Addresses public and private enforcement activity and competition policy affecting all sectors of the healthcare industry, including healthcare providers, health insurers, and medical device and pharmaceutical companies. The Practice Group also maintains a listserve, publishes Member Briefings, and sponsors webinars and seminars.
Business Law and Governance
Addresses the fundamentals of business law in the context of the financial, regulatory, and operational issues faced by for-profit and nonprofit entities in the healthcare industry. The scope of topics from a transactional perspective includes mergers; acquisitions; joint ventures; affiliations; management agreements; and professional services agreements involving health care organizations, business partners, providers, and vendors. Governance, debt, and equity financing as well as securities law will also be addressed. The Practice Group will also highlight select bankruptcy law matters and criminal law issues arising from the internal and external operations of the business entity. Lastly, focus will be given to the commercial opportunities in the international health care sector: the business, legal, and regulatory environments
Fraud and Abuse
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.
Health Care Liability and Litigation
Addresses issues that encompass all areas of potential liability that affect healthcare providers, suppliers, and manufacturers, and keeps its membership apprised of developments in the litigation and trial of healthcare disputes involving hospitals, payors, integrated delivery systems, and individual physicians, as well as manufacturers of pharmaceuticals, medical devices, and diagnostics.
Health Information and Technology
Provides a forum for members to exchange information and become educated about legal issues arising from the use of information and communications technology in healthcare, including issues related to the acquisition and operation of health information systems and networks, electronic medical records, telemedicine, electronic prescribing, Internet and e-mail communications, operation of Web sites, expert diagnostic systems, clinical data repositories and master patient indexes, confidentiality and security, electronic signatures, and ownership of healthcare data.
Hospitals and Health Systems
Addresses the legal, financial, and operational issues raised by healthcare 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.
Provides a forum for attorneys employed in the healthcare industry and those who work with them and provide services to them to exchange information. Addresses the day-to-day, practical legal issues arising from the interpretation and application of law and regulations to the operations of healthcare providers, payors, regulators, manufacturers, and suppliers. Presents summaries and brief analyses of forms, models, approaches, structures, and legal analyses relevant to the successful operation of an in-house legal service.
Labor and Employment
Addresses industry concerns related to healthcare employment law, employment discrimination, immigration, union-management disputes and legal matters, NLRB law, alternative dispute resolution in labor and employment, OSHA enforcement, workers' compensation, and other labor and employment issues as they relate to employers in the healthcare and life science industries, including all healthcare providers, facilities, payors, suppliers, and manufacturers.
Provides educational and informational services and resources to in-house attorneys; outside counsel; government attorneys; compliance officers; finance and reimbursement executives, FDA, 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.
Medical Staff, Credentialing, and Peer Review
Provides a forum for those who represent and advise the individual healthcare professional, the collective medical or professional staff, and/or the healthcare entity with issues regarding the organization and operations of medical and professional staffs in healthcare 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 healthcare 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 privile.
Payers, Plans, and Managed Care
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.
Addresses issues encountered in physician-hospital joint ventures and contractual arrangements, credentialing practices, physician group practice structures, compensation methodologies, and the current professional liability insurance crisis.
Post-Acute and Long Term Services
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.
Regulation, Accreditation, and Payment
Addresses issues related to reimbursement and coverage, including Medicare and other government payor laws, regulations, and instructions, as well as issues related to healthcare organizational accreditation such as The Joint Commission and other accrediting entity standards.
Tax and Finance
Addresses issues related to 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.
Teaching Hospitals and Academic Medical Centers
Provides a forum for attorneys who are employed by and/or service TH/AMCs 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, payors, regulators, and suppliers as they affect TH/AMCs. 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 TH/AMC as well as those attorneys who service a TH/AMC.