AHLA's Speaking of Health Law

Rob Gerberry, Senior Vice President and General Counsel, Summa Health, explores the role Chief Financial Officers (CFOs) play in helping health care systems navigate the financial headwinds facing the industry. CFOs must work with commercial payer partners on pricing, Medicare and Medicaid on payment issues, and Boards on developing appropriate financial strategies. They must also confront issues...

In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Alé Dalton, Associate, Bradley Arant Boult Cummings LLP, speaks with Katie Tarr, Shareholder, LBMC. Katie talks about her experience as a non-lawyer in a “health law adjacent” fi...

Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Bruce Toppin, Chief Legal Officer, North Mississippi Health Services, and Jamie McIntyre, Director, HealthCare Appraisers, Inc., about co-management arrangements and how Advisory Opinion (AO) 12-22 influenced the approach to co-management. They discuss the impetus for AO 12-22 and its outcome, common questions or misconcept...

Andrew Mahler, Vice President, Consulting Services, Privacy & Compliance, Clearwater, speaks with Robert Kantrowitz, Partner, Kirkland & Ellis LLP, about the evolving regulatory and enforcement landscape around pixel tracking and operationalizing policies and practices to mitigate potential liability. They discuss what tracking technologies are, OCR’s bulletin on tracking technologies and...

Unified Program Integrity Contractors (UPICs) are unlike other Medicare contractors. Lori Foley, Office Managing Principal, PYA, and Brenna Jenny, Partner, Sidley Austin LLP, discuss some of the basic responsibilities of UPICs, what differentiates UPIC audits from other CMS audits, how UPIC audits progress from probe to referral, recommendations for providers who receive a UPIC audit, whether UPIC...

Effective September 1, 2023, AHLA’s Dispute Resolution Service (DRS) has developed newly revised commercial arbitration rules . The members of the DRS’ Rules Committee discuss how the DRS operates, why the committee decided to revise the rules, and the specific changes made to the rules. The members of the DRS’ Rules Committee are Gary Qualls, Partner, K&L Gates LLP, Ed Brooks, Partner, McGuir...

Allan Horwich, Partner, ArentFox Schiff, and Crista Brawley, Associate Vice President for Research, Northwestern University, discuss insider trading in the clinical trial setting. They cover the basics of the law of insider trading, the regulatory process for the approval of a new drug by the FDA, confidentiality agreements, risks related to confidential information and disseminating information o...

AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments. Essential Legal Updates, Now in Audio AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcas...

Dee Anna Hays, Shareholder, Ogletree Deakins, Tiffany Buckley-Norwood, Associate Counsel, Trinity Health, and Gary McLaughlin, Partner, Mitchell Silberberg & Knupp LLP, discuss best practices for employers with remote and hybrid workforces. They consider how time keeping, reimbursement, reasonable accommodation, drug testing, and other policies may differ for employees who are working from hom...

In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Rob Yates, Managing Consultant, Berkeley Research Group, speaks with Samuel Shapiro, Assistant U.S. Attorney, Western District of Texas. Samuel talks about his role in the Civil...

While clinical decision support tools, especially with the advent of artificial intelligence, have the potential to greatly improve patient care, there are concerns related to patient health and safety and fraud and abuse. Anthony Burba, Partner, Barnes & Thornburg LLP, and Gail Javitt, Director, Hyman Phelps & McNamara PC, discuss the promise and perils of these tools, navigating the Food...

Priya Bathija, Founder and CEO, Nyoo Health, and Marc Goldstone, Executive Vice President and Chief Legal Officer, Wellpath, discuss some of the top health law trends of 2023, the biggest challenges and opportunities the industry is facing, and why it is so important for health lawyers to understand the policy making process. Priya and Mark are speaking at AHLA’s upcoming 2023 Fundamentals of Heal...

Ramona Thomas, General Counsel, Planned Parenthood of Orange and San Bernardino Counties, Inc., Louise M. Joy, Partner, Joy & Young LLP, and Dr. Sangeeta Sakaria, Medical Director, Emergency Department, UC Irvine, discuss some of the recent changes and updates they have seen in the reproductive health care space, particularly at the state level, and how practitioners of emergency medical care...

2023 has been a very busy year for the federal antitrust agencies, as it relates to important guidance for the health care industry. Lisl Dunlop, Partner, Axinn Veltrop & Harkrider LLP, speaks with Mark Seidman, Assistant Director for the Mergers IV Division of the FTC’s Bureau of Competition, about the promulgation and repeal of different sets of antitrust guidance and the FTC’s views on anti...

Artificial intelligence (AI) poses unique opportunities and challenges in the quest for health equity. Roma Sharma, Counsel, Crowell & Moring, and Tienne Anderson, Managing Counsel, St. Jude Children’s Research Hospital, discuss the impact of AI on health equity, some of the nascent AI governing approaches, and health equity considerations that should be considered as both AI technology and re...

AHLA's monthly podcast featuring health lawyer and blogger Norm Tabler's informative and entertaining take on recent health law and other legal developments.  Essential Legal Updates, Now in Audio AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podca...

In the current health care landscape, joint ventures between for-profit and tax-exempt entities may trigger tax or other reporting consequences that should be considered and addressed at the outset. Jennifer Noel, Corporate Director of Tax, Christiana Care Health System, Robert Friz, Partner, PricewaterhouseCoopers, and Gerald Griffith, Partner, Jones Day, discuss why it’s important for a nonprofi...

In this series from AHLA’s Early Career Professionals Council, health law professionals share their career paths, what they wish they had known as students, and what a typical day in their job looks like. In this episode, Alé Dalton, Associate, Bradley Arant Boult Cummings LLP, speaks with Mara Smith-Kouba, Counsel, Bristol Myers Squibb. Mara talks about how she pursued opportunities and experienc...

Mark Silberman, Partner, Benesch Friedlander Coplan & Aronoff LLP, and Gary Cantrell, Specialist Leader, Deloitte, discuss government approaches to investigations during and after the pandemic and guidance for providers and practitioners when responding to government investigations. They cover some of the common areas of fraud that the government has identified, pitfalls that can get organizat...

The Pharmacy Benefit Manger (PBM) industry, which is a critical player in transactions that facilitate the pricing and reimbursement of prescription drugs, has experienced a high level of vertical integration and aggregation of market power. Rujul Desai, Partner, Covington & Burling LLP, and Kendra Roberson, Partner, Faegre Drinker Biddle & Reath LLP, discuss the rise of PBMs and their rol...

Tynan O. Kugler, Principal, PYA, leads a discussion on some of the current challenges affecting health care business transactions, including trends and motivations related to doing deals, balancing antitrust enforcement, the overlap of federal and state regulatory oversight, and reimbursement and cost constraints. Tynan’s panel includes Douglas K. Anning, Shareholder, Polsinelli PC, Alexis J. Gilm...

When it comes to physician practices, the rate of employment, acquisition, and alignment activity among health care corporate entities like payers, payer-backed groups, private equity, and major vertically integrated retailers has outpaced similar activity among hospitals and health systems. Danielle Bangs, Director, Veralon, speaks with Mike Flammini, Chief Development Officer, Privia Health, and...

Brian White, Vice President and General Counsel, Wake Forest University, speaks with Rob Gerberry, Senior Vice President and General Counsel, Summa Health, and Aletheia Lawry, about how in-house counsel are responding to some of the key issues currently affecting the health care industry. These issues include remote/hybrid work, legal specialization and diversification, financial challenges and co...

The value-based Anti-Kickback Statute safe harbors and Physician Self-Referral exceptions are some of the most significant rulemaking related to these laws in years. Jennifer Michael, Member, Bass Berry & Sims, and Tony Maida, Partner, McDermott Will & Emery, discuss the background behind the rulemaking and some of the issues they are seeing around value-based arrangements. Jennifer and To...

What makes a legal team inclusive, collaborative, and successful? Lori Oliver, Shareholder, Polsinelli, leads a discussion on team management and support, navigating different workforce cultural expectations, managing relationships with clients who have law degrees, the role of mentorship, and keeping hybrid teams engaged. Lori’s panel includes Margaret Peyton, Clinical Business and Regulatory Aff...