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The American Health Law Association (AHLA) is the largest nonprofit, nonpartisan educational organization devoted to legal issues in the health care field with nearly 14,000 members. As part of its educational mission, AHLA's Speaking of Health Law podcasts offer thoughtful analysis and insightful commentary on the legal and policy issues affecting the health care system. AHLA is committed to ensuring equitable access to our educational content. We are continually improving the user experien ...
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For more than six years and nearly 80 episodes, Norm Tabler has entertained AHLA with his unique take on recent health law and other legal developments. Now, Norm bids farewell to the Lighter Side of Health Law. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.…
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Ramona Thomas, General Counsel & Vice President of Risk and Compliance, Planned Parenthood of Orange and San Bernardino Counties, about the recent Supreme Court decisions that impact women’s health. They discuss FDA v. AHM and the use of mifepristone in medication abortions, Moyle v. United States and…
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Edo Banach, Partner, Manatt Phelps & Phillips LLP, and Keith Lagnese, Chief Medical Officer, Sutter Care at Home, discuss the structure and delivery of palliative care. They cover issues related to regulation, oversight, and reimbursement. Edo and Keith spoke about this topic at AHLA’s 2024 Long Term and Post-Acute Care Law and Compliance in San Di…
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Dan Grauman, Managing Director and CEO, Veralon, speaks with Cristina Cavalieri, SVP and University Counsel, Thomas Jefferson University Hospital, and Jeannie C. Frey, SVP, Chief Legal Officer and General Counsel, CHRISTUS Health, about health care system governance structures. They discuss the drivers of health care governance structure changes, h…
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Valerie G. Rock, Principal, PYA, and Kristin M. Bohl, Member, Bass Berry & Sims PLC, discuss the 2024 Medicare Physician Fee Schedule (MPFS) Final Rule, specifically changes related to Evaluation and Management (E/M) visits. They cover CMS’ Framework for Health Equity and requirements related to clinical integration, community-based organizations, …
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Naseem Sayani, General Partner, Emmeline Ventures, about how the current legal and regulatory landscape is impacting innovation and investment in women’s health. They discuss the connection between investment and innovation and access to health care, where investment and innovation are taking place, h…
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Alexis L. Angell, Shareholder, Polsinelli PC, Lindsey P. Ridgway, Vice President, Deputy General Counsel, Integris Health, and Scott Nichols, Partner, Nichols Brar Weitzner & Thomas, share their insights and experiences on a range of medical staff issues. They cover physician behavior and professionalism concerns, physician health issues, HR and pe…
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Jeff J. Wurzburg, Senior Counsel, Norton Rose Fulbright, Mackenzie S. Wallace, Partner, Thompson Coburn, and Elise D. Brennan, Partner, Conner & Winters LLP, discuss the lifecycle of payer/provider disputes and some of the current trends in this area. They cover considerations related to outstanding accounts receivable, the benefits of arbitration,…
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Adriana Benedict, General Counsel, Hey Jane, about recent litigation related to women’s health and how the Comstock Act is specifically being litigated in this area. They discuss the Supreme Court’s recent decision in FDA v. AHM; the FDA’s allowance of mail-order medication abortion; the history of th…
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Kate Taylor, Associate Principal, ECG Management Consultants, Caleb Knight, Member, Flaherty Sensabaugh Bonasso PLLC, and Marc Goldstone, Executive Vice President and General Counsel, Wellpath, discuss how the Department of Justice (DOJ) uses its enforcement mechanisms to ensure providers are complying with health care laws and regulations. They co…
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Andrew Mahler, Vice President, Consulting Services, Privacy & Compliance, Clearwater, speaks with Sara Shanti, Partner, Sheppard Mullin, about the legal framework surrounding mental health apps and what is currently happening in the industry. They discuss issues related to data protection, transparency, and sharing, along with enforcement and litig…
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Section 1557 is both the nation’s first civil rights law for health care and the first federal civil rights law to focus specifically on nondiscrimination in health care. Stefanie Doyle, Associate, Baker Donelson, and Bruce J. Lederman, President and Chief Executive Officer, Charles E. Smith Life Communities, discuss the provisions of the Section 1…
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Delphine O’Rourke, CEO, 8Fold Inc., speaks with Ramona Thomas, General Counsel & Vice President of Risk and Compliance, Planned Parenthood of Orange and San Bernardino Counties, about the legal landscape two years after the Dobbs decision and the two decisions expected from the Supreme Court related to reproductive health. They discuss FDA v. AHM a…
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Anthony J. Burba, Partner, Barnes & Thornburg, Henry C. Leventis, United States Attorney, Middle District of Tennessee, and Ted Lotchin, Chief Compliance Officer, UNC Health, discuss new and developing risks and opportunities amid the changing health care compliance landscape. They cover the DOJ’s main areas of focus, key compliance trends and prio…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the role of health care corporate boards in reviewing major transactions. They discuss key elements of corporate policies related to transactions, the board’s standard of conduct when reviewing transaction…
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Alaina Crislip, Member, Jackson Kelly PLLC, Claire Turcotte, Director Of Legal Services, Premier Health, and Chip Hutzler, Partner, HMS Valuation Partners, discuss successes and challenges regarding health system service line strategies, including reevaluating strategies on specific service lines, addressing service lines with extra capacity, embar…
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Douglas Mancino, Partner, Seyfarth Shaw LLP, and Ruth Madrigal, Principal, KPMG, discuss recent tax-related developments in the health care space. They cover 501(r) compliance, the 4960 excise tax on compensation in excess of $1 million, criticisms that have been levied against tax-exempt health care organizations, and Inflation Reduction Act tax c…
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Joseph Miller, Co-Chair, Antitrust Practice, Mintz Levin, and Holden Brooks, Partner, McGuireWoods, discuss recent developments in the health care antitrust space. They cover the DOJ’s health care monopolies task force, private equity in health care, Hart-Scott-Rodino changes, the FTC’s final rule on non competes, state statutes, Indiana’s pre-tran…
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Christopher P. Kenny, Partner, King & Spalding LLP, and Christina A. Hughes, Counsel, Powers Pyles Sutter & Verville PC, discuss some of the key issues related to provider-based status. They cover challenges related to the public awareness, notice of co-insurance, and distance requirements; and the difference between billing something as “provider-…
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Omenka Nwachukwu, Principal Consultant, Clearwater, speaks with Robert Kantrowitz, Partner, Kirkland & Ellis, about the key issues surrounding health care data privacy and the various points of intersection from a regulatory standpoint. They discuss challenges related to inferential data and de-identified data, federal and state privacy laws, the r…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Charles Oppenheim, Partner, Hooper Lundy & Bookman PC, about trends, updates, reforms, and developments related to the Stark Law. They discuss the history of Stark and recent reforms, how both new and experienced lawyers can approach Stark, practical applications of the 2021 cha…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about how health care corporate boards can effectively exercise oversight of the corporate legal function. They discuss the general counsel’s dual reporting relationship, the history of the corporate responsibil…
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John Howlett, Senior Vice President and Chief Marketing Officer, Clearwater, speaks with Carolyn V. Metnick, Partner, Sheppard Mullin Richter & Hampton LLP, and Vanessa K. Burrows, Partner, Simpson Thacher & Bartlett LLP, about the current regulatory and legal landscape of artificial intelligence (AI) in health care. They discuss some of the most c…
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Kim H. Looney, Partner, K&L Gates LLP, and John E. Kelly, Partner, Barnes & Thornburg LLP, discuss the current dynamics of private equity in health care. They cover why private equity is interested in health care and what segments they are most interested in, private equity deal trends, public scrutiny of private equity, federal and state oversight…
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Kate Heffernan, Member, Epstein Becker Green, and Elizabeth McEvoy, Partner, Hinckley Allen, discuss how research misconduct is regulated in the United States. They cover research integrity as it relates to the law, how approaches to research integrity have changed over the years, how the legal stakes have been raised for institutions and scientist…
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Health systems are beginning to address the many issues that come with the physician enterprise. Rudd Kierstead, Director, Veralon, speaks with Victoria Sheridan, Counsel, Corporate & Regulatory Affairs, Atlantic Health System, about some of the motivating issues, key factors, and main goals related to integrating the physician enterprise. They als…
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Jackie Papish, Partner, Barnes & Thornburg LLP, and Peter Dressel, Senior Managing Director, FTI Consulting, discuss Medicare outlier payments in the health care industry and how providers can navigate issues related to fraud, waste, and abuse. They cover what outliers are in the health care context, how the government deals with outliers from a re…
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Lori Foley, Office Managing Principal, PYA, speaks with Jay Dewald, Partner, Norton Rose Fulbright, about recent trends and developments related to health care acquisitions. They discuss the Biden Administration’s approach to private equity in health care, diligence and the impact of government payers, examples of Travel Act indictments, state appr…
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Lisa Gora, Partner, Epstein Becker Green, and Richard Cheng, Managing Member, Ritter Spencer Cheng, discuss the burgeoning area of psychedelics in the health care industry. They cover some of the driving forces behind the resurging interest in psychedelics, federal and state developments, the contravention between state and federal law, and the fut…
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Andrew Ruskin, Partner, K&L Gates LLP, speaks with Mary Edmondson, Chief Compliance Officer, Inova Health, about the aftermath of last year’s Supreme Court decision in the SuperValu case and how health care organizations can prepare for potential investigations. They discuss how to ensure that stakeholders in an organization feel comfortable raisin…
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Michelle Frazier, Chief Compliance and Privacy Officer, Advocate Health, and David Glaser, Shareholder, Fredrikson & Byron, discuss how to mitigate risk using regulatory requirements and guidance. They cover the distinction between law and guidance, the legal authority to support that distinction and how to reconcile that distinction when being pro…
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Dawn Morgenstern, Senior Director of Consulting Services and Chief Privacy Officer, Clearwater, speaks with Betsy Hodge, Partner, Akerman, and Gina Bertolini, Partner, K&L Gates, about the activities that are driving HHS/OCR health IT enforcement trends and what that means for the health care industry. They discuss the flurry of recent activity tha…
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The highly competitive talent market, ongoing recovery from the pandemic, and increasing scrutiny of executive compensation are leading health care organizations to assess the fundamentals of their compensation programs. Michael Peregrine, Partner, McDermott Will & Emery LLP, and Bruce Greenblatt, Executive Workforce Practice Leader, SullivanCotter…
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Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman, speaks with Tony Maida, Partner, McDermott Will & Emery, and Jennifer Michael, Member, Bass Berry & Sims, about the state of value-based care and the rules related to value-based enterprises (VBEs). They discuss the trends and developments they are seeing in value-based care; examples or hypot…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the tenth episode, Sarah Bowman, Principal, PYA, speaks with Jolee H. Bollinger, Deputy General Counsel, Sharp HealthCare, and Andrew D. Ruskin, Partner, K&L Gates LLP,…
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Jessica Stack, Principal Consultant, TriCurve, speaks with Clare Moylan, Principal, Gibbins Advisors LLC, and Andrea Cunha, Partner, K&L Gates LLP, about how distressed health care transactions are different from other types of transactions and what is driving them. They discuss examples of distressed transactions, the types of buyers involved in t…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the ninth episode, Karin Anderson, Principal & Corporate Counsel, PYA, speaks with Carolyn V. Metnick, Partner, Sheppard Mullin Richter & Hampton LLP, about the impact …
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Health care organizations' cybersecurity practices are under the microscope like never before. Jon Moore, Chief Risk Officer and Head of Consulting Services and Client Success, Clearwater, speaks with Iliana Peters, Shareholder, Polsinelli, about recent state and federal actions regarding the regulation of health care cybersecurity. They discuss wh…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the eighth episode, Martie Ross, Consulting Principal, PYA, speaks with Caroline Brown, Partner, Brown & Peisch PLLC, about current proposals that are on the table for …
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the seventh episode, Debbie Ernsberger, Principal, PYA, speaks with Douglas M. Mancino, Partner, Seyfarth Shaw LLP, about the tax-related issues that the health care in…
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Jeff Bushong, Consulting Principal, PYA, speaks with Amy Leopard, Partner, Bradley Arant Boult Cummings LLP, about the current legal and regulatory aspects of artificial intelligence (AI), security, and compliance as it relates to medical practices. They discuss the importance of AI and cybersecurity in medical practices, HIPAA and cybersecurity ch…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the sixth episode, Carol Carden, Managing Principal, PYA, speaks with Joanne (Jody) Joiner, Senior Counsel, Tenet Healthcare, and Gina L. Bertolini, Partner, K&L Gates …
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Alissa Fleming, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, speaks with Sarah Bowman, Principal, PYA, about provider repayment considerations for governmental payers in today’s health care environment. They discuss how these issues are often identified within provider organizations, the timeline for determining the extent of the is…
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Based on AHLA’s annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the fifth episode, Deborah Biggs, Principal, PYA, speaks with Tiffany Buckley-Norwood, Associate Counsel, Trinity Health Corporation, about the impact of the Supreme Co…
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Medical holds are commonly associated only with patients suffering from mental illness, but what happens when a patient needs to be held for treatment or observation due to a non-psychiatric problem? Wendi Campbell Rogaliner, Partner, Bradley Arant Boult Cummings LLP, and Elicia Grilley Green, Associate, Husch Blackwell LLP, discuss the legal and e…
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