NM Talks Healthcare

On this episode of NM Talks Healthcare, Nelson Mullins partner Cara Ludwig and senior associate Alyssa Riggins discuss the Department of Labor’s new salary thresholds for exempt employees, including potential impacts for healthcare employers, and how to ensure compliance between now and the January 1, 2025, effective date.

In this episode, Nelson Mullins partner Knicole Emanuel and senior associate Melissa Scott analyze the framework of Medicare and Medicaid regulatory audits of healthcare providers by shedding light on the relationship between the Medicare and Medicaid Integrity Programs and the types of contractors driving the force of compliance investigations. Emanuel and Scott also provide an overview of the audit process and strategies for providers to manage compliance-related risks and defend against unfavorable audit decisions.

On this episode of NM Talks Healthcare, Nelson Mullins partners Ed White and Mike Segal are joined by Jim Carr and Luis Argueso, consultants, partners, and co-founders of InHealth Advisors. During the episode, they discuss the concept of how a Value-Based Enterprise (“VBE”) can transform the relationship between a management services organization (“MSO”) and its friendly physician professional corporation (“PC”), how to integrate a VBE into the MSO-friendly PC structure to help change the narrative surrounding non-physician participation in healthcare delivery, how a VBE can create a low-risk regulatory environment in the MSO-friendly PC structure, how new VBE revenue generation opportunities can enable an MSO to improve alignment with its physician providers and lessen reliance on restrictive covenants, and how creating new collaborative opportunities can lessen dependence on acquiring physician practices and open possibilities for partnering with hospitals.

In this episode of NM Talks Healthcare, join Nelson Mullins partner Christine Worthen and a Director at Berkeley Research Group, LLC Mandy Asgeirsson in an overview of Medicare Advantage risk adjustment, including history and recent regulatory changes impacting payers and providers. This episode takes a deeper look into the main areas of government investigation, what the changes mean for payers and providers, and offers practical takeaways based on what we are seeing in the industry. 

In this episode of NM Talks Healthcare, Nelson Mullins Healthcare Practice Group Leader Tom Moran interviews partners Trish Markus and Christine Worthen and of counsel Heather Miller about their experiences as being in leadership roles with the American Health Law Association (AHLA). During their discussion they touch on collegiality, top-notch education opportunities, multi-tasking, and more.

On this episode of NM Talk Healthcare, Healthcare partner Hannah Cross leads the discussion with e-discovery partners Julia Hartley and Travis Bustamante on creating and maintaining privilege over internal investigations. Tune in to hear about practical steps companies can take on the front end to create privilege and the downstream impact that process and procedure implementation can create if the internal investigation becomes relevant to subsequent litigation.

On this episode of NM Talks Healthcare, join Raleigh partners Bob Wilson and Cara Ludwig in discussion of the Rural Healthcare Initiative and how a multi-disciplinary team of professionals is working to secure the future of healthcare in rural America. 

On this episode of NM Talks Healthcare, join antitrust lawyers Denise Gunter and Carrie Hanger in their discussion of the current enforcement environment, the potential impact on parties to healthcare transactions, and recommendations for conducting due diligence and pre-integration planning in an antitrust compliant manner. It is no secret that the Biden Administration has ramped up the enforcement of the existing antitrust laws. Now more than ever, it is critical that parties looking to engage in healthcare transactions are aware of the antitrust laws and put appropriate precautions in place to avoid making missteps. 

On this episode of NM Talks Healthcare, join health care attorney Cara Ludwig and employment attorney Alyssa Riggins as they dive into issues of employee misclassification and the legal differences between an independent contractor and an employee. With enforcement actions for employee misclassification in the healthcare industry on the rise, tune in to learn more about this important topic. 

On this episode of NM Talks Healthcare, join of counsel Heather Miller as she interviews partners Ed White and Mike Segal about the vital topics of value-based care and value-based enterprises. Healthcare reimbursement is steadily moving towards reimbursement based upon providing a better quality of care at a lower cost – value-based care. Segal and White will also dive into changes in rules regarding the Stark and anti-kickback laws, the creation of the concept of value-based enterprise, and how healthcare providers and companies can use value-based enterprises as a business tool.