Washington, DC (October 8, 2014) — Epstein Becker Green today announced that Lynn Shapiro Snyder and Tanya Cramer have written a newly released topical Portfolio for Bloomberg BNA on provider risk sharing arrangements entitled, “Accountable Care Organizations and Other Provider Risk Sharing Arrangements, 2nd edition.” The Portfolio discusses the federal and state regulatory schemes for accountable care organizations (ACOs), integrated delivery systems, and other provider organizations that assume some or all of the financial risk for providing covered health care benefits to patients. This Portfolio initially was published in the 1990s when the new integration at that time was in the form of physician-hospital organizations. This Second Edition addresses the more recent integration models such as ACOs. The portfolio series is available on Bloomberg Law, Bloomberg BNA’s flagship legal product, and BNA’s Health Law Resource Center.
The authors note that there is widespread recognition that this country must strive to reduce health care costs while at the same time improving both patient experience and population health. One way in which policy makers, insurers and providers are trying to achieve this goal is by realigning the financial incentives on providers, so that rather than being paid more for every procedure and test performed regardless of patient outcomes, providers are rewarded for keeping patients healthy while also controlling costs. This can involve the full assumption of risk, as in capitation arrangements, or partial assumption of risk, as in shared savings arrangements, which are commonly used in ACOs.
Lynn Shapiro Snyder, Senior Member of Epstein Becker Green and co-author of the portfolio, explained that: “While the federal government has encouraged the growth of ACOs through the Affordable Care Act, the regulation of provider risk sharing remains a patchwork of federal and state requirements that span many different areas of law including fraud and abuse, antitrust, tax, privacy, and state insurance regulation, among others. This portfolio gives health care providers and their attorneys and consultants an overview of some of the legal issues that must be considered in structuring and operating these arrangements.”
Bloomberg BNA Legal & Business Portfolios are written by expert practitioners and feature deep-dive analysis and practice tools, such as checklists, sample client letters, forms and other supporting material, on a wide range of key legal topics. Sharply focused on providing clear analysis of legal issues and trends within a practical context, the Portfolios enhance an understanding of the relevant legal and regulatory framework and provide essential guidance on developing strategies to meet client needs effectively and efficiently. Bloomberg BNA’s Legal & Business Portfolios are available in the areas of corporate practice, securities, privacy and data security law, health law and business, banking and litigation.
“We are pleased that Lynn Shapiro Snyder and Tanya Cramer of Epstein Becker Green have contributed Accountable Care Organizations and Other Provider Risk Sharing Arrangements, 2nd edition to Bloomberg BNA Health Law & Business Series Portfolios,” said Michael Eisenstein, Bloomberg BNA’s Vice President and Group Publisher, Legal & Business Publishing Group. “For decades, business and legal professionals have relied on Bloomberg BNA’s Portfolios for timely and in-depth insight into the most important issues in law. Accountable Care Organizations and Other Provider Risk Sharing Arrangements 2nd edition adds to our lineup of these foundational resources that focus on important issues to practitioners in a given practice area and offer sound legal plans and strategies.” Sharply focused on providing clear analysis of legal issues and trends within a practical context, the Portfolios enhance an understanding of the relevant legal and regulatory framework and provide essential guidance on developing strategies to meet client needs effectively and efficiently.
Lynn Shapiro Snyder is a Senior Member of Epstein Becker Green’s Health Care and Life Sciences and Litigation practices in the firm’s Washington, DC, office, and she is Strategic Counsel with EBG Advisors, Inc. Ms. Snyder has over thirty five years of experience at Epstein Becker Green advising clients about federal, state, and international health law issues, including Medicare, Medicaid, TRICARE, compliance, and managed care issues. Her clients include health care providers, payors, pharmaceutical/device manufacturers, and those companies and financial services firms that support the health care industry. Tanya Cramer is Of Counsel in the Health Care and Life Sciences and Litigation practices, in the firm’s Washington, DC, office. Her practice focuses on federal and state health regulatory and antitrust matters for a wide range of clients in the health care industry.
About Epstein Becker Green
Epstein Becker & Green, P.C., established in 1973, is a national law firm with approximately 250 lawyers practicing in 10 offices, in Baltimore, Boston, Chicago, Houston, Los Angeles, New York, Newark, San Francisco, Stamford, and Washington, D.C. The firm’s areas of practice include health care and life sciences; employment, labor, and workforce management; and litigation and business disputes. Founded as an industry-focused firm, Epstein Becker Green has decades of experience serving clients in health care, financial services, retail, hospitality, and technology, among other industries, representing entities from startups to Fortune 100 companies. For more information, visit www.ebglaw.com.
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