On-Demand   On-Demand Web Programs

Health Care Law Institute 2016: Emerging Challenges and Trends in Reimbursement, Enforcement, Compliance and other Hot Topics

Released on: Jan. 3, 2017
Running Time: 06:13:23

Our expert faculty of health care practitioners, in-house counsel, government regulators, and prosecutors will examine the current state of health care law and what the future might hold for affected parties. This program will cover the a broad range of issues confronting the health care industry: payment reforms; structuring of compliant financial and other relationships; recent developments in scientific discourse and promotional guidelines affecting regulated companies; and federal and state enforcement of health care fraud and abuse laws, including the federal False Claims Act, the federal Anti-Kickback Statute, the Stark law, and similar state laws. 

You will learn:

  • Explore recent developments in health care legislation, regulations and case law.
  • Examine emerging trends in federal and state enforcement of health care fraud and abuse laws
  • Learn the best practices for effective compliance programs and internal investigations
  • Discuss recent changes in payment reform and related measures

This program is designed for newly-admitted and experienced health care attorneys, in-house counsel and allied professionals.

Lecture Topics [Total time 06:13:23]

Segments with an asterisk (*) are available only with the purchase of the entire program.


  • Opening Remarks and Introduction* [00:06:32]
    David J. Farber
  • Drug and Biologic Pricing: HotTopics [00:58:47]
    Jonathan Connell, Rujul Desai
  • Health Care Payment Reforms: New Measures and Trends [01:03:31]
    Piper Su, Thomas Gustafson
  • Enforcement Trends in Health Care Law [01:00:48]
    Laura F. Laemmle-Weidenfeld, Adam Robison
  • Current Developments in eHealth and mHealth [01:00:08]
    Marian J Lee, Alexander H. Southwell
  • Compliance Programs and Investigations in Health Care Organizations [01:00:41]
    Donald A Romano, Laurence J. Freedman
  • Legislative Initiatives: Hot Topics in Health Care [01:02:56]
    David J. Farber, Gary A. Heimberg

The purchase price of this Web Program includes the following articles from the Course Handbook available online:


  • COMPLETE COURSE HANDBOOK
  • First Year in Review: Top Ten Things to Know about Biosimilar Reimbursement in the U.S. (April 14, 2016)
    Esther Scherb
  • Medicare Part B Drug Payments Implicated in CMMI Models
    Rujul Desai
  • Proposed Medicare Part B Rule Would Reduce Payments to Hospitals and Some Specialists, While Increasing Payments to Primary Care Providers (April 7, 2016)
    Rujul Desai
  • Commercial Uncertainty Remains as U.S. Biosimilar Pipeline Matures
    Rujul Desai
  • Health Plans Are Interested in Tying Drug Payments to Patient Outcomes (June 16, 2016)
    Rujul Desai
  • Medicare Beneficiaries Will Pay More for Biosimilars than for Their Biologic Reference Products in Part D (April 12, 2016)
    Rujul Desai
  • CMS Plans to Overhaul Medicares Beneficiary Identification System: What You Need to Know (October 13, 2016)
    Thomas A. Gustafson, Alexander R. Cohen
  • Sweeping Changes in Store for Laboratory Payments: Medicare Sets Rule for Market Rates Starting in 2018 (July 6, 2016)
    Paul M. Rudolf, Jennifer B. Madsen, Amanda Cassidy, Thomas A. Gustafson
  • CMS Finalizes Medicare Laboratory Payment Overhaul (June 2016)
    Piper Su
  • Amarin and FDA Agree to Landmark Settlement on Off-Label Promotion (March 2016)
    Laura F. Laemmle-Weidenfeld
  • Supreme Court Decides Validity of Implied False Certification Theory in Universal Health Services v. Escobar (June 2016)
    Laura F. Laemmle-Weidenfeld
  • General Memo: Individual Accountability for Corporate Wrongdoing, Sally Quillian Yates, Deputy Attorney General (September 9, 2015)
    Laura F. Laemmle-Weidenfeld
  • 2016 Mid-Year FDA and Health Care Compliance and Enforcement Update—Drugs and Devices (July 27, 2016)
    Marian J. Lee
  • CMS Abandons Payment Cut Imposed By Two-Midnight Rule (April 20, 2016)
    Donald H. Romano
  • Supreme Court Holds Providers Cannot Sue States to Challenge Low Medicaid Rates (April 3, 2015)
    Donald H. Romano
  • The Dynamic Political and Public Policy Landscape in DC on Pharmaceutical Issues (October 11, 2016)
    Joan Kutcher, Gary Heimberg
  • Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models (October 14, 2016)
  • Medicare Access and CHIP Reauthorization Act of 2015, Pub. Law 114–10 (April 16, 2015)
  • 21st Century Cures Act, H.R. 6 Section-by-Section Summary, House Committee on Energy & Commerce (July 2, 2015)

Presentation Material


  • Drug and Biologic Pricing: HotTopics
    Jonathan Connell, Rujul Desai
  • Health Care Payment Reforms: New Measures and Trends
    Thomas Gustafson, Piper Su
  • Enforcement Trends in Health Care Law
    Laura F. Laemmle-Weidenfeld, Adam Robison
  • Current Developments in eHealth and mHealth
    Marian J Lee
  • Compliance Programs and Investigations in Health Care Organizations
    Laurence J. Freedman, Donald A Romano
  • Legislative Initiatives: Hot Topics in Health Care
    David J. Farber, Gary A. Heimberg
Co-Chair(s)
David J. Farber ~ King & Spalding LLP
Speaker(s)
Jonathan Connell ~ Senior Counsel, Bristol-Myers Squibb
Rujul Desai ~ Avalere Health LLC
Laurence J. Freedman ~ Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
Thomas Gustafson ~ Senior Policy Advisor, Arnold & Porter Kaye Scholer
Gary A. Heimberg ~ Covington & Burling LLP
Marian J Lee ~ Gibson Dunn & Crutcher LLP
Adam Robison ~ Associate, King & Spalding LLP
Donald A Romano ~ Foley & Lardner LLP
Alexander H. Southwell ~ Gibson, Dunn & Crutcher LLP
Piper Su ~ McDermott + Consulting
General credit information about this format appears below. For credit information specific to this program, please choose your jurisdiction(s) in the Credit Information box on the right-hand side of this page.

PLI’s live and on-demand webcasts are single-user license products intended for an individual registrant only. Credit will be issued only to the individual registered.


U.S. MCLE States

Alabama:  PLI’s on-demand web programs qualify as “online” credit. Attorneys are limited to 6 credits of online programs per reporting period.

Alaska:  All PLI products can fulfill Alaska’s CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Arizona:  PLI’s on-demand web programs qualify as “interactive CLE” credit. There is no limit to the number of credits an attorney can earn via interactive CLE programs.

Arkansas:  PLI’s on-demand web programs are not approved for Arkansas CLE credit.

California:  PLI’s on-demand web programs qualify as “participatory” credit. There is no limit to the number of credits an attorney can earn via participatory programs.

Colorado:  All PLI products can fulfill Colorado’s CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Connecticut: Effective January 1, 2017, all PLI products can fulfill Connecticut’s CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Delaware:  PLI’s on-demand web programs qualify as “eCLE” credit. Attorneys are limited to 12 credits of eCLE per reporting period, no more than 6 of which may be audio-only.

Florida:  All PLI products can fulfill Florida’s CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Georgia:  PLI’s on-demand web programs qualify as “in-house” credit. Attorneys are limited to 6 in-house credits per reporting period.

Hawaii:  All PLI products can fulfill Hawaii’s CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Idaho:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 15 credits of self-study per reporting period.

Illinois:  All PLI products can fulfill Illinois' CLE requirements for experienced attorneys. There is no limit to the number of credits an attorney can earn via PLI products.

Indiana:  PLI’s on-demand web programs qualify as “distance education” credit. Attorneys are limited to 9 credits of distance education per reporting period.

Iowa:  PLI’s on-demand web programs qualify as “unmoderated” credit. Attorneys are limited to 6 credits of unmoderated programs per reporting period.

Kansas:  PLI’s on-demand web programs qualify as “prerecorded” credit. Attorneys are limited to 6 credits of prerecorded programs per reporting period.

Kentucky:  PLI’s on-demand web programs qualify as “non-live” credit. Attorneys are limited to 6 non-live credits per reporting period.

Louisiana:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 4 credits of self-study per reporting period.

Maine:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 5.5 credits of self-study per reporting period.

Minnesota:  PLI’s on-demand web programs qualify as “on-demand” credit. Attorneys are limited to 15 on-demand credits per reporting period.

Mississippi:  PLI’s on-demand web programs qualify as “distance learning” credit. Attorneys are limited to 6 credits of distance learning per reporting period.

Missouri:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 6 credits of self-study per reporting period.

Montana:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 5 credits of self-study per reporting period.

Nebraska:  PLI’s on-demand web programs qualify as “computer-based learning” credit. Attorneys are limited to 5 credits of computer-based learning per reporting period.

Nevada:  PLI’s on-demand web programs qualify as “self-study” credit. There is no limit to the number of credits an attorney can earn via self-study programs.

New Hampshire:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 6 credits of self-study per reporting period.

New Jersey:  PLI’s on-demand web programs qualify as “alternative verifiable learning formats” credit. Attorneys are limited to 12 credits of alternative verifiable learning formats per reporting period.

New Mexico:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 4 credits of self-study per reporting period.

New York

Experienced Attorneys:  All PLI products can fulfill New York’s CLE requirements for experienced attorneys. There is no limit to the number of credits an attorney can earn via PLI products.

Newly Admitted Attorneys:  PLI’s transitional on-demand web programs can be used to fulfill the requirements for New York newly admitted attorneys. Only professional practice and law practice management credits may be earned via transitional on-demand web programs. Ethics and skills credits may not be earned via on-demand web programs.

North Carolina:  PLI’s on-demand web programs qualify as “online” credit. Attorneys are limited to 6 credits of online programs per reporting period.

North Dakota:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 15 credits of self-study per reporting period.

Ohio:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 12 credits of self-study per reporting period.

Oklahoma:  PLI’s on-demand web programs qualify as “online, on-demand” credit. Attorneys are limited to 6 credits of online, on-demand programs per reporting period.

Oregon:  All PLI products can fulfill Oregon’s CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Pennsylvania:  PLI’s on-demand web programs qualify as “distance learning” credit. Attorneys are limited to 6 credits of distance learning per reporting period.

Puerto Rico:  PLI’s on-demand web programs qualify as “non-traditional” credit. Attorneys are limited to 8 credits of non-traditional programs per reporting period.

Rhode Island:  PLI’s on-demand web programs qualify as “on-demand” credit. Attorneys are limited to 3 on-demand credits per reporting period.

South Carolina:  PLI’s on-demand web programs qualify as “alternatively delivered” credit. Attorneys are limited to 6 credits of alternatively delivered programs per reporting period.

Tennessee:  PLI’s on-demand web programs qualify as “distance learning” credit. Attorneys are limited to 8 credits of distance learning per reporting period.

Texas:  All PLI products can fulfill Texas’ CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Utah:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 12 credits of self-study per reporting period.

Vermont:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 10 credits of self-study per reporting period.

Virgin Islands:  All PLI products can fulfill the Virgin Islands’ CLE requirements. There is no limit to the number of credits an attorney can earn via PLI products.

Virginia:  PLI’s on-demand web programs qualify as “pre-recorded” credit. Attorneys are limited to 8 credits of pre-recorded programs per reporting period.

Washington:  PLI’s on-demand web programs qualify as “A/V” credit. Attorneys are limited to 22.5 credits of A/V programs per reporting period.

West Virginia:  PLI’s on-demand web programs qualify as “online” credit. Attorneys are limited to 12 credits of online instruction per reporting period.

Wisconsin:  PLI’s on-demand web programs qualify as “repeated, on-demand” credit. Attorneys are limited to 15 credits of repeated, on-demand programs per reporting period. No ethics credits can be earned via on-demand web programs.

Wyoming:  PLI’s on-demand web programs qualify as “self-study” credit. Attorneys are limited to 6 credits of self-study per reporting period.


CPD Jurisdictions

British Columbia (CPD-BC):  PLI’s on-demand web programs are not eligible for CPD-BC credit unless viewed with at least one other attorney or an articled student. In this case, the credit must be recorded as a “study group.”

Ontario (CPD-ON):  PLI’s on-demand web programs qualify as “recorded” credit. If viewed without a colleague, attorneys are limited to 6 credits of recorded programs per year. If viewed with at least one colleague, there is no limit to the number of credits that can be earned via recorded programs.

Quebec (CPD-QC):  PLI’s on-demand web programs can fulfill Quebec’s CPD requirements.

Hong Kong (CPD-HK):  PLI’s on-demand web programs are not approved for CPD-HK credit.

United Kingdom (CPD-UK):  PLI’s on-demand web programs can fulfill the United Kingdom’s CPD requirements.

Australia (CPD-AUS):  PLI’s on-demand web programs may fulfill Australia’s CPD requirements. Credit limits for on-demand web programs vary according to jurisdiction. Please refer to your jurisdiction’s CPD information page for specifics.


Other Credit Types

CPE Credit (NASBA):  Select on-demand web programs qualify as “QAS Self-Study” credit. Please check the Credit Information box on the right-hand side of this page to verify CPE credit availability.

IRS Continuing Education (IRS-CE):  PLI’s on-demand web programs may fulfill IRS-CE requirements. To request IRS-CE credit, please notify PLI at plicredits@pli.edu of your request and include your Preparer Tax Identification Number (PTIN).

Certified Fraud Examiner CPE:  PLI’s on-demand web programs may fulfill Certified Fraud Examiner CPE requirements. To request CPE credit or find out which programs offer CPE, please contact PLI at plicredits@pli.edu.

IAPP Continuing Privacy Credit (CPE):  PLI’s on-demand web programs may fulfill Privacy CPE credit requirements.

HR Recertification (HRCI):  PLI’s on-demand web programs may fulfill HR credit requirements.

SHRM Recertification (SHRM):  PLI’s on-demand web programs qualify as "self-paced" credit. SHRM professionals are limited to 30 credits of self-paced programs per recertification period.

Compliance Certification Board (CCB):  PLI’s on-demand web programs qualify as “self-study” credit. Candidates are limited to 10 self-study credits per 12-month period, and certification holders are limited to 20 self-study credits per 2-year renewal period.

Certified Anti-Money Laundering Specialists Certification (CAMS):  PLI’s on-demand web programs are not approved for CAMS credit.

New York State Social Worker Continuing Education (SW CPE):  PLI’s on-demand web programs are not approved for SW CPE credit.

American Bankers Association Professional Certification (ABA):  PLI’s on-demand web programs may fulfill ABA credit requirements.

 

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“Excellent diversified content!”- 2015 Attendee

“This was better than many health law CLE's I have attended or to which I have listened.  The speakers were excellent.” - 2015 Attendee


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