The change in presidential administrations traditionally brings new priorities, policy goals, and the opportunity for legislative and regulatory change, and the 2021 inauguration of President-Elect Biden is no exception. The Biden administration will be facing a changing and challenging health care landscape that continues to be shaped by the need to address the COVID crisis, including the need for an effective COVID-19 vaccination that can be rolled out to the general public in a timely manner. The incoming administration also will be awaiting a ruling from the Supreme Court regarding the survival of the Affordable Care Act which, depending on the Court’s ruling, could upend the American health insurance system. Finally, as with any administration, the new administration will be looking to implement its own policy goals - including expanding value-based reimbursement, continuing efforts to end surprise billing, and increasing fraud and abuse enforcement efforts.
In this program, experienced healthcare attorneys Margaret Davino and Hillary Stemple will provide an overview of what health care providers should expect from the first year of the Biden administration, as well as possible long-term Biden administration efforts. They will be joined by Dr. Ferdinando Mirarchi who will offer a provider’s perspective on the changing health care landscape and the real-world implications of the administration’s priorities.
Ferdinando L. Mirarchi, DO, FAAEM, FACEP, is the Medical Director of the UPMC Hamot Emergency Department in Erie, Pennsylvania, He is the Chief of Emergency Services for UPMC’s Norther Tier of Emergency Services and is the Chairman of the UPMC Hamot Physician Network Governance Council.
He is the Principal Investigator of the TRIAD Research Series (The Realistic Interpretation of Advance Directives). The results of his TRIAD research have been featured in the NY Times, Washington POST, Boston Herald and many more nationally syndicated outlets. The TRIAD research has confirmed that there is a new nationwide and global patient safety risk related to confusion surrounding living wills, DNR & POLST orders. His TRIAD research has also set the foundation for the development and utilization of a state of the art, evidence-based patient safety solution called MIDEO (My Informed Decision on VidEO). MIDEO has been structured to be both a Video Advance Directive and Physicians Medical Order that is prescriptive, clarifies existing documents and retrievable in seconds.
Dr. Mirarchi is the author of Understanding Your Living Will; What You Need to Know before a Medical Emergency, published by Addicus Books. He is a fellow of the American College of Emergency Physicians, and a fellow of the American Academy of Emergency Medicine.
Hillary Stemple is an associate in Arent Fox’s Health Care group where she represents health care providers, including hospitals and health care systems, long term care facilities, and hospice and home care agencies.
Hillary regularly advises clients on compliance with health care fraud and abuse laws, with an emphasis on the Stark law and anti-kickback statute. She also counsels clients on internal and external investigations, particularly investigations related to the False Claims Act, as well as on reimbursement issues, licensing requirements, and other compliance matters.
Former general counsel to medical centers in New York and New Jersey, Margaret is an experienced and effective health care attorney who handles a broad spectrum of health care matters, including transactional, compliance, contractual, corporate, regulatory, governance, managed care/payer (including value-based arrangements) and risk management issues. Her clients include hospitals, physicians and physician groups, startup companies, FQHCs, home care agencies, pharmacies, laboratories, agencies for the developmentally disabled, care management companies, billing companies, nonprofit companies, health care IT vendors and a variety of other providers and entities in the health care space.
She handles joint ventures, sales and acquisitions of practices and companies; formation of new entities and practices; structuring arrangements and relationships between health care entities; DSRIP/PPS issues; bylaws and governance matters; physician-hospital contracts; affiliation and/or service contracts; employment agreements; managed care issues; IT contracts and issues; regulatory compliance; HIPAA; medical staff affairs; captive PCs and faculty practices; separation agreements; ambulatory surgery center joint ventures; and physician disciplinary matters. She has served as health care counsel in hospital bankruptcies and structured various management agreement arrangements between entities. She also provides advice in such areas as consent and confidentiality and frequently conducts corporate investigations and assists with internal compliance programs. She has also been involved with various long-term care issues and arrangements.
Presenters were very knowledgable.
Good overview of issues.
Very well-prepared speakers. The subject requires more than one hour.
Excellent presentation. Very informative. Thank you!!