Health Laws & Regulations
We have specialized, deep experience across the broad spectrum of laws and regulations that uniquely impact health care organizations. Many of these laws apply universally within the health care industry. The ability of technology-enabled practices to reach populations in multiple states with different laws and the fusion of technology-enabled care with value-based care is an appealing draw for health care innovators and venture capitalists. However, because advances in technology continue to outpace advances in law, technology-enabled health care models are confronted with a uniquely complex set of legal challenges. We have experience representing businesses at this intersection of health law and innovation.
Our work in these areas include:
Helping clients understand and comply with the regulatory requirements and restrictions created to minimize health fraud and abuse and to promote patient safety, including laws relating to health referrals, marketing arrangements, incentive programs, discounts, and other payment arrangements. Specifically, we counsel clients on compliance with the Stark Law, Federal Anti-Kickback Statute, anti-inducement laws, fee-splitting restrictions, and other related rules and regulations.
Advising organizations on clinical compliance including rules and standards relating to telehealth, professional licensure, clinical supervision, scope of practice, prescribing, controlled substances prescribing, restrictions on the corporate practice of medicine, notice and informed consent requirements, lab ordering rules, and clinical risk management.
Providing legal support and guidance for meeting requirements for reimbursement under government and commercial insurance programs, including Medicare, Medicaid, Medicare Advantage, fully- or self-insured commercial insurance, and managed care.
Helping companies develop and implement legal and compliance infrastructure needed to support their health care businesses in a fee for service or value-based care world.