American Health Lawyers Association s1

AMERICAN HEALTH LAWYERS ASSOCIATION 2014-2015 Accountable Care Organization Task Force Planned Activities and Project Report November 2014

Task Force: Accountable Care Organization Task Force Chair: Christi Braun

Practice Groups: Antitrust; Fraud and Abuse; Health Information and Technology; Health Care Liability and Litigation; Hospitals and Health Systems; In-House Counsel; Labor and Employment; Life Sciences; Payers, Plans, and Managed Care; Medical Staff, Credentialing, and Peer Review; Physician Organizations; Post- Acute and Long Term Services; Regulation, Accreditation, and Payment; Tax and Finance; and Teaching Hospitals and Academic Medical Centers

Project Title Project Project Description Start Date Coordinator(s)

Co-Chairs Christi Braun 8/11/14: Submit FY 2015 Planned Activities and Project 7/1/14 Report to staff 12/19/14: Submit written Mid-Year Report to the Board of Directors 5/22/15: Submit written Annual Report to the Board of Directors

Membership Robert Cimasi Vice Chair to serve to recruit and retain members for the 7/1/14 Association and the Task Force.

Educational Julie Simer Vice Chair to coordinate distance learning events and 7/1/14 Programs luncheons.

Publications Troy Barsky Vice Chair to serve as liaison between Task Force and 7/1/14 Professional Resources Board Committee and to coordinate Executive Summaries, Member Briefings, and other written products etc.

Research and Julia Feldman Vice Chair to monitor and oversee relevant Task Force 7/1/14 Website sub-site of AHLA website; make suggestions for additional postings, web resources/links; and work on tutorial development etc.

Strategic Activities Paul DeMuro Vice Chair responsible for special projects throughout the 7/1/14 year.

AHLA encourages all Practice Groups/Task Forces to collaborate, communicate, and cooperate with other Practice Groups/Task Forces. Project Title Project Project Description Start Date Coordinator(s)

Leadership Christi Braun Schedule conference calls with Leadership, volunteers, 8/14 Conference Calls and AHLA staff to discuss upcoming projects. Calls are held on 1st Thursday of every month at 2:30 pm Eastern

Member Briefing Title: Payer/Provider Data Sharing in a Commercial ACO 10/14 (#1) Author: Lucia Savage

Member Briefing Troy Barsky Topic: New Proposed ACO Rule 8/21 (#2) Title: Author:

Member Briefing Bob Cimasi Topic: Proposed ACO Fraud & Abuse Waiver(s) 8/21 (#3) Title: Author:

Executive Summary Troy Barsky Title: TBD (#1)

Email Alerts Julia Feldman / Email the Task Force membership to provide updates on 7/14 Troy Barsky ACO-related developments. Title: Considerations from Inside the CIN Board Webinar (#1) 6/14 Room: Network Partnerships and Value-Based Contracts Speakers: James Daniel, Jr. and Melinda Hancock Co-Sponsors: IHC, Antitrust, BLG, HHS, MSCPR, Physicians, and Rap PGs and ACO TF Title: Medicare’s Proposal to Overhaul Home Health Webinar (#2) 10/14 Conditions of Participation Speakers: Stacey Meyer and Catherine Sloan Co-Sponsors: RAP, IHC, HIT, PALS, and TH PGs and HCR and ACO TF Webinar (#3) Title: ACOs and Clinically Integrated Networks: What You 10/14 Need to Know about Their Impact on Hospital Tax-Exempt Bonds Speakers: Debra Silverman, Johanna Som de Cerff, and M. Elizabeth Walker Co-sponsors: Tax-Exempt AG and Tax PGs and ACO TF

AHLA encourages all Practice Groups/Task Forces to collaborate, communicate, and cooperate with other Practice Groups/Task Forces. Project Title Project Project Description Start Date Coordinator(s)

Webinar (#4) Title: P4P Arrangements: Understanding Structures and 10/14 What to Look for in a FMV Opinion Speakers: Paul DeMuro and Jennifer Johnson Co-sponsors: ACO TF Webinar (#5) Title: Medicare Chronic Care Management: Billing, 10/14 Compliance, and Implementation Issues Speakers: Ann Bittinger, Denise Hall, Rick Hindmand Co-sponsors: Physicians, IHC, and RAP PGs and ACO TF Topic: Proposed ACO Fraud & Abuse Waiver(s) Webinar (#6) Bob Cimasi 8/21 Title: Speakers: Co-Sponsors: Fraud & Abuse and ACO TF Topic: ACO Structures & FMV: Lessons for P4P Webinar (#7) Julie Simer / Paul 8/21 Title: DeMuro Speakers: Co-Sponsors: Title: Physician Employment And Referral Tracking In Era Webinar (#8) Troy Barsky Of Value Based Care Speakers: Joe Lynch, Steve Stozio, Troy Barsky Co-Sponsors: In-House Counsel, Hospitals and Health Systems Title: Health System Transformation and the Law— Roundtable 5/14 Bridging Public Health and Health Care, Part I: Discussion (#1) Health Systems Transformation—What Does it Mean to You? Speakers: Akshara Menon, Matthey Penn, and Sara Rosenbaum Co-Sponsors: PHS AG, HHS, IHC, and RAP PGs and ACO TF and the Centers for Disease Control and Prevention's Public Health Law Program Title: Health System Transformation and the Law— Roundtable 5/14 Bridging Public Health and Health Care, Part II: Discussion (#2) Legal Mechanisms Supporting Accountable Care Principles—What Do They Mean for Your Practice? Speakers: Christine Burke Worthen and Tara Ramanathan Moderator: Abigail Ferrell Co-Sponsors: PHS AG, HHS, IHC, and RAP PGs and ACO TF and the Centers for Disease Control and Prevention's Public Health Law Program Title: Health System Transformation and the Law— Roundtable 5/14 Bridging Public Health and Health Care, Part III: Discussion (#3) Hospital Presumptive Eligibility for Medicaid— What’s Next? Speakers: Lisa Caucci and Sarah Mutinsky Moderator: Charles Luband Co-Sponsors: PHS AG, HHS, IHC, and RAP PGs and ACO TF and the Centers for Disease Control and Prevention's Public Health Law Program

AHLA encourages all Practice Groups/Task Forces to collaborate, communicate, and cooperate with other Practice Groups/Task Forces. Project Title Project Project Description Start Date Coordinator(s) Topic: Roundtable Julie Simer 8/21 Title: Discussion (#4) Speaker: Julie Barnes Title: ACOs and Population Health: What is on the Educational Call Julie Simer 9/14 Horizon? (#1) Speakers: Cynthia Wisner Moderator: Julie Simer In-Person Luncheon Co-sponsor a luncheon meeting with the Payers, Plans, (#1) and Managed Care Practice Group at the 2015 Physicians and Hospitals Law Institute in Las Vegas, NV (February 2- 4, 2015). Description and faculty due to AHLA on November 10, 2014. Date: TBD Title: TBD Speakers: TBD

In-Person Luncheon Bob Cimasi / Troy Co-sponsor a luncheon meeting with the Health Care 3/15 (#2) Barsky Reform Educational Task Force at the 2015 Institute on Medicare and Medicaid Payment Issues in Baltimore, MD (March 25-27, 2015). Description and faculty due to AHLA on December 15, 2014. Date: Thursday, March 27, 2015 Title: TBD Speakers: TBD

In-Person Luncheon Bob Cimasi Sponsor a luncheon meeting at the 2015 Health Care 4/15 (#3) Transactions in Nashville, TN (April 16-17, 2015). Description and faculty due to AHLA on January 12, 2015. Date: Friday, April 17, 2015 Title: TBD Speakers: TBD Tutorials Explore production of tutorials—web-accessible, pre- recorded audio lessons featuring talented faculty with knowledge and expertise in the specific areas—as an additional resource for Task Force membership.

Special Project (#1) Identify opportunities to promote the Task Force through 7/12 Social Media: online video sharing outside of the AHLA website, Video Sharing potentially including postings of short clips from webinars, to provide greater visibility for the Task Force, AHLA, and presenters.

Special Project (#2) Determine whether parts of presentations or documents 7/12 Social Media: produced by the Task Force should be provided online to Presentation the general public by sharing key pieces/snippets of and Document materials to generate discussion and interest in the topic. Sharing This will also help provide greater visibility for the Task Force, AHLA, and educational materials authors.

AHLA encourages all Practice Groups/Task Forces to collaborate, communicate, and cooperate with other Practice Groups/Task Forces.