Theresa C. Carnegie and Thomas S. Crane, Members of the Health Law Practice of Mintz, Cohn, Ferris, Glovsky and Popeo, P.C. will speak at the Fraud and Compliance Forum presented by the American Health Lawyers Association (AHLA). The conference will take place September 30 - October 1 in Baltimore, Maryland.
Ms. Carnegie’s presentation is entitled, “Fundamentals of Health Care Valuation for Health Lawyers.” She will discuss “Fair Market Value,” basic valuation principles and approaches, and common recurring problems in health care valuation.
Mr. Crane’s presentation, entitled, “The Nuts and Bolts of the Sunshine Act and Enforcement Implications," will cover the legal framework of the Sunshine Act, key terms and exceptions, principal reporting obligations, and potential enforcement uses of the data.
The Fraud and Abuse Forum is designed specifically for compliance officers and health attorneys who must advise their clients and institutions on the latest developments in fraud and abuse and compliance issues. Attendees will hear from leading private practitioners and representatives from the Office of Counsel to the Inspector General, the Department of Justice, and the Centers for Medicare and Medicaid Services.
Ms. Carnegie counsels health care clients on a variety of transactional, regulatory, and fraud and abuse matters. She focuses much of her practice on counseling health plans, pharmacy benefit managers, pharmacies, device manufacturers, and distributors on regulatory and compliance matters. Her practice extends to counseling on drug pricing and reimbursement issues, Medicare Advantage and Medicare Part D compliance, and the regulatory requirements under the Affordable Care Act and state health insurance exchanges.
Mr. Crane is nationally recognized for his experience with fraud and abuse. Practicing in Boston and Washington, DC, he advises national and local clients on structuring complex strategic affiliation arrangements and transactions to comply with the applicable fraud and abuse laws as well as the variety of other regulatory requirements to meet today’s health reform challenges. His work in defending clients against anti-kickback, Stark Law, false claims, and whistleblower allegations includes litigation, internal investigations, voluntary disclosures, and negotiating settlements and Corporate Integrity Agreements (CIAs).
Attorneys in Mintz Health Law Practice, many of whom have held senior government positions or served as in-house counsel, represent for-profit and non-profit, domestic and international companies in connection with a wide variety of business and legal transactions, challenges and issues that they confront both on a daily basis and in bet-the-company matters. Clients span the full spectrum of the industry, including hospital systems, managed care organizations, laboratories, long-term care providers, durable medical equipment suppliers, behavioral health companies, pharmaceutical and medical device manufacturers, retail pharmacies and pharmacy benefit managers.