Clinical Integration Strategies & Networks

PDF

Hall Render attorneys advise health care providers on clinical integration strategies. A well-prepared and custom-tailored clinical integration strategy involving collaborating health care providers can accomplish important goals, among them: 1) enhancement of quality of care and improvement of patient outcomes; 2) promotion of safe medical practices; 3) sharing of “best clinical practices”; 4) increased efficiencies...Read More

Hall Render attorneys advise health care providers on clinical integration strategies. A well-prepared and custom-tailored clinical integration strategy involving collaborating health care providers can accomplish important goals, among them: 1) enhancement of quality of care and improvement of patient outcomes; 2) promotion of safe medical practices; 3) sharing of "best clinical practices"; 4) increased efficiencies in care delivery; 5) facilitation of appropriate utilization of services; and 6) alignment of financial incentives. Particularly with the passage of the Affordable Care Act and its implementing regulations, providers need legal guidance to help them decide on the most advantageous clinical integration plan available to move forward on such innovations as formation of accountable care organizations, medical homes, pay-for-performance, value-based purchasing and bundled payment initiatives. Further, it is imperative that health care providers participating in clinically integrated health care delivery systems comply with all laws affecting such collaborations. These laws include antitrust laws, the Stark Law, fraud and abuse laws and IRS regulations governing tax-exempt entities. Hall Render attorneys can provide the experienced counsel necessary to help our clients reach their goals in compliance with all applicable laws.

Read Less

Areas of Focus

  • Accountable Care Organizations (ACOs)
  • Affordable Care Act (ACA)
  • Antitrust Law
  • Clinical Integration Programs
  • Clinically Integrated Provider Networks
  • FTC regulations, letters and advisory opinions
  • Third Party Payor Contract Negotiations