SlideShare une entreprise Scribd logo

The Road Ahead for Health Care Compliance

•
•
Frank Sheeder
Frank Sheeder

The Health Care Reform Package has significant implications for health care compliance professionals. This presentation addresses many of the issues that they will be compelled to face right away, and in the next several years.

Actualités & Politique
1  sur  70
Kevin D. Lyles, Esq. [email_address] (614) 281-3821 Enforcement and Economic Challenges The Road Ahead and How to Navigate It Diane Meyer, CHC [email_address] (650) 724-2572 Frank E. Sheeder, Esq. [email_address] (214) 969-2900
Agenda ,[object Object],[object Object],[object Object]
General Environment ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Private Practice of Medicine is Under Attack ,[object Object],[object Object],[object Object],[object Object]
The Private Practice of Medicine is Under Attack ,[object Object],[object Object],[object Object],[object Object]
Fraud Enforcement and Recovery Act of 2009 (“FERA”) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FERA Amendments to the FCA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
After FERA, many indirect recipients of federal funds have FCA exposure ,[object Object],[object Object],[object Object]
Intent to Obtain Government Money Eliminated ,[object Object],[object Object]
Added language for claims to contractor, grantee, or other recipient ,[object Object],[object Object],[object Object]
Expanded exposure for “reverse false claims” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Expands “reverse false claims” to liabilities that are not “fixed” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Expansions ,[object Object],[object Object],[object Object],[object Object]
How to respond to FERA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health Care Reform ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Information Technology ,[object Object],[object Object],[object Object],[object Object]
HITECH Act ,[object Object],[object Object]
HITECH Act ,[object Object],[object Object],[object Object]
Tax exemption ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tax exemption ,[object Object]
Tax exemption ,[object Object],[object Object],[object Object],[object Object]
Medical Device and Pharmaceutical Companies: Physician Relationships ,[object Object],[object Object],[object Object]
Accountable Care ,[object Object],[object Object]
What is an Accountable Care Organization (ACO) ,[object Object],[object Object],[object Object],[object Object]
Current and Future ACOs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges/Barriers ,[object Object],[object Object],[object Object],[object Object]
Accountable Care Organization Model Accountable Care Organization Medicare and Potentially Other Payors Physician Investors Hospital Payor Contracts Patients Equity Investment Equity Investment
Organizational Considerations ,[object Object],[object Object],[object Object],[object Object]
Other Legal Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stark Law CMP Anti-Kickback Antitrust
Physician Practice Acquisitions ,[object Object],[object Object],[object Object]
Common Issues in Practice Acquisitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Issues in Practice Acquisitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Service Line Co-Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Service Line Co-Management Model Management Company, LLC Appropriate equity split Hospital Governing Board Physician Investors Hospital Orthopedic/Cardiovascular Service Line Agreement to manage Service Line Management Fee – 50% fixed, 50% based on performance incentives Appropriate governance split Mgmt. Co. reports to Hospital Bd.
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object],[object Object],[object Object]
PPACA Implementation Timeline ,[object Object],[object Object]
PPACA ,[object Object],[object Object]
Responses and Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Thank you. Questions? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommandé

Florida Medicaid Reform Facts Flaws
Florida Medicaid Reform Facts FlawsFlorida Medicaid Reform Facts Flaws
Florida Medicaid Reform Facts FlawsFlorida CHAIN
 
NCSL's Presentation to IL Senate on Medicaid
NCSL's Presentation to IL Senate on MedicaidNCSL's Presentation to IL Senate on Medicaid
NCSL's Presentation to IL Senate on MedicaidIllinois State Senate Democratic Caucus
 
Hcr e&o ltc training 410
Hcr e&o ltc training 410Hcr e&o ltc training 410
Hcr e&o ltc training 410Gail Johnson
 
Manatt Memo On The Aca Supreme Court Ruling 6.28.12
Manatt Memo On The Aca Supreme Court Ruling 6.28.12Manatt Memo On The Aca Supreme Court Ruling 6.28.12
Manatt Memo On The Aca Supreme Court Ruling 6.28.12tomenders
 
Compliance in medical practices
Compliance in medical practicesCompliance in medical practices
Compliance in medical practicesJose Ivan Delgado, Ph.D.
 
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...What’s New About Privacy and Consent for Substance Use Records? Crash Course ...
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...Epstein Becker Green
 
Patient Protection and Affordable Care Act
Patient Protection and Affordable Care ActPatient Protection and Affordable Care Act
Patient Protection and Affordable Care ActPaul English
 
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...Epstein Becker Green
 

Recommandé

Florida Medicaid Reform Facts Flaws
Florida Medicaid Reform Facts FlawsFlorida Medicaid Reform Facts Flaws
Florida Medicaid Reform Facts FlawsFlorida CHAIN
 
NCSL's Presentation to IL Senate on Medicaid
NCSL's Presentation to IL Senate on MedicaidNCSL's Presentation to IL Senate on Medicaid
NCSL's Presentation to IL Senate on MedicaidIllinois State Senate Democratic Caucus
 
Hcr e&o ltc training 410
Hcr e&o ltc training 410Hcr e&o ltc training 410
Hcr e&o ltc training 410Gail Johnson
 
Manatt Memo On The Aca Supreme Court Ruling 6.28.12
Manatt Memo On The Aca Supreme Court Ruling 6.28.12Manatt Memo On The Aca Supreme Court Ruling 6.28.12
Manatt Memo On The Aca Supreme Court Ruling 6.28.12tomenders
 
Compliance in medical practices
Compliance in medical practicesCompliance in medical practices
Compliance in medical practicesJose Ivan Delgado, Ph.D.
 
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...What’s New About Privacy and Consent for Substance Use Records? Crash Course ...
What’s New About Privacy and Consent for Substance Use Records? Crash Course ...Epstein Becker Green
 
Patient Protection and Affordable Care Act
Patient Protection and Affordable Care ActPatient Protection and Affordable Care Act
Patient Protection and Affordable Care ActPaul English
 
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...
SUD and Health Care Reform: Key Changes Being Considered by Congress and the ...Epstein Becker Green
 
Changes To Medicaid And Medicare Under Ppaca
Changes To Medicaid And Medicare Under PpacaChanges To Medicaid And Medicare Under Ppaca
Changes To Medicaid And Medicare Under PpacaRichard Krasner, MA, MHA
 
Washington Update
Washington UpdateWashington Update
Washington UpdateVirginia Rural Health Association
 
Health Reform 2.0: Insurance
Health Reform 2.0: InsuranceHealth Reform 2.0: Insurance
Health Reform 2.0: InsuranceAmerican Academy of Family Physicians
 
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!HRBIMS
 
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese American Academy of Family Physicians
 
American Recovery and Reinvestment Conference Report Division Detailed summar...
American Recovery and Reinvestment Conference Report Division Detailed summar...American Recovery and Reinvestment Conference Report Division Detailed summar...
American Recovery and Reinvestment Conference Report Division Detailed summar...finance3
 
Dual eligible provisions of hc reform bill
Dual eligible provisions of hc reform billDual eligible provisions of hc reform bill
Dual eligible provisions of hc reform billThe National Council
 
Obamacare - The Patient Protection and Affordable Care Act - ACA
Obamacare - The Patient Protection and Affordable Care Act - ACAObamacare - The Patient Protection and Affordable Care Act - ACA
Obamacare - The Patient Protection and Affordable Care Act - ACAAndrew F. Bennett
 
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your StateThe Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your StateImpactivo Consulting
 
The affordable care act power point (updated) again
The affordable care act power point (updated) againThe affordable care act power point (updated) again
The affordable care act power point (updated) againRobin Lee
 
h-15-014
h-15-014h-15-014
h-15-014L. Leyton Gunn
 
OMA_EOS_Report2015
OMA_EOS_Report2015OMA_EOS_Report2015
OMA_EOS_Report2015Shannon Grosswiler
 
Smd10012
Smd10012Smd10012
Smd10012The National Council
 
Medicaid Managed Care Final Rule
Medicaid Managed Care Final RuleMedicaid Managed Care Final Rule
Medicaid Managed Care Final RuleEpstein Becker Green
 
Health Care Reform
Health Care ReformHealth Care Reform
Health Care ReformOneVoiceTexas
 
Gabrielledela gueronierre
Gabrielledela gueronierreGabrielledela gueronierre
Gabrielledela gueronierreSteve Wilcox
 
Us vs canada, hcs400, hcs systems and policys
Us vs canada, hcs400, hcs systems and policysUs vs canada, hcs400, hcs systems and policys
Us vs canada, hcs400, hcs systems and policysPaige Catizone
 
Vmi highlights healthcare reform 10 3 12
Vmi highlights healthcare reform 10 3 12Vmi highlights healthcare reform 10 3 12
Vmi highlights healthcare reform 10 3 12vvchamber123
 
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...Jamie A. Brennan
 
Family Medicine Advocacy Summit 2017
Family Medicine Advocacy Summit 2017Family Medicine Advocacy Summit 2017
Family Medicine Advocacy Summit 2017American Academy of Family Physicians
 
#1 Preparing for Health Care Reform
#1 Preparing for Health Care Reform#1 Preparing for Health Care Reform
#1 Preparing for Health Care ReformMississippi Hospital Association
 
Assignment 1Public Administration – The Good, th.docx
Assignment 1Public Administration – The Good, th.docxAssignment 1Public Administration – The Good, th.docx
Assignment 1Public Administration – The Good, th.docxtrippettjettie
 

Contenu connexe

Tendances

Changes To Medicaid And Medicare Under Ppaca
Changes To Medicaid And Medicare Under PpacaChanges To Medicaid And Medicare Under Ppaca
Changes To Medicaid And Medicare Under PpacaRichard Krasner, MA, MHA
 
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!HRBIMS
 
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese American Academy of Family Physicians
 
American Recovery and Reinvestment Conference Report Division Detailed summar...
American Recovery and Reinvestment Conference Report Division Detailed summar...American Recovery and Reinvestment Conference Report Division Detailed summar...
American Recovery and Reinvestment Conference Report Division Detailed summar...finance3
 
Dual eligible provisions of hc reform bill
Dual eligible provisions of hc reform billDual eligible provisions of hc reform bill
Dual eligible provisions of hc reform billThe National Council
 
Obamacare - The Patient Protection and Affordable Care Act - ACA
Obamacare - The Patient Protection and Affordable Care Act - ACAObamacare - The Patient Protection and Affordable Care Act - ACA
Obamacare - The Patient Protection and Affordable Care Act - ACAAndrew F. Bennett
 
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your StateThe Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your StateImpactivo Consulting
 
The affordable care act power point (updated) again
The affordable care act power point (updated) againThe affordable care act power point (updated) again
The affordable care act power point (updated) againRobin Lee
 
Gabrielledela gueronierre
Gabrielledela gueronierreGabrielledela gueronierre
Gabrielledela gueronierreSteve Wilcox
 
Us vs canada, hcs400, hcs systems and policys
Us vs canada, hcs400, hcs systems and policysUs vs canada, hcs400, hcs systems and policys
Us vs canada, hcs400, hcs systems and policysPaige Catizone
 
Vmi highlights healthcare reform 10 3 12
Vmi highlights healthcare reform 10 3 12Vmi highlights healthcare reform 10 3 12
Vmi highlights healthcare reform 10 3 12vvchamber123
 
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...Jamie A. Brennan
 

Tendances (20)

Changes To Medicaid And Medicare Under Ppaca
Changes To Medicaid And Medicare Under PpacaChanges To Medicaid And Medicare Under Ppaca
Changes To Medicaid And Medicare Under Ppaca
 
Washington Update
Washington UpdateWashington Update
Washington Update
 
Health Reform 2.0: Insurance
Health Reform 2.0: InsuranceHealth Reform 2.0: Insurance
Health Reform 2.0: Insurance
 
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
Please Help Me Understand the Affordable Care Act....No Politics Please!!!!
 
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
Direct Primary Care: An Alternative to Traditional Insurance - Jay Keese
 
American Recovery and Reinvestment Conference Report Division Detailed summar...
American Recovery and Reinvestment Conference Report Division Detailed summar...American Recovery and Reinvestment Conference Report Division Detailed summar...
American Recovery and Reinvestment Conference Report Division Detailed summar...
 
Dual eligible provisions of hc reform bill
Dual eligible provisions of hc reform billDual eligible provisions of hc reform bill
Dual eligible provisions of hc reform bill
 
Obamacare - The Patient Protection and Affordable Care Act - ACA
Obamacare - The Patient Protection and Affordable Care Act - ACAObamacare - The Patient Protection and Affordable Care Act - ACA
Obamacare - The Patient Protection and Affordable Care Act - ACA
 
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your StateThe Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
The Other Health Crisis: How the Puerto Rico Medicaid Cliff Affects Your State
 
The affordable care act power point (updated) again
The affordable care act power point (updated) againThe affordable care act power point (updated) again
The affordable care act power point (updated) again
 
h-15-014
h-15-014h-15-014
h-15-014
 
OMA_EOS_Report2015
OMA_EOS_Report2015OMA_EOS_Report2015
OMA_EOS_Report2015
 
Smd10012
Smd10012Smd10012
Smd10012
 
Medicaid Managed Care Final Rule
Medicaid Managed Care Final RuleMedicaid Managed Care Final Rule
Medicaid Managed Care Final Rule
 
Health Care Reform
Health Care ReformHealth Care Reform
Health Care Reform
 
Gabrielledela gueronierre
Gabrielledela gueronierreGabrielledela gueronierre
Gabrielledela gueronierre
 
Us vs canada, hcs400, hcs systems and policys
Us vs canada, hcs400, hcs systems and policysUs vs canada, hcs400, hcs systems and policys
Us vs canada, hcs400, hcs systems and policys
 
Vmi highlights healthcare reform 10 3 12
Vmi highlights healthcare reform 10 3 12Vmi highlights healthcare reform 10 3 12
Vmi highlights healthcare reform 10 3 12
 
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
NASHP Conference 2014 – State Health Policy Focuses on Integrating Social Ser...
 
Family Medicine Advocacy Summit 2017
Family Medicine Advocacy Summit 2017Family Medicine Advocacy Summit 2017
Family Medicine Advocacy Summit 2017
 

Similaire à The Road Ahead for Health Care Compliance

Assignment 1Public Administration – The Good, th.docx
Assignment 1Public Administration – The Good, th.docxAssignment 1Public Administration – The Good, th.docx
Assignment 1Public Administration – The Good, th.docxtrippettjettie
 
Affordable Care Act is an attempt to provide health care services to.pdf
Affordable Care Act is an attempt to provide health care services to.pdfAffordable Care Act is an attempt to provide health care services to.pdf
Affordable Care Act is an attempt to provide health care services to.pdfapexsports101
 
Frequently asked questions about Obamacare
Frequently asked questions about ObamacareFrequently asked questions about Obamacare
Frequently asked questions about Obamacareexchangeenvoy
 
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...Katherine Swartz Hilton
 
ReadingsHealth Care Reform and Future PossibilitiesIntroduct.docx
ReadingsHealth Care Reform and Future PossibilitiesIntroduct.docxReadingsHealth Care Reform and Future PossibilitiesIntroduct.docx
ReadingsHealth Care Reform and Future PossibilitiesIntroduct.docxsodhi3
 
Ckhs community advocacy final
Ckhs community advocacy finalCkhs community advocacy final
Ckhs community advocacy finalHELPMLP
 
Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...
Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...
Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...NASHP HealthPolicy
 
Fraud and Abuse Presentation
Fraud and Abuse PresentationFraud and Abuse Presentation
Fraud and Abuse PresentationBarney Cohen
 
Controlling the cost of medicaid
Controlling the cost of medicaidControlling the cost of medicaid
Controlling the cost of medicaidPaul Coelho, MD
 
CARES Act - Key Takeaways for Healthcare Organizations
CARES Act - Key Takeaways for Healthcare OrganizationsCARES Act - Key Takeaways for Healthcare Organizations
CARES Act - Key Takeaways for Healthcare OrganizationsCitrin Cooperman
 
Legislative Webinar - September 17, 2010
Legislative Webinar - September 17, 2010Legislative Webinar - September 17, 2010
Legislative Webinar - September 17, 2010BenefitMall
 
Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 wee
Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 weeHsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 wee
Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 weesherni1
 
Second essayTopic Monopoly in the united state of America.docx
Second essayTopic Monopoly in the united state of America.docxSecond essayTopic Monopoly in the united state of America.docx
Second essayTopic Monopoly in the united state of America.docxrtodd280
 
Gabrielledela gueronierre
Gabrielledela gueronierreGabrielledela gueronierre
Gabrielledela gueronierreNCADD
 

Similaire à The Road Ahead for Health Care Compliance (20)

#1 Preparing for Health Care Reform
#1 Preparing for Health Care Reform#1 Preparing for Health Care Reform
#1 Preparing for Health Care Reform
 
Assignment 1Public Administration – The Good, th.docx
Assignment 1Public Administration – The Good, th.docxAssignment 1Public Administration – The Good, th.docx
Assignment 1Public Administration – The Good, th.docx
 
Affordable Care Act is an attempt to provide health care services to.pdf
Affordable Care Act is an attempt to provide health care services to.pdfAffordable Care Act is an attempt to provide health care services to.pdf
Affordable Care Act is an attempt to provide health care services to.pdf
 
Frequently asked questions about Obamacare
Frequently asked questions about ObamacareFrequently asked questions about Obamacare
Frequently asked questions about Obamacare
 
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
 
ReadingsHealth Care Reform and Future PossibilitiesIntroduct.docx
ReadingsHealth Care Reform and Future PossibilitiesIntroduct.docxReadingsHealth Care Reform and Future PossibilitiesIntroduct.docx
ReadingsHealth Care Reform and Future PossibilitiesIntroduct.docx
 
SAC410 chapters 11 and 12
SAC410 chapters 11 and 12SAC410 chapters 11 and 12
SAC410 chapters 11 and 12
 
Ckhs community advocacy final
Ckhs community advocacy finalCkhs community advocacy final
Ckhs community advocacy final
 
Ckhs community advocacy final
Ckhs community advocacy finalCkhs community advocacy final
Ckhs community advocacy final
 
Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...
Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...
Implementing the Affordable Care Act: Redesigning and Coordinating Eligibilit...
 
Cblt power point
Cblt power pointCblt power point
Cblt power point
 
Fraud and Abuse Presentation
Fraud and Abuse PresentationFraud and Abuse Presentation
Fraud and Abuse Presentation
 
Controlling the cost of medicaid
Controlling the cost of medicaidControlling the cost of medicaid
Controlling the cost of medicaid
 
CARES Act - Key Takeaways for Healthcare Organizations
CARES Act - Key Takeaways for Healthcare OrganizationsCARES Act - Key Takeaways for Healthcare Organizations
CARES Act - Key Takeaways for Healthcare Organizations
 
Legislative Webinar - September 17, 2010
Legislative Webinar - September 17, 2010Legislative Webinar - September 17, 2010
Legislative Webinar - September 17, 2010
 
Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 wee
Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 weeHsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 wee
Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 wee
 
Second essayTopic Monopoly in the united state of America.docx
Second essayTopic Monopoly in the united state of America.docxSecond essayTopic Monopoly in the united state of America.docx
Second essayTopic Monopoly in the united state of America.docx
 
Health reform webinair
Health reform webinairHealth reform webinair
Health reform webinair
 
May 2011 Ohio Healthcare Summit Presentation
May 2011 Ohio Healthcare Summit PresentationMay 2011 Ohio Healthcare Summit Presentation
May 2011 Ohio Healthcare Summit Presentation
 
Gabrielledela gueronierre
Gabrielledela gueronierreGabrielledela gueronierre
Gabrielledela gueronierre
 

Dernier

Lorenzo D'Emidio_Lavoro sullaNorth Korea .pptx
Lorenzo D'Emidio_Lavoro sullaNorth Korea .pptxLorenzo D'Emidio_Lavoro sullaNorth Korea .pptx
Lorenzo D'Emidio_Lavoro sullaNorth Korea .pptxlorenzodemidio01
 
How Europe Underdeveloped Africa_walter.pdf
How Europe Underdeveloped Africa_walter.pdfHow Europe Underdeveloped Africa_walter.pdf
How Europe Underdeveloped Africa_walter.pdfLorenzo Lemes
 
Kishan Reddy Report To People (2019-24).pdf
Kishan Reddy Report To People (2019-24).pdfKishan Reddy Report To People (2019-24).pdf
Kishan Reddy Report To People (2019-24).pdfKISHAN REDDY OFFICE
 
2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx
2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx
2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docxkfjstone13
 
Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...
Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...
Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...Pooja Nehwal
 
如何办理(BU学位证书)美国贝翰文大学毕业证学位证书
如何办理(BU学位证书)美国贝翰文大学毕业证学位证书如何办理(BU学位证书)美国贝翰文大学毕业证学位证书
如何办理(BU学位证书)美国贝翰文大学毕业证学位证书Fi L
 
Israel Palestine Conflict, The issue and historical context!
Israel Palestine Conflict, The issue and historical context!Israel Palestine Conflict, The issue and historical context!
Israel Palestine Conflict, The issue and historical context!Krish109503
 
30042024_First India Newspaper Jaipur.pdf
30042024_First India Newspaper Jaipur.pdf30042024_First India Newspaper Jaipur.pdf
30042024_First India Newspaper Jaipur.pdfFIRST INDIA
 
2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx
2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx
2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docxkfjstone13
 
Roberts Rules Cheat Sheet for LD4 Precinct Commiteemen
Roberts Rules Cheat Sheet for LD4 Precinct CommiteemenRoberts Rules Cheat Sheet for LD4 Precinct Commiteemen
Roberts Rules Cheat Sheet for LD4 Precinct Commiteemenkfjstone13
 
Minto-Morley Reforms 1909 (constitution).pptx
Minto-Morley Reforms 1909 (constitution).pptxMinto-Morley Reforms 1909 (constitution).pptx
Minto-Morley Reforms 1909 (constitution).pptxAwaiskhalid96
 
Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...
Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...
Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...narsireddynannuri1
 
HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...
HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...
HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...Ismail Fahmi
 
Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...
Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...
Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...AlexisTorres963861
 
29042024_First India Newspaper Jaipur.pdf
29042024_First India Newspaper Jaipur.pdf29042024_First India Newspaper Jaipur.pdf
29042024_First India Newspaper Jaipur.pdfFIRST INDIA
 
₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...
₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...
₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...Diya Sharma
 
Vashi Escorts, {Pooja 09892124323}, Vashi Call Girls
Vashi Escorts, {Pooja 09892124323}, Vashi Call GirlsVashi Escorts, {Pooja 09892124323}, Vashi Call Girls
Vashi Escorts, {Pooja 09892124323}, Vashi Call GirlsPooja Nehwal
 
25042024_First India Newspaper Jaipur.pdf
25042024_First India Newspaper Jaipur.pdf25042024_First India Newspaper Jaipur.pdf
25042024_First India Newspaper Jaipur.pdfFIRST INDIA
 
26042024_First India Newspaper Jaipur.pdf
26042024_First India Newspaper Jaipur.pdf26042024_First India Newspaper Jaipur.pdf
26042024_First India Newspaper Jaipur.pdfFIRST INDIA
 
Different Frontiers of Social Media War in Indonesia Elections 2024
Different Frontiers of Social Media War in Indonesia Elections 2024Different Frontiers of Social Media War in Indonesia Elections 2024
Different Frontiers of Social Media War in Indonesia Elections 2024Ismail Fahmi
 

Dernier (20)

Lorenzo D'Emidio_Lavoro sullaNorth Korea .pptx
Lorenzo D'Emidio_Lavoro sullaNorth Korea .pptxLorenzo D'Emidio_Lavoro sullaNorth Korea .pptx
Lorenzo D'Emidio_Lavoro sullaNorth Korea .pptx
 
How Europe Underdeveloped Africa_walter.pdf
How Europe Underdeveloped Africa_walter.pdfHow Europe Underdeveloped Africa_walter.pdf
How Europe Underdeveloped Africa_walter.pdf
 
Kishan Reddy Report To People (2019-24).pdf
Kishan Reddy Report To People (2019-24).pdfKishan Reddy Report To People (2019-24).pdf
Kishan Reddy Report To People (2019-24).pdf
 
2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx
2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx
2024 02 15 AZ GOP LD4 Gen Meeting Minutes_FINAL_20240228.docx
 
Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...
Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...
Call Girls in Mira Road Mumbai ( Neha 09892124323 ) College Escorts Service i...
 
如何办理(BU学位证书)美国贝翰文大学毕业证学位证书
如何办理(BU学位证书)美国贝翰文大学毕业证学位证书如何办理(BU学位证书)美国贝翰文大学毕业证学位证书
如何办理(BU学位证书)美国贝翰文大学毕业证学位证书
 
Israel Palestine Conflict, The issue and historical context!
Israel Palestine Conflict, The issue and historical context!Israel Palestine Conflict, The issue and historical context!
Israel Palestine Conflict, The issue and historical context!
 
30042024_First India Newspaper Jaipur.pdf
30042024_First India Newspaper Jaipur.pdf30042024_First India Newspaper Jaipur.pdf
30042024_First India Newspaper Jaipur.pdf
 
2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx
2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx
2024 04 03 AZ GOP LD4 Gen Meeting Minutes FINAL.docx
 
Roberts Rules Cheat Sheet for LD4 Precinct Commiteemen
Roberts Rules Cheat Sheet for LD4 Precinct CommiteemenRoberts Rules Cheat Sheet for LD4 Precinct Commiteemen
Roberts Rules Cheat Sheet for LD4 Precinct Commiteemen
 
Minto-Morley Reforms 1909 (constitution).pptx
Minto-Morley Reforms 1909 (constitution).pptxMinto-Morley Reforms 1909 (constitution).pptx
Minto-Morley Reforms 1909 (constitution).pptx
 
Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...
Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...
Nurturing Families, Empowering Lives: TDP's Vision for Family Welfare in Andh...
 
HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...
HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...
HARNESSING AI FOR ENHANCED MEDIA ANALYSIS A CASE STUDY ON CHATGPT AT DRONE EM...
 
Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...
Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...
Defensa de JOH insiste que testimonio de analista de la DEA es falso y solici...
 
29042024_First India Newspaper Jaipur.pdf
29042024_First India Newspaper Jaipur.pdf29042024_First India Newspaper Jaipur.pdf
29042024_First India Newspaper Jaipur.pdf
 
₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...
₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...
₹5.5k {Cash Payment} Independent Greater Noida Call Girls In [Delhi INAYA] 🔝|...
 
Vashi Escorts, {Pooja 09892124323}, Vashi Call Girls
Vashi Escorts, {Pooja 09892124323}, Vashi Call GirlsVashi Escorts, {Pooja 09892124323}, Vashi Call Girls
Vashi Escorts, {Pooja 09892124323}, Vashi Call Girls
 
25042024_First India Newspaper Jaipur.pdf
25042024_First India Newspaper Jaipur.pdf25042024_First India Newspaper Jaipur.pdf
25042024_First India Newspaper Jaipur.pdf
 
26042024_First India Newspaper Jaipur.pdf
26042024_First India Newspaper Jaipur.pdf26042024_First India Newspaper Jaipur.pdf
26042024_First India Newspaper Jaipur.pdf
 
Different Frontiers of Social Media War in Indonesia Elections 2024
Different Frontiers of Social Media War in Indonesia Elections 2024Different Frontiers of Social Media War in Indonesia Elections 2024
Different Frontiers of Social Media War in Indonesia Elections 2024
 

The Road Ahead for Health Care Compliance

  • 1. Kevin D. Lyles, Esq. [email_address] (614) 281-3821 Enforcement and Economic Challenges The Road Ahead and How to Navigate It Diane Meyer, CHC [email_address] (650) 724-2572 Frank E. Sheeder, Esq. [email_address] (214) 969-2900
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50. Accountable Care Organization Model Accountable Care Organization Medicare and Potentially Other Payors Physician Investors Hospital Payor Contracts Patients Equity Investment Equity Investment
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57. Service Line Co-Management Model Management Company, LLC Appropriate equity split Hospital Governing Board Physician Investors Hospital Orthopedic/Cardiovascular Service Line Agreement to manage Service Line Management Fee – 50% fixed, 50% based on performance incentives Appropriate governance split Mgmt. Co. reports to Hospital Bd.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.