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Navigating the New Value-Based Framework, Changes to the Fair Market Value, Commercial Reasonableness, and Volume or Value Standards. This added flexibility is more important now than it has ever been as the industry continues to navigate the ongoing COVID-19 pandemic. Healthcare organizations will need to move quickly to react and adapt to the interpretations and positions taken by CMS and OIG.
Listen as Mr. Wolfe examines the new changes to the laws and regulations. He will discuss what these changes mean for healthcare providers and others in the healthcare industry.
-Stark Law changes
-The “Big 3” Standards of FMV, Commercial Reasonableness, and Volume or Value
-Anti-Kickback Changes
-Impact on and implications for the healthcare industry, enforcement actions, and FCA suits
The final rules provide a much-needed framework for protecting certain value-based arrangements that incentivize care coordination, quality of care, and cost containment. They also propose helpful new exceptions and safe harbours and clarify interpretations of current existing regulations and key definitions, including the “Big 3” fair market value (FMV), commercial reasonableness, and volume or value standards. In this webinar, Joe Wolfe will guide attendees through the new Stark Law and Anti-Kickback Statute final rules. He will discuss how these changes will impact healthcare providers and others in the healthcare industry.
-Hospital
-Health System
-Medical Group Executives
-Compliance Officers
-General Counsel
-Contracting Specialists
-Attorneys
-Compliance Professionals
-Consultants
Joe Wolfe is an attorney with Hall Render, the largest healthcare-focused law firm in the country. He represents hospitals and health care organizations nationwide on complex fraud and abuse contracting issues. He has considerable experience with technical Stark and Anti-Kickback analysis, physician compensation, and fair market value issues. He regularly assists clients with physician contracting, compensation model design, and internal compliance reviews involving physician arrangements, especially where compliance with Stark’s “Big 3” is at issue (i.e., fair market value, commercial reasonableness, potential incentives for referral volume/value). He is a frequent speaker and author on fraud and abuse, physician compensation, and health care valuation issues for several major health care trade associations (e.g., AHLA, HCCA, AMGA, ACHE) and has given over 200 in-person, web-based, and podcast presentations on these topics in recent years. Joe is the practice leader for Hall Render’s health care regulatory practice group, and he serves as vice-chair of the American Health Law Association’s Fraud & Abuse Practice Group. Before attending law school at the University of Wisconsin, Joe served as a combat engineer in the United States Army.
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