The Antitrust Practice Group addresses public and private enforcement activity and competition policy affecting all sectors of the health care industry, including health care providers, health insurers, and medical device and pharmaceutical companies. The Practice Group also maintains a discussion list; publishes email alerts, member briefings, and executive summaries; and sponsors webinars and in-person luncheons.
The Business Law and Governance Practice Group addresses the fundamentals of business law, as well as the financial, regulatory, and operational issues faced by for-profit and nonprofit entities in the health care industry. The scope of topics will include mergers; acquisitions; joint ventures; management agreements; and professional services agreements involving health care organizations, business partners, providers, and vendors. Additionally, governance, debt, and equity financing as well as securities are addressed. The Practice Group also highlights select bankruptcy law matters and criminal law issues arising from the internal and external operations of the business entity. Lastly, is given to the commercial opportunities in the international health care sector: the business, legal, and regulatory environments.
The Fraud and Abuse Practice Group provides issue summaries and brief analysis of relevant judicial, administrative, and settlement decisions, as well as regulatory developments regarding enforcement efforts and compliance responses; provides a resource to members facing enforcement initiatives and/or designing compliance strategies.
The Health Care Liability and Litigation Practice Group addresses issues that encompass all areas of potential liability that affect health care providers, suppliers, and manufacturers, and keeps its membership apprised of developments in the litigation and trial of health care disputes involving hospitals, payers, integrated delivery systems, and individual physicians, as well as manufacturers of pharmaceuticals, medical devices, and diagnostics.
The Health Information and Technology Practice Group provides a forum for members to exchange information and become educated about legal issues arising from the use of information and communications technology in health care, including issues related to the acquisition and operation of health information systems and networks, electronic medical records, telemedicine, electronic prescribing, Internet and email communications, operation of websites, expert diagnostic systems, clinical data repositories and master patient indexes, confidentiality and security, electronic signatures, and ownership of health care data.
The Hospitals and Health Systems Practice Group addresses the legal, financial, and operational issues raised by health care business strategies and transactions from the perspective of hospitals and health systems, including those involving other nonprofit, for-profit, public, and private hospitals and health systems, physicians and physician organizations, ancillary services providers, for-profit affiliates, financial institutions and authorities, pharmaceutical and medical products manufacturers and vendors, and managed care organizations.
The In-House Counsel Practice Grou provides a forum for attorneys employed in the health care industry and those who work with them and provide services to them to exchange information. It addresses the day-to-day, practical legal issues arising from the interpretation and application of law and regulations to the operations of health care providers, payers, regulators, manufacturers, and suppliers. It presents summaries and brief analyses of forms, models, approaches, structures, and legal analyses relevant to the successful operation of an in-house legal service.
The Labor and Employment Practice Group addresses industry concerns related to health care employment law, employment discrimination, immigration, union-management disputes and legal matters, National Labor Relations Board law, alternative dispute resolution in labor and employment, Occupational Safety & Health Administration enforcement, workers' compensation, and other labor and employment issues as they relate to employers in the health care and life science industries, including all health care providers, facilities, payers, suppliers, and manufacturers.
The Life Sciences Practice Group provides educational and informational services and resources to in-house attorneys; outside counsel; government attorneys; compliance officers; finance and reimbursement executives, Food and Drug Administration, research, clinical trials and regulatory affairs professionals; and consultants who practice in the traditional life sciences field with respect to issues involving pharmaceutical manufacturers, medical device manufacturers, biotechnology companies, research and site management organizations, manufacturing and supplier vendors, prescription drug plans, wholesale distributors, retail and specialty pharmacies, pharmacy benefit managers, and the financial services firms that invest in these entities. This Practice Group concentrates on issues such as food and drug law regulation, third-party payment and reimbursement (e.g., coverage, coding and payment methodologies for products), fraud and abuse, government contracts, products liability, intellectual property, clinical trials, and research.
The Medical Staff, Credentialing, and Peer Review Practice Group provides a forum for those who represent and advise the individual health care professional, the collective medical or professional staff, and/or the health care entity with issues regarding the organization and operations of medical and professional staffs in health care entities and organizations, including but not limited to: the medical staff bylaws and rules; performance of medical staff responsibilities; appointments and credentialing; dealing with disruptive or impaired health care professionals; conducting peer review and quality assurance; taking corrective action; providing fair hearings for medical and allied health professional staffs; peer review communications and records confidentiality; National Practitioner Data Bank querying and reporting; peer review immunities; the effect of hospital business arrangements (e.g., exclusive contracts, mergers, acquisitions) upon medical staff membership and privilege.
The Payers, Plans, and Managed Care Practice Group addresses all legal issues concerning health plans and insurers, including but not limited to plan operations and management, managed care, litigation, regulations, privacy, and security.
The Physician Organizations Practice Group addresses issues encountered in physician-hospital joint ventures and contractual arrangements, credentialing practices, physician group practice structures, compensation methodologies, and the professional liability insurance crisis.
The Post-Acute and Long Term Services Practice Group provides a forum for attorneys who represent providers across the entire spectrum of long term care services including skilled nursing facilities, assisted living, senior housing, home health, hospice, and long term care pharmacy; follows and addresses developments in the long term care segment of the healthcare industry including legal trends, regulatory policy, and operational and transactional issues; attempts to provide practical analysis of these legal and business trends by producing summaries and brief analyses of forms, models, approaches, structures, and legal analyses relevant to the providers of long term care services. The goal is to keep the members informed of the most up to date and relevant case law, legislative initiatives, and important trends in the industry.
The Regulation, Accreditation, and Payment Practice Group addresses issues related to reimbursement and coverage, including Medicare and other government payer laws, regulations, and instructions, as well as issues related to health care organizational accreditation such as The Joint Commission and other accrediting entity standards.
The Tax and Finance Practice Group addresses issues related to Internal Revenue Service (IRS) audits and rulings, tax-exempt status, intermediate sanctions, state regulation of nonprofit transactions and operations, charitable trusts, tax credits, bond financing, physician recruitment incentives, physician and executive compensation, fair market value, joint ventures with nonprofits, IRS disclosure requirements, property tax, sales and use tax, fundraising, and other issues faced by nonprofit and for-profit attorneys.
The Teaching Hospitals and Academic Medical Centers (THAMC) Practice Group provides a forum for attorneys who are employed by and/or service THAMCs in the healthcare industry. The Practice Group addresses the practical legal issues arising from the interpretation and application of law and regulations to the operations of health care providers, payers, regulators, and suppliers as they affect THAMCs. The Practice Group presents summaries and brief analyses of forms, models, approaches, structures, and legal analyses relevant to the successful operation of an in-house legal service for a THAMC as well as those attorneys who service a THAMC.