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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Medicare Advantage: Navigating Uncertain Times
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34:54Medicare Advantage (MA) is one of the most popular insurance programs for the Medicare-eligible population, however it faces significant headwinds from both payer and provider organizations. Alan Lassiter, Principal, ECG Management Consultants, speaks with Christine Worthen, Member, Epstein Becker & Green PC, and Joe Mangrum, Partner, ECG Managemen…
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Evolving State Privacy Laws and the Impact on Digital Health Innovation
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38:25Omenka Nwachukwu, Principal Consultant, Privacy and Compliance, Clearwater, speaks with Kaitlyn O'Connor, Co-Founder and Partner, Elevare Law, about the growth in state privacy laws covering wide ranges of health data and how digital health companies are being impacted. They discuss the role state legislation is playing in addressing gaps left by f…
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Health Care Fraud and Abuse Investigations: Latest Trends and Developments
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30:40Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Crane Pomerantz, Member, Clark Hill PLC, about the current landscape of health care fraud and abuse investigations. They discuss government enforcement under the previous administration, notable recent settlements, and enforcement priorities under the current administration. Cla…
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Health Care Corporate Governance: Developments in Board Refreshment Practices
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21:59Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the concept of “refreshment” and how health care systems can use this concept to effectively address board turnover. They discuss various refreshment tools such as director removal, term limits, mandatory …
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Career Journeys in Health Tax Law
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44:40Alé Dalton, Partner, Bradley Arant Boult Cummings LLP, speaks with Marlene Zieah, Attorney, Hall Render Killian Heath & Lyman PC, and Maverick Flowers, Associate, Polsinelli PC, about their experiences as tax lawyers in the health care space and how to get into this area. Marlene and Maverick share what led them to tax law, the ins-and-outs of purs…
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HHS’ Withdrawal of the Richardson Waiver and New Statement of Organization: What Does It Mean for the Health Care Industry?
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28:22In March, the Department of Health and Human Services (HHS) withdrew the Richardson Waiver, a policy under which HHS voluntarily undertook notice-and-comment rulemaking in circumstances where it wouldn’t otherwise need to. HHS also issued a new Statement of Organization for the Office of the General Counsel (HHS-OGC), which, among other things, may…
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The Community Health Network Settlement: A Valuator’s Perspective
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43:01Community Health Network, Inc. of Indiana (CHN) entered into an agreement with the Department of Justice (DOJ) in December 2023 to settle alleged violations of the False Claims Act. The settlement amount of $345 million was the largest settlement of its kind in history. Dave Hesselink, Managing Principal, SullivanCotter, A.J. Orille, Consulting Pri…
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The “Wild West” of AI and Health Care Compliance
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50:09Artificial intelligence (AI) adoption is skyrocketing across the health care industry and innovation is booming, but regulation is struggling to keep pace. Dennis Breen, Managing Partner, Source 1 Healthcare Solutions, speaks with Alicia Shickle, President and CEO, ProCode Compliance Solutions, David Bolden, Senior Health Care Compliance Consultant…
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Hospital-Based Specialists: Current Trends and Developments
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30:36Hospital-based specialists such as radiologists and anesthesiologists are critical to the operations of health systems. However, the current landscape is creating new challenges between these specialists and health systems. Rich Chasinoff, Director, VMG Health, speaks with Angela Hill, Vice President and General Counsel, Vandalia Health, about how …
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The Evolving Role of the Chief Compliance Officer
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37:15Tom O’Neil, Managing Director, BRG, and Jim Hearty, Chief Compliance Officer, DaVita Inc., discuss the various dimensions of the Chief Compliance Officer’s role. They cover issues related to strategic enablement, organizational values and culture, and working with the legal department and the board of directors. Tom and Jim spoke about this topic a…
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Hot Topics Related to Medicare Reimbursement and Licensure
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28:31Sandy DiVarco, Partner, McDermott Will & Emery LLP, and Dan Hettich, Partner, King & Spalding LLP, discuss issues related to Medicare and the practice of law in this area. They cover Medicare reimbursement for hospitals, different licensure requirements, EMTALA, provider-based status and site-neutral care, the Advocate Christ case, and what it’s li…
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Navigating Health AI and Nondiscrimination Compliance
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35:39Andrew Mahler, Vice President of Privacy and Compliance Services, Clearwater, speaks with Drew Stevens, Of Counsel, Parker Hudson Rainer & Dobbs LLP, about the intersection of artificial intelligence (AI) in health care and the evolving landscape of nondiscrimination regulations. They discuss the significance of the final rule on Section 1557 and n…
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Representing Hospitals and Health Systems: What Has Changed Over the Years?
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19:50Travis G. Lloyd, Member, Bass Berry & Sims PLC, Emily Black Grey, Partner, Breazeale Sachse & Wilson LLP, and Claire M. Turcotte, discuss their experiences representing hospitals and health systems and how the field has changed over the years. They cover issues related to telehealth, site-neutral payments, co-location, and fraud and abuse. Travis, …
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Health Care Corporate Governance: Issues Related to Governance Versus Management
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26:05Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the distinction between the role of the health care board and the role of management. They discuss the current landscape of board and management roles and responsibilities, what corporate law says, what go…
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Top Ten 2025: The Evolving Landscape of State Health Care Transaction Review Laws
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27:46Based 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 2025. In the tenth episode, Ragini Acharya, Partner, Husch Blackwell LLP, speaks with William S. Richmond, Partner, Kirkland & Ellis LLP, about the latest developments related t…
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How Have Cybersecurity Expectations for Health Tech Vendors Changed Over the Past 12 Months?
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33:43Security expectations for health tech vendors are rising significantly in the wake of last year’s Change Healthcare cyberattack. Hal Porter, Director of Consulting Services, Clearwater, speaks with Alexis Finkelberg Bortniker, Partner, Cooley LLP, about how the climate has changed for health tech vendors. They discuss changing contractual security …
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Top Ten 2025: Gender Affirming Care—Outlook
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29:03Based 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 2025. In the ninth episode, Adam Laughton, Shareholder, Greenberg Traurig LLP, speaks with Jennifer Nelson Carney, Member, Epstein Becker & Green PC, about the latest developmen…
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Best Practices for Working with Consultants
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28:03Jenelle Beavers, Managing Director, Alvarez & Marsal, and Emily Little, Senior Counsel, University of Missouri System, discuss best practices for working with consultants. They cover issues related to identifying consultants, contracting, confidentiality, data transfer, communication, and concluding engagements with consultants. Jenelle and Emily s…
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Top Ten 2025: Medical Malpractice in the Age of AI
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32:58Based 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 2025. In the eighth episode, Shalyn Watkins, Associate, Holland & Knight LLP, speaks with Anjali B. Dooley, Senior Partner, DBM Legal Services LLC, about the key litigation risk…
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HIPAA Security Rule Proposed Updates: Addressing Increasing Cyberthreats in Health Care
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58:15On January 6, HHS’ Office for Civil Rights published a Notice of Proposed Rulemaking titled “HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information.” Wes Morris, Senior Director of Consulting Services, Clearwater, speaks with Jennifer Kreick, Partner, Haynes and Boone LLP, and Thomas Tanabe, Associate, Haynes…
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Top Ten 2025: The Impact of the MHPAEA Final Rule—Focused on Access
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21:15Based 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 2025. In the seventh episode, Christianna Finnern, Shareholder, Winthrop & Weinstine PA, speaks with Noreen Vergara, Partner, Husch Blackwell LLP, about the Mental Health Parity…
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Health Care Corporate Governance: Conflicts of Interest in an Environment of Scrutiny
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19:00Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about what the change of administrations in Washington, DC can teach health care boards about managing conflicts of interest. They discuss lessons learned from the current transition, including the difference be…
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Top Ten 2025: Cybersecurity Developments to Watch
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21:22Based 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 2025. In the sixth episode, Elizabeth Trende, Chief Legal Officer & General Counsel, United Network for Organ Sharing, speaks with Michelle Garvey Brennfleck, Shareholder, Bucha…
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Trends in Digital Therapeutics
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36:46Kevin Malone, Member, Epstein Becker Green, speaks with Jenna Carl, Chief Medical Officer, Big Health, about developments in the use of digital therapeutics for mental health services. They discuss what digital therapeutics are, how they are used in patient care, ensuring safety and effectiveness, regulatory considerations, and the future of the fi…
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Top Ten 2025: Medication Abortion Cases to Watch
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18:11Based 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 2025. In the fifth episode, Mary R. Kohler, Founder & Principal, Kohler Health Law PC, speaks with Sheela Ranganathan, Adjunct Professor, Georgetown University School of Health,…
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Preparing for ICE Enforcement: What Health Care Providers and Legal Counsel Need to Know
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36:04With recent changes to immigration enforcement policies in hospitals and clinics, it’s crucial for health care providers and legal counsel to understand how to respond while protecting patient privacy and meeting their legal and mission-oriented obligations. Shawn Gilman, Vice President & Senior Corporate Counsel, Providence St. Joseph Health, spea…
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Top Ten 2025: Antitrust Trends and Forecast for the Health Care Industry Under a New Administration
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22:11Based 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 2025. In the fourth episode, H. Kristie Xian, Associate, Jones Day, speaks with Katherine I. Funk, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, about how the new…
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Key Considerations Related to Medical Device, Pharmaceutical, and Biotech Arrangements
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43:34With the increased scrutiny on kickbacks regarding medical device, pharmaceutical, and biotech arrangements, there has been an uptick in enforcement activity specific to the use of physicians, advanced practice providers, and other health care providers who consult, speak, serve as advisory board members, or otherwise lend their expertise. Tynan Ku…
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Top Ten 2025: Fraud and Abuse Issues to Watch
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21:25Based 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 2025. In the third episode, Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Ilene Albala, Partner, Goodwin Procter LLP, about how the new administration c…
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Value-Based Care: Latest Trends and Developments
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28:55CMS has a goal that by 2030 all Medicare fee-for-service beneficiaries will be in value-based care arrangements. This means that providers will be accountable for the quality and total cost of care. Rob Moss, Principal, SullivanCotter, and Maggie Martin, Chief Legal Officer, Oklahoma Hospital Association, discuss the current climate surrounding the…
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Top Ten 2025: Telehealth—Uncertainty Ahead
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30:31Based 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 2025. In the second episode, Jennifer Kreick, Partner, Haynes Boone, speaks with Jeremy Sherer, Partner, Orrick Herrington & Sutcliffe LLP, about the various telehealth legal is…
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Professionalism in Modern Times: The Ethical Considerations of Lawyering with Artificial Intelligence and Social Media
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42:27Elle Karimkhani, Chief Legal Officer, Marshall Medical, Faith Driscoll, Chief Legal Officer, United Health Centers of the San Joaquin Valley, and Caitlin Forsyth, Partner, Davis Wright Tremaine LLP, discuss how they are using artificial intelligence and social media in their practices and the ethical considerations surrounding the use of these tech…
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Top Ten 2025: Loper Bright—How the Demise of Chevron Deference Will Affect Medicare Reimbursement Litigation
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26:39Based 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 2025. In the first episode, Hilary Isacson, Assistant General Counsel, Sutter Health, speaks with Daniel J. Hettich, Partner, King & Spalding LLP, about the impact that the Supr…
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Interpreting OCR’s Risk Analysis Enforcement Initiative and How the Regulatory Environment Is Evolving
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46:42The Department of Health and Human Services Office for Civil Rights (OCR) has made risk analysis a top priority in its enforcement of Health Insurance Portability and Accountability Act (HIPAA) compliance. Dawn Morgenstern, Senior Director of Consulting Services and Chief Privacy Officer, Clearwater, speaks with Betsy Hodge, Partner, Akerman LLP, a…
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2024's Biggest Health Care Antitrust Developments and What to Expect in 2025
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53:23In the seventh installment of their popular annual series, John D. Carroll, Partner, Sheppard Mullin Richter & Hampton LLP, and Alexis J. Gilman, Partner, Crowell and Moring LLP, discuss 2024's biggest antitrust developments and what attorneys should expect in 2025. AHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email news…
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Assessing Cybersecurity and Data Privacy Risk in Health Care Transactions
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43:55Andrew Mahler, Vice President of Privacy and Compliance Services, Clearwater, speaks with Jordan Cohen, Partner, Akerman LLP, about managing cybersecurity and data privacy risk during the due diligence process for health care transactions. They discuss the five key indicators of a mature cybersecurity and HIPAA compliance program, whether due dilig…
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Health Care Fraud and Abuse Trends From 2024 and What to Expect in 2025
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40:27Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Laura Laemmle-Weidenfeld, Partner, Jones Day, about some of the key health care fraud and abuse trends from 2024 and what to expect in 2025. Laura is the author of the 2024 Cumulative Supplement to the Fifth Edition of AHLA’s Legal Issues in Health Care Fraud and Abuse. From AHL…
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Corporate Practice of Medicine: Latest Trends and Developments
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45:18Glenn Prives, Partner, Epstein Becker & Green, Jessica Belle, and Kristen McDermott Woodrum, Partner, McGuireWoods, discuss the corporate practice of medicine (CPOM) doctrine and why it is so important to the health care industry. They cover the history and basis of the CPOM doctrine, how CPOM is applied in the health care industry, common exceptio…
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Key Health Law Developments From 2024 and What to Expect in 2025
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39:55Judith Waltz, Partner, Foley & Lardner LLP, Dionne Lomax, Managing Director of Antitrust and Trade Regulation, Affiliated Monitors, Inc., and Dee Anna Hays, Shareholder, Ogletree Deakins, discuss some of the key health law developments in 2024 and what to expect in 2025. They cover a wide range of legislative, regulatory, and judicial issues but ma…
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Re-Release: The Future of American Medicine with Marty Makary, MD
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27:19Marty Makary, MD, was recently announced as President-Elect Trump’s pick to be the next commissioner of the Food and Drug Administration. In this episode from August 19, 2020, Dr. Makary, in conversation with Charles Overstreet, FTI Consulting, talks about the future of American medicine, including public health, price transparency, and issues rela…
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Reproductive Health and Shield Laws: Latest Developments
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36:21Texas’ attorney general recently filed a civil lawsuit against a New York physician for prescribing medication abortion pills via telehealth to a woman in Texas. Natalie Birnbaum, State Legal and Policy Director, RHITES, and Krusheeta Patel, Associate, Manatt Phelps & Phillips LLP, discuss this first open challenge to abortion shield laws and the i…
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Hospital/Physician Affiliation Models in an Age of Private Equity
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27:21Glenn Prives, Partner, Epstein Becker & Green PC, and Elizabeth Kastner, Senior Transactional and Corporate Counsel, TriHealth, Inc., discuss the current climate around hospital/physician affiliation models in the age of private equity, and they cover six different models they are currently seeing in the health care industry. Glenn and Elizabeth sp…
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Forecasting Health Care Antitrust Under a Second Trump Administration
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44:12Lisl Dunlop, Partner, Axinn Veltrop & Harkrider LLP, speaks with Mark Seidman, Partner, Weil Gotshal & Manges LLP, about some of the potential health care antitrust priorities of a second Trump Administration. They discuss how antitrust enforcement has changed over recent administrations; and the incoming administration’s potential approaches to th…
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Health Care Corporate Governance: Top 2025 Trends
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25:16Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the governance trends that health care boards should anticipate in 2025. These trends fall into three categories: those that arise from the change of administrations in Washington, DC, those that are relat…
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What Does a Second Trump Administration Mean for Health Care?
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48:38David Cade, Executive Vice President and CEO, American Health Law Association, speaks with Eric Zimmerman, Partner, McDermott Will & Emery, about the potential health care priorities of a second Trump Administration. They discuss possible health care considerations in any upcoming tax bill, drug pricing and Pharmacy Benefit Manager reform, the Affo…
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Top Ten IRS Audit Risks for Nonprofit Health Care Organizations
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53:33Gerald Griffith, Partner, Jones Day, and Stephanie N. Switzer, Senior Counsel, Cleveland Clinic, discuss, in top ten style, common audit risks for nonprofit health care organizations and strategies for minimizing potential tax exposure. Gerald and Stephanie spoke about this topic at AHLA's 2024 Annual Meeting in Washington, DC. Learn more about the…
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A Look at the Recent Verdict Against Blue Cross Blue Shield of Louisiana
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27:15On September 20, a jury ruled in favor of St. Charles Surgical Hospital and the Center for Restorative Breast Surgery in their case against Blue Cross Blue Shield of Louisiana for failure to fully pay for services rendered, awarding the plaintiffs over $421 million. Joe Aguilar, Managing Partner, HMS Valuation Partners, speaks with Matthew Sherman,…
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Marketing Arrangements in Health Care: Latest Trends and Developments
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38:51Dan Levin, Director, Stout, speaks with Danielle Tangorre, Partner, Robinson & Cole, and Parker Eastin, Partner, Nicholson & Eastin, about the legal and regulatory landscape surrounding marketing arrangements in health care and how they are working with their clients to structure these arrangements. They discuss the types of arrangements they are s…
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Mental Health and Wellness: A Legal Check-In
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44:43Michelle Johnson Tidjani, CommonSpirit Health, and Florence L. Di Benedetto, Di Benedetto Solutions, Inc., discuss the mental health challenges that health lawyers face and how to tackle the stigma that the legal profession attaches to mental health. They share their personal experiences with mental health and strategies to build resilience and cop…
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Key Considerations for Joint Ventures Between Hospitals and Specialty Operators
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46:22Danielle Bangs, Director, Veralon, and Kelley Taylor Hearne, Partner, Faegre Drinker Biddle & Reath LLP, discuss the growing trend of health systems entering into joint ventures and other forms of partnership with specialty operators. They cover the trends they are seeing in this area, legal and financial issues that need to be worked through as th…
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