had some affect on the ACA premiums. While the ACA costs have risen since 2010 there are continued efforts to keep these premiums affordable. "Moreover, premiums are rising at a much slower rate than they were prior to the implementation of ACA – one of the slowest rates in the last 50 years." (The Affordable Care Act in 2017: Myths and Facts, 2017)
The Affordable Care Act has proven successful when looking at the number of people now receiving medical benefits. "In 2010, 16% of the country’s population was uninsured. In 2016, only 8.6% of the country was uninsured. 91.4% were insured" (The Affordable Care Act in 2017: Myths and Facts, 2017) Rules were put into place with the ACA that coverage could not be denied as a result of a prexisting condition such as asthma or diabetes. Increasing the cost of coverage as a result of a pre-existing condition is also not allowed. "They cannot limit benefits for that condition either. Once you have insurance, they can't refuse to cover treatment for your pre-existing condition." (HHS.gov, 2017) However, there are rules in place about having a plan before 2010 that did have rules about pre-existing conditions. According to HHS.gov (2017) if you purchased a policy before March of 2010 the changes with the ACA will not affect your private health care plan.
The ACA has worked in providing more people with health insurance, removing the pre-existing condition clause for many plans, extending the coverage age to 26 and lowering the cost of healthcare. There are still many things that can be done to improve the system for everyoone involved. From the healthcare provider side this is opening up new issues. With the baby boomers getting ready to retire we will lose many healthcare providers and gain new patients. "Expanded coverage under the ACA is projected to increase demand for services. In addition, the population is growing at about 0.8 percent per year, and the population is aging." (The Evolving Health Workforce, 2017)The shortage of staffing with the influx of new patients will only get worse unless something can be done to get new people into the medical field.
2.
Going through the slides helped me find more information than what the video presented. After going through the slides it was interesting to read about the reporting which the DHHS. They publicly report informat.
Epstein Becker & Green, P.C., is a national law firm with a primary focus on health care and life sciences; employment, labor, and workforce management; and litigation and business disputes. Founded in 1973 as an industry-focused firm, Epstein Becker Green has decades of experience serving clients in health care, financial services, retail, hospitality, and technology, among other industries, representing entities from startups to Fortune 100 companies. Operating in locations throughout the United States and supporting domestic and multinational clients, the firm’s attorneys are committed to uncompromising client service and legal excellence.
Office-Based Opioid Treatment: What You Need to Know: Trends in Behavioral He...Epstein Becker Green
Presented by David Shillcutt (Associate, Epstein Becker Green) and Kristina Sherry (Attorney, Nelson Hardiman) on April 4, 2019.
Office-based opioid treatment providers are on the front lines of the response to the opioid epidemic, but recent developments in federal and state legislation have significant implications for provider business models and service delivery strategies.
This webinar will examine provider capacity issues for medication assisted treatment, the opportunities and challenges of telemedicine for addiction services, and the expansion of innovative service delivery networks including the “Hub and Spoke” system and related models.
Part of a "first Thursdays" webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/office-based-opioid-treatment-what-you-need-to-know-trends-in-behavioral-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Marketing Best Practices in Light of the SUPPORT for Patients and Communities...Epstein Becker Green
Presented by Kathryn F. Edgerton (Partner, Nelson Hardiman) and Anjali N.C. Downs (Member, Epstein Becker Green).
While the industry has long recognized the harm and abuse that results from “body brokering” and the improper use of “sober homes,” the SUPPORT for Patients and Communities Act criminalizes deceptive and misleading marketing practices that may still be used by some SUD providers.
This webinar will discuss the current state of SUD-related marketing activities and will equip well-intentioned SUD providers with the resources to recognize marketing pitfalls, including activities that are now illegal. Your reputation as a provider is an essential asset, and this webinar will help you understand how to effectively market without placing your organization in legal jeopardy.
Part of a "first Thursdays" webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/marketing-best-practices-in-light-of-the-support-for-patients-and-communities-act-trends-in-behavioral-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
How the Opioid Crisis and the SUPPORT Act Created a New Enforcement Reality: ...Epstein Becker Green
How the Opioid Crisis and the SUPPORT Act Created a New Enforcement Reality: Trends in Behavioral Health Webinar Series
Presented by
Richard W. Westling – Member, Epstein Becker Green
Katherine Bowles – Attorney, Nelson Hardiman
Part of a "first Thursdays" webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
During 2018, the Department of Justice dedicated additional enforcement resources to address the opioid crisis. By adding criminal penalties targeted at kickbacks in the SUD provider space, the SUPPORT Act significantly enhanced the many tools already available to the DOJ. These efforts will also likely further embolden private payor review activities.
More info: https://www.ebglaw.com/events/how-the-opioid-crisis-and-the-support-act-created-a-new-enforcement-reality-trends-in-behavioral-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Non-Compete and Trade Secrets Developments and Trends: A Year in Review and L...Epstein Becker Green
Epstein Becker Green Webinar - "Non-Compete and Trade Secrets Developments and Trends: A Year in Review and Looking Forward" - with Attorneys David J. Clark, J. William Cook, Aime Dempsey - January 29, 2019.
Issues arising from employees and information moving from one employer to another continue to proliferate and provide fertile ground for legislative action and judicial decisions. Many businesses increasingly feel that their trade secrets or client relationships are under attack by competitors—and even, potentially, by their own employees. Individual workers changing jobs may try to leverage their former employer’s proprietary information or relationships to improve their new employment prospects, or may simply be seeking to pursue their livelihood.
How can you put yourself in the best position to succeed in a constantly developing legal landscape?
Whether you are an employer drafting agreements and policies or in litigation seeking to enforce or avoid them, you will want to know about recent developments and what to expect in this area.
Join Epstein Becker Green attorneys David J. Clark, William Cook, and Aime Dempsey for a webinar providing insights into recent developments and expected trends in the evolving legal landscape of trade secret and non-competition law.
Visit https://www.ebglaw.com/events/non-compete-and-trade-secrets-developments-and-trends-a-year-in-review-and-looking-forward/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Unpacking the SUPPORT for Patients and Communities Act: Trends in Behavioral ...Epstein Becker Green
The SUPPORT Act takes sweeping aim at the opioid crisis, focusing on numerous aspects of opioid prevention, treatment, and recovery and expanding various types of coverage, use of telemedicine, and electronic prescribing, among other things.
This webinar will highlight important parts of the new law as it pertains to SUD treatment providers and how the law will potentially impact profitability and treatment offerings.
Presented by Harry Nelson – Founder & Managing Partner, Nelson Hardiman; Chairman, Behavioral Health Association of Providers - and Paul D. Gilbert – Member of the Firm, Epstein Becker Green.
Part of a "first Thursdays" webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/unpacking-the-support-for-patients-and-communities-act-trends-in-behavioral-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Drug Medi-Cal's ODS Waiver: Is Your Organization Ready for the Next Steps?Epstein Becker Green
Webinar presented by Kathryn F. Edgerton (Partner, Nelson Hardiman) and attorney Kevin J. Malone (Epstein Becker Green).
Part of a "first Thursdays" fall webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/one-in-three-californians-is-a-medi-cal-beneficiary-is-your-organization-ready-for-the-next-steps-in-drug-medi-cals-ods-waiver/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Mystified by MAT? Navigating the Changing Regulatory Landscape Around Medicat...Epstein Becker Green
Part of a "first Thursdays" fall webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
Presented by:
Francesca R. Ozinal – Associate, Epstein Becker Green
Andrew Martin – Chief Operating Officer, Behavioral Health Association of Providers
Despite reports identifying medication-assisted treatment (MAT) as a critical element of evidence-based treatment, confusion concerning who may dispense, associated compliance requirements, and the relationship between MAT provision and behavioral health providers continues to impede access to MAT.
This webinar will review key licensing and operational issues concerning the various types of MAT, including buprenorphine, naltrexone, and methadone, as well as misperceptions and key compliance issues in instituting MAT.
More info: https://www.ebglaw.com/events/mystified-by-mat-navigating-the-changing-regulatory-landscape-around-medication-assisted-treatment/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Employee Benefits and Executive Compensation - Private Equity Platform CompaniesEpstein Becker Green
Epstein Becker Green Webinar - "Proactive Compliance Initiatives for Private Equity Platform Companies" - with Attorneys Christopher A. McMican, Kevin J. Ryan, and Peter A. Steinmeyer - October 30, 2018.
Failure to comply with the host of state and federal rules and regulations that govern employee benefit plans and executive compensation arrangements can result in severe penalties and reduce investment value. Planning not only for a purchase transaction but also for integration and future operations is critical for an organization’s human capital success. Certain key issues must be analyzed regardless of whether stock or assets are purchased. The platform will need to consider Internal Revenue Code (“Code”) Section 401(k) and 403(b) plans, health plans, and bonus and other executive compensation arrangements (with potential Code Section 409A deferral restrictions), including any desired or necessary changes for streamlining, merging, terminating, or implementing new plans or perquisites. Consideration must be given to employment agreements and the various related continuity issues, including assigning contracts, non-compete provisions, and confidentiality clauses. Platforms operating in the health care space must also consider issues resulting from union activity (e.g., multiemployer health and pension arrangements, financial commitments, and withdrawal liability), excessive rates of employee turnover, strategical and hybrid formulas in retirement plans, and affiliated service group implications. State regulations that restrict ownership of certain health care professional corporations require resource allocation between medical service entities and management or staffing organizations, and, as a result, an understanding of the viable alternatives for structuring stock options and other equity components of the pay package for the key individuals is necessary.
The fifth webinar in this series will address various employee benefits and executive compensation issues that must be addressed by platform companies in their compliance efforts as they structure the transaction and move forward with operations. In addition to the challenges that normal buyers face in capital markets, this installment of the webinar series will explore the unique issues that platform companies will encounter in the health care sector. Navigating and planning for these issues will reduce financial risk and allow the platform to increase the attractiveness of its investment for continuing operations as well as for a potential exit strategy.
Visit https://www.ebglaw.com/events/proactive-compliance-initiatives-for-private-equity-platform-companies-employee-benefits-and-executive-compensation-compliance-and-planning/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Proactive Health Care Regulatory Compliance - Proactive Compliance Initiative...Epstein Becker Green
Epstein Becker Green Webinar - "Proactive Compliance Initiatives for Private Equity Platform Companies: Proactive Health Care Regulatory Compliance" - with Attorneys John W. Eriksen, Joshua J. Freemire, and Kevin J. Ryan - October 23, 2018.
While the platform proceeds with expansion and other accretive initiatives, it is also critical to establish a parallel work stream focused on the establishment or expansion of a platform’s compliance program commensurate with the platform’s existing and growing operations. The platform should have an appropriate compliance infrastructure, such as designated compliance personnel, training, background checks for employees, reporting mechanisms for employees, documented remediation of any identified issues, and ongoing self-audits of billing, coding, and documentation. Key subjects of compliance are fraud, waste and abuse, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the ability to respond to audits, licensure, the corporate practice of medicine, and other key regulatory compliance areas. Establishing and being able to demonstrate an effectively operating compliance function will help lower uncertainties and enhance a platform’s value upon an exit.
The fourth webinar in this series will address different approaches to enhancing compliance initiatives for platform companies to employ as they continue existing operations and expand operations via integrating new acquisitions. These proactive efforts can be effectuated in a cost-effective manner and be a key investment towards enhancing overall value of the growing platform.
Visit https://www.ebglaw.com/events/proactive-compliance-initiatives-for-private-equity-platform-companies-proactive-health-care-regulatory-compliance/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Webinar, 10/18: Attorney Bradley Merrill Thompson examines what the current process is for deciding when to recall a product and what the future holds.
Proactive compliance initiatives for private equity platform companies proac...Epstein Becker Green
Epstein Becker Green Webinar - "Proactive Employment Compliance: Proactive Compliance Initiatives for Private Equity Platform Companies" - with Attorneys Denise Dadika, Paul DeCamp, and Peter Steinmeyer - October 16, 2018.
Visit https://www.ebglaw.com/events/proactive-compliance-initiatives-for-private-equity-platform-companies-proactive-employment-compliance/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Add-On Diligence Strategy: Proactive Compliance Initiatives for Private Equit...Epstein Becker Green
Epstein Becker Green Webinar - "Proactive Compliance Initiatives for Private Equity Platform Companies" - with Attorneys Joshua J. Freemire, Anjana D. Patel, David E. Weiss - October 9, 2018.
Please join Epstein Becker Green attorneys for the webinar, "Add-On Diligence Strategy," one of five in a fall series that will address how proactive compliance initiatives are critical to a platform’s operations, expansion efforts, and eventual monetization upon exit.
Diligence efforts should continue in some documented form for a platform’s add-on and tuck-in acquisitions. It may appear to be less important to engage in due diligence beyond financial analysis if “it is just a small add-on,” but large potential exposures can still lurk regardless of a company’s size, and recovery from past owners (who may now be current employees) can be difficult at best.
The second webinar in this series will address different approaches to establishing a cost-effective assessment of the “compliance health” of smaller add-on (or tuck-in) targets, including the use of “SWAT” teams staffed in part by the company and in part by outside professionals.
Visit https://www.ebglaw.com/events/proactive-compliance-initiatives-for-private-equity-platform-companies-add-on-diligence-strategy/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Commercial Payor Behavioral Health Audits: How to Avoid Getting Wiped OutEpstein Becker Green
The number of commercial payor audits of behavioral health facilities has been steadily rising, forcing closures of multiple treatment facilities, straining resources, and setting up an increasingly contentious conflict between treatment providers and payors.
This webinar will examine the most common issues arising in payor audits (including medical necessity; patient financial responsibility; and other issues asserted to constitute fraud, waste, or abuse) and the common arguments used as grounds for the nonpayment or recoupment of fees by insurers. The presenters will also review responsive strategies in commercial payor audits and examine defensive strategies and best practices to avoid fraud, waste, and abuse.
Presented by:
Paul D. Gilbert – Member, Epstein Becker Green
John A. Mills – Partner, Nelson Hardiman
Part of a "first Thursdays" fall webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/how-to-avoid-getting-wiped-out-by-the-wave-of-commercial-payor-behavioral-health-audits-medical-necessity-and-waivers-of-co-insurance-and-deductibles/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Immediate Post-Closing Operational Fixes: Proactive Compliance for Private Eq...Epstein Becker Green
Epstein Becker Green Webinar - "Immediate Post-Closing Operational Fixes: Proactive Compliance Initiatives for Private Equity Platform Companies" - with Attorneys John Eriksen, Josh Freemire, Gary Herschman, and Marc Mandelman - October 2, 2018.
Visit https://www.ebglaw.com/events/proactive-compliance-initiatives-for-private-equity-platform-companies-immediate-post-closing-operational-fixes/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Patient Brokering: SB1228 and Changes in California's Regulation of Addiction...Epstein Becker Green
Patient brokering, the practice of recruiting people in need of treatment for substance use disorders in exchange for kickbacks, has been a troubling practice in California, leading to concerns of patient endangerment and fraud.
This webinar will examine the implications of SB1228 and its impending changes to the rules governing marketing practices in residential and outpatient treatment, as well as sober living recovery residences. Also addressed will be problematic current practices and the future of compliant marketing relationships.
Presented by attorney Paul D. Gilbert of Epstein Becker Green and Harry Nelson of Nelson Hardiman.
Part of a "first Thursdays" fall webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/is-your-organization-at-risk-for-patient-brokering-preparing-for-sb1228-and-impeding-changes-in-californias-regulation-of-addiction-treatment-marketing/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Telehealth Portal Essentials – Telehealth Essentials for Start-Ups Crash Cour...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Francesca R. Ozinal - Telehealth Essentials for Start-Ups Crash Course Webinar Series - July 24, 2018.
Discussion Points:
* What business documents/policies need to be in place?
* Do I really need customized policies?
* How do I create consumer-friendly policies that are also compliant with the law?
Take a coffee break every Tuesday in July at 2 p.m. ET to join us for a 15-minute webinar covering telehealth and telemedicine issues!
https://www.ebglaw.com/events/telehealth-portal-essentials-telehealth-essentials-for-start-ups-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Non-Compete Agreements: Key Considerations for Health Care EmployersEpstein Becker Green
Epstein Becker Green "Industry Spotlights" Webinar with Attorneys David J. Clark, Denise Merna Dadika, Nathaniel M. Glasser, Kevin J. Ryan - July 24, 2018.
This webinar will provide an overview of the legal landscape of non-compete agreements in the health care industry, including state law requirements and restrictions, public policy considerations, recent developments, and expected trends. The webinar will also address key considerations when drafting and enforcing non-competes, engaging in the due diligence process, and integrating providers following a health care transaction.
Visit https://www.ebglaw.com/events/industry-spotlights-webinar-series-non-compete-agreements-key-considerations-for-health-care-employers/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Choosing Initial and Expansion States for Your Telehealth Practice – Essentia...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Bradley S. Davidsen - Telehealth Essentials for Start-Ups Crash Course Webinar Series - July 17, 2018.
Discussion Points:
* Which model makes the most sense for my telehealth start-up to begin offering telehealth services: a one-state, surrounding states/regional, select states, or national model?
* If I want to expand slowly/regionally, what factors should I consider in determining which states should be part of my initial expansion?
* If I want to expand into a national model, what factors are important in choosing the first state(s) in which to practice? Which states should I expand into next? Why not start in all 50 states?
Take a coffee break every Tuesday in July at 2 p.m. ET to join us for a 15-minute webinar covering telehealth and telemedicine issues! https://www.ebglaw.com/crashjuly
https://www.ebglaw.com/events/five-factors-to-consider-when-choosing-initial-and-expansion-states-for-your-telehealth-practice-telehealth-essentials-for-start-ups-crash-course-webinar-series/
#telehealth #telemedicine #startups #healthcare #healthIT #physicians #hospitals #pharma #prescribing #healthtech #healthlaw
Recent Developments in Trade Secrets and Employee Mobility in the WorkforceEpstein Becker Green
Epstein Becker Green Webinar with Attorneys David J. Clark, J. William Cook, and Aime Dempsey - March 22, 2018.
Many businesses fear that their trade secrets and valued business relationships are at greater risk of attack by competitors – and even by their own employees. Do you know what it takes to protect those critical assets in the ever-changing world of trade secret and non-compete law?
Join Epstein Becker Green attorneys for a webinar as we take a look back into the impact we saw in 2017, discuss recent headlining cases, and provide insights into recent developments and expected trends in the evolving legal landscape of trade secrets and non-competition agreements.
Slides and more info: https://www.ebglaw.com/events/recent-developments-in-trade-secrets-and-employee-mobility-in-the-workforce-webinar/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Defending Weapons Offence Charges: Role of Mississauga Criminal Defence LawyersHarpreetSaini48
Discover how Mississauga criminal defence lawyers defend clients facing weapon offence charges with expert legal guidance and courtroom representation.
To know more visit: https://www.saini-law.com/
Guide on the use of Artificial Intelligence-based tools by lawyers and law fi...Massimo Talia
This guide aims to provide information on how lawyers will be able to use the opportunities provided by AI tools and how such tools could help the business processes of small firms. Its objective is to provide lawyers with some background to understand what they can and cannot realistically expect from these products. This guide aims to give a reference point for small law practices in the EU
against which they can evaluate those classes of AI applications that are probably the most relevant for them.
In 2020, the Ministry of Home Affairs established a committee led by Prof. (Dr.) Ranbir Singh, former Vice Chancellor of National Law University (NLU), Delhi. This committee was tasked with reviewing the three codes of criminal law. The primary objective of the committee was to propose comprehensive reforms to the country’s criminal laws in a manner that is both principled and effective.
The committee’s focus was on ensuring the safety and security of individuals, communities, and the nation as a whole. Throughout its deliberations, the committee aimed to uphold constitutional values such as justice, dignity, and the intrinsic value of each individual. Their goal was to recommend amendments to the criminal laws that align with these values and priorities.
Subsequently, in February, the committee successfully submitted its recommendations regarding amendments to the criminal law. These recommendations are intended to serve as a foundation for enhancing the current legal framework, promoting safety and security, and upholding the constitutional principles of justice, dignity, and the inherent worth of every individual.
Car Accident Injury Do I Have a Case....Knowyourright
Every year, thousands of Minnesotans are injured in car accidents. These injuries can be severe – even life-changing. Under Minnesota law, you can pursue compensation through a personal injury lawsuit.
Lifting the Corporate Veil. Power Point Presentationseri bangash
"Lifting the Corporate Veil" is a legal concept that refers to the judicial act of disregarding the separate legal personality of a corporation or limited liability company (LLC). Normally, a corporation is considered a legal entity separate from its shareholders or members, meaning that the personal assets of shareholders or members are protected from the liabilities of the corporation. However, there are certain situations where courts may decide to "pierce" or "lift" the corporate veil, holding shareholders or members personally liable for the debts or actions of the corporation.
Here are some common scenarios in which courts might lift the corporate veil:
Fraud or Illegality: If shareholders or members use the corporate structure to perpetrate fraud, evade legal obligations, or engage in illegal activities, courts may disregard the corporate entity and hold those individuals personally liable.
Undercapitalization: If a corporation is formed with insufficient capital to conduct its intended business and meet its foreseeable liabilities, and this lack of capitalization results in harm to creditors or other parties, courts may lift the corporate veil to hold shareholders or members liable.
Failure to Observe Corporate Formalities: Corporations and LLCs are required to observe certain formalities, such as holding regular meetings, maintaining separate financial records, and avoiding commingling of personal and corporate assets. If these formalities are not observed and the corporate structure is used as a mere façade, courts may disregard the corporate entity.
Alter Ego: If there is such a unity of interest and ownership between the corporation and its shareholders or members that the separate personalities of the corporation and the individuals no longer exist, courts may treat the corporation as the alter ego of its owners and hold them personally liable.
Group Enterprises: In some cases, where multiple corporations are closely related or form part of a single economic unit, courts may pierce the corporate veil to achieve equity, particularly if one corporation's actions harm creditors or other stakeholders and the corporate structure is being used to shield culpable parties from liability.
Synopsis On Annual General Meeting/Extra Ordinary General Meeting With Ordinary And Special Businesses And Ordinary And Special Resolutions with Companies (Postal Ballot) Regulations, 2018
Matthew Professional CV experienced Government LiaisonMattGardner52
As an experienced Government Liaison, I have demonstrated expertise in Corporate Governance. My skill set includes senior-level management in Contract Management, Legal Support, and Diplomatic Relations. I have also gained proficiency as a Corporate Liaison, utilizing my strong background in accounting, finance, and legal, with a Bachelor's degree (B.A.) from California State University. My Administrative Skills further strengthen my ability to contribute to the growth and success of any organization.