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Hospitals and Health Systems

 
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Welcome to the Hospitals and Health Systems Practice Group (HHS PG). We are here to help you master the legal, financial, and operational issues that you deal with each day.

Here are the top five things you can do to make the most of your membership in the HHS PG:

  1. Register for a webinar or listen to an archived webinar: Web-based seminars are presented by top in-house and outside counsel, often with the participation of high-level government policy makers. Click here to access a list of upcoming and past webinars sponsored by the HHS PG.
  2.  Join the Community: The AHLA Communities are a collection of online discussion lists that offer a forum for dialogue and encourage groups of members to connect with one another on topics that interest them most. To join a Community, visit your "myAHLA" profile at www.healthlawyers.org/myahla, enter your login information, click the blue button to customize your "Email and List Preferences," and click "Save."
    • The Hospitals and Health Systems Community discusses operational and transactional issues for in-house and outside legal counsel who represent hospitals or health systems.
    • The Fair Market Value Community is where lawyers and valuators discuss issues related to FMV of referral source transactions, including informal discussion of specific valuation scenarios.
  3.  Sign up for an Affinity Group: Available at no additional fee, Affinity Groups facilitate networking and provide educational opportunities for members who share similar professional interests. If you did not select an Affinity Group when you joined AHLA, you can still do so. Simply complete and return this enrollment form or call AHLA's Member Service Center at (202) 833-1100, prompt #2. HHS PG members can enroll in the following Affinity Groups:
    • Fair Market Value Affinity Group: Fosters development of content for those seeking a better understanding of the regulatory and valuation issues that impact determinations of fair market value and commercial reasonableness for compensation of providers, including health systems, hospitals, medical groups, and physicians.
    • Public Health System Affinity Group: Provides a forum for members to gain an enhanced appreciation and understanding of the unique challenges facing public hospitals and health systems.
    • Real Estate Affinity Group: Advances the understanding of the unique issues hospitals and health systems face in the development, leasing, operation, and management of their real estate.
  4. Check out the HHS PG Topical Library: This is where you can access the most relevant and recent AHLA publications and resources related to your practice area. It's the hub for AHLA content on HHS.
  5. Plan to attend Physicians and Hospitals Law Institute (held every February in varying locations): This program focuses on legal challenges faced by physicians and their counsel, the legal challenges faced by hospitals and health systems and their counsel, and the legal issues of interest to both segments of the health care delivery system.

 

In addition, here are other benefits available to you through the HHS PG:

  • Email Alerts and Member Briefings: Immediate email alerts and member briefings about new developments, often before the news hits the press. When a new law, regulation, or decision is published, we do the initial legwork and summarize it for you.
  • Newsletters: In-depth and timely articles written by some of the best attorneys in the nation who represent hospitals and health systems in all aspects of their businesses.
  • Great Opportunities for Involvement: The HHS PG leadership welcomes and encourages members to become active participants by writing, speaking, tweeting, serving as a mentor, and taking on other leadership roles. Visit www.healthlawyers.org/volunteer to view available volunteer opportunities. We currently offer a Leadership Development Program, through which attorneys, compliance officers, and other health care executives at various stages of their careers enhance their leadership capacities by working side by side with our leaders on PG initiatives.
  • Task Forces: For those health law topics that cross over several Practice Groups, AHLA has established Task Forces that produce collaborative, substantive resources for the benefit of the sponsoring Practice Groups' members. HHS PG members are automatically enrolled in

o   Accountable Care Organization, Payment Innovation, and Health Care Reform Educational Task Force: This group provides members with a variety of information and resources relating to accountable care organizations, integrated care models, and other health care reform initiatives designed to improve quality and lower costs, for better population health.

o   Behavioral Health Task Force: This group monitors and evaluates these laws and developments through written materials, webinars, and in-person educational activities so that AHLA members are better equipped to advise clients on behavioral health topics.  

o   Enterprise Risk Management: This group is committed to advancing the understanding and application of enterprise risk principles to the health care industry.

 

Representing hospitals and health systems requires you to understand the many and complex legal issues raised by your organization's and clients' business operations. We hope that your active participation in the HHS PG will help you meet all of your clients' needs.


 

​​Summaries of the Office of Inspector General (OIG) Advisory Opinions are provided by the Advisory Opinions Task Force of the Fraud and Abuse Practice Group. The Task Force aids Practice Group members in keeping abreast of new Advisory Opinions. For each new opinion issued by the OIG, a summary is released via an email alert and posted on several Practice Groups' websites.

​OIG Advisory Opinions​​​​​​​

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You may access this content by joining AHLA and enrolling in Hospitals and Health Systems Practice Group.


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You may access this content by enrolling in Hospitals and Health Systems Practice Group.

You may access this content by Renewing your membership for Hospitals and Health Systems

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You may access this content by joining AHLA and enrolling in Hospitals and Health Systems Practice Group.


Already a member? Sign in

You may access this content by enrolling in Hospitals and Health Systems Practice Group.

You may access this content by Renewing your membership for Hospitals and Health Systems

You may access this content by joining AHLA and enrolling in Hospitals and Health Systems Practice Group.


Already a member? Sign in

You may access this content by enrolling in Hospitals and Health Systems Practice Group.

You may access this content by Renewing your membership for Hospitals and Health Systems


You may access this content by joining AHLA and enrolling in Hospitals and Health Systems Practice Group.


Already a member? Sign in

You may access this content by enrolling in Hospitals and Health Systems Practice Group.

You may access this content by Renewing your membership for Hospitals and Health Systems

  • Pharmacy Maximum Allowable Cost (MAC) Laws: A 50 State Survey
    - Published on August 8, 2017
    This 50 state survey on pharmacy maximum allowable cost (MAC) laws summarizes the laws of each state regarding how they govern the way payers—including pharmacy benefit managers (PBMs)—can reimburse pharmacies for products dispensed to patients.

  • Health Care Real Estate Lease Toolkit
    - Published on January 16, 2015; Updated on February 9, 2016
    This Toolkit is designed to assist counsel in structuring legally compliant hospital-physician real estate leases by organizing relevant resources in one convenient location. It places particular focus on the FMV and commercial reasonableness standards and the technical requirements for leases under the applicable safe harbors and exceptions to the Anti-Kickback Statute and Stark Law. The Toolkit is structured as a compilation of the relevant statutes, implementing regulations, interpretative agency commentary, advisory opinions, and case law materials. The Toolkit also provides general considerations when engaging a third-party valuation consultant to document compliance with the FMV and commercial reasonableness standards.
  • 340B Toolkit
    - Published on June 10, 2014
    This Toolkit is designed to assist health lawyers with understanding and researching 340B Drug Pricing Program (340B Program) issues. Although the 340B Program was established in 1992, the 340B Program has recently received increased attention from stakeholders and policymakers, creating a new interest in understanding 340B Program eligibility and participation requirements. This Toolkit provides the key statutes, regulations, policy guidance, case law, and forms necessary for legal counsel to understand the 340B Program.

You may access this content by joining AHLA and enrolling in Hospitals and Health Systems Practice Group.


Already a member? Sign in

You may access this content by enrolling in Hospitals and Health Systems Practice Group.

You may access this content by Renewing your membership for Hospitals and Health Systems

Achieving Compliance with MS.01.01.01
The materials contained in this resource were originally provided in support of an AHLA webinar series on achieving compliance with MS.01.01.01 (September-October 2010).

Upcoming:

Past:

Upcoming:

Past:

Upcoming:

Past:

March 8, 2018 11:00 AM-12:00 PM Eastern
October 12, 2017 11:00 AM-12:00 PM Eastern
September 14, 2017 11:00 AM-12:00 PM Eastern

Upcoming:

Past:

February 9, 2016 12:00 PM-1:15 PM Eastern
Physicians and Hospitals Law Institute
Respond to an Active Shooter
February 8, 2016 12:30 PM-1:45 PM Eastern

​Affinity Groups

Affinity Groups are created to facilitate networking and educational opportunities with other Practice Group members who share similar professional interests.
Please note: You must be a member of the Hospitals and Health Systems Practice Groups or a government, academician, student, or PG 15 member (all-Practice Groups access) to enroll in these Affinity Groups. 

Task Forces

Task Forces are established for those health law topics that cross over several Practice Groups, and they provide collaborative, substantive resources for the benefit of the sponsoring Practice Groups' members.
Please note: You must be a member of the Hospitals and Health Systems Practice Group or one of the other sponsoring Practice Groups to receive benefits produced by these Task Forces.
  • Accountable Care Organization Task Force
    The mission of the ACO Task Force is to provide members with a wide array of information relating to accountable care organizations, integrated care models, and other initiatives designed to improve quality and lower costs, for better population health. The ACO Task Force analyzes the impact and trajectory of ACO and other integrated care developments nationwide, including commercial ACOs, Medicaid ACOs, and the Medicare ACO programs.

    The mission of the ACO Task Force includes informing members of any new or updated regulations, waivers, and guidance relating to the main federal ACO programs, including the Medicare Shared Savings Program and the Pioneer ACO program, as well as to provide information on a broader array of issues integral to ACOs, integrated care systems, population health, and payment models.

    The ACO Task Force provides webinars, written material, and sponsored in-person programming pertaining to the relationship between ACOs and population health, as well as other topics germane to ACO formation and development. Since the ACO Task Force mission is so broad, it often partners with other AHLA Practice Groups to provide deeper insight into the unique legal and policy considerations for ACOs.
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  • Behavioral Health Task Force
    The Behavioral Health (BH) Task Force is committed to advancing the understanding of laws impacting behavioral health, including the delivery of services to those living with mental illness, certain neurological conditions, substance use disorders or developmental disabilities, and reimbursement for such services. A complex framework of federal and state laws concerning privacy, information sharing and exchange, reimbursement, involuntary commitment, and other subjects provides unique challenges to health care providers and payers of behavioral health services. Scientific, legislative, and other developments, including health care reform, have presented new issues and opportunities in this area, including primary and behavioral health care integration initiatives, insurance coverage parity mandates, changes to Medicaid, and evolving public policy, to name a few. The BH Task Force monitors and evaluates these laws and developments through written materials, webinars, and in-person educational activities so that AHLA members are better equipped to advise clients on behavioral health topics. In addition, the work of the BH Task Force serves to raise awareness about how behavioral health laws influence health improvement efforts, and will include collaborative efforts with AHLA's Public Interest activities.
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  • Enterprise Risk Management Task Force
    The Enterprise Risk Management (ERM) Task Force is committed to advancing the understanding and application of enterprise risk principles to the health care industry. The premise of health care ERM is that by evaluating all risk exposures confronting an organization and addressing these risks proactively, the organization will optimize its ability to provide safe, efficient, and effective patient care while preserving the organizational assets required to deliver such care. The scope of health care ERM is broad, and encompasses all risk domains (categories): operational, financial, technology, human capital, strategic, legal and regulatory. The ERM approach facilitates the development and implementation of pragmatic, reasonable, and realistic solutions to managing risk for health care organizations and providers.
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  • Health Care Reform Educational Task Force
    The Health Care Reform Educational Task Force serves as a single key point-of-contact for the Association membership for institutional resources regarding comprehensive health care reform initiatives at the state and federal levels. The Task Force works to educate AHLA members on proposed health care reform initiatives as well as report on ongoing experiences with recently enacted reform initiatives.

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    LeadershipView Project Reports

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    Emily Black Grey Chair Breazeale Sachse & Wilson LLP Baton Rouge, LA (225) 381-8011 Email
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    Gregory D. Anderson Vice Chair - Publications HORNE LLP Hattiesburg, MS (601) 620-5101 Email
    Image of RituCooper
    Ritu Kaur Cooper Vice Chair - Strategic Planning and Special Projects Hall Render Killian Heath & Lyman PC Washington, DC (202) 370-9584 Email
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    Nicole F. DiMaria Vice Chair - Membership Chiesa Shahinian & Giantomasi PC West Orange, NJ (973) 530-2111 Email
    Image of KimberlyRuark
    Kimberly S. Ruark Vice Chair - Research & Website BakerHostetler Atlanta, GA (404) 256-6699 Email
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    Julia K. Tamulis Vice Chair - Educational Programs Bass Berry & Sims PLC Washington, DC (202) 827-2999 Email
    Image of NeerjaRazdan
    Neerja Razdan Social Media Coordinator University of Maryland Medical System Baltimore, MD (410) 328-6369 Email

     

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