Clinical Integration
Hall Render understands that forming a coordinated and effective care platform that improves quality and patient satisfaction, while lowering or controlling costs, is essential in today’s competitive health care environment. Our attorneys are experienced in the legal and operational considerations involved when integrating and aligning providers with payers – whether commercial, governmental or self-funded. We...Read More
Hall Render understands that forming a coordinated and effective care platform that improves quality and patient satisfaction, while lowering or controlling costs, is essential in today’s competitive health care environment. Our attorneys are experienced in the legal and operational considerations involved when integrating and aligning providers with payers – whether commercial, governmental or self-funded. We have extensive experience with all aspects of clinical integration and provider alignment activities, from network development and shared savings programs to payer contracting and clinical care considerations. It is imperative that health care providers participating in clinically integrated health care delivery systems comply with all laws affecting such collaborations. These laws could 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.
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
