Session ID: 
BH3

Navigating the Briar Patch: Addressing Regulatory Compliance in an Alternative Payment World

12:45pm - 1:45pm Monday, March 5
Las Vegas - Venetian Convention Center
Delfino 4002
Additional Registration
Extra Fee

Description

Alternative payment models involve collaboration between insurers, self-insured payers, third-party administrators, and health care providers, sometimes in ways none of them contemplated when they first began business. As part of deciding whether to participate in an alternative payment model, it is critical all involved parties be familiar with the compliance risks created by antitrust, insurance, and tax laws and understand how to mitigate those risks.
This session is part of a special program called Business of Healthcare Symposium: Going from Good to Great in a Value-Based World. Extra fees and separate registration is required.

Learning Objectives: 

  • State at least one insurance law or regulation that might affect the choice of relationship in alternative payment model strategies, particularly those devolving risk from the insurer to the provider
  • Discuss antitrust statutes and regulations that might affect the assembly of provider networks and the negotiation for payment in certain alternative payment models, especially those that do not require the sharing of risk
  • Share information about restrictions on taxable entities and tax-exempt public entities collaborating to provide patient care and the treatment of the revenue received from such collaborative treatment episodes

Speaker(s): 

Founder,
Herrin Health Law, PC
Continuing Education Credits: 
AAHAM
1.00
ACHE
1.00
CAHIMS
1.00
CME
1.00
CNE
1.00
CPHIMS
1.00

Audience: 

C-Suite
Government or Public Policy Professional
Healthcare Financial Professionals

Level: 

Intermediate

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