# 012232
Providing Medicine on a New Playing Field - What Providers and their Lawyers Need to Know Under the Newly Implemented ACAThe 5th Annual LACBA-LACMA Healthcare Law and Medicine Educational Symposium, will address the evolving implementation of the Affordable Care Act and the issues raised by cancellation of insurance coverage mid-treatment, determinations of medical necessity, and strategies for obtaining adequate remuneration.
Program Schedule:
5:50 - 7:20 p.m. - Introductions and Panel I
Health Insurance - You Either Have it or You don't ... or Do You?
Effects of cancellation of existing health insurance policies on providers, patients, and institutions; implications and potential remedies for cancellation of policies mid-treatment
Robin McCaffery, Esq., Associate Legal Counsel, Cedars-Sinai Health System
David Jones, Esq., Insurance Commissioner, California Department of Insurance
Eli N. Avila, M.D., J.D., MPH, Orange County Commissioner of Health, New York
Thomas V. Girardi, Esq., Girardi | Keese Lawyers, Champions of Justice Radio Host
7:20 - 7:30 p.m. - Break
7:30 - 8:15 p.m. - Panel II
Medical Necessity: Manning the Gates to Healthcare Services and Legal Implications for Physicians and other Stakeholders
The ACA's impact on defining medical necessity and the determination process; strategies, legal remedies, and the implications of healthcare reform on the standard of practice; steps to reducing physician liability exposure with respect to these emerging legal challenges, including new insurance coverage issues.
William Shernoff, Esq., Founding Partner, Shernoff Bidart Echeverria Bentley LLP
Andrea Rosen, Esq., Senior Counsel and Plan Management Policy Advisor, Covered California
8:15 - 9:15 p.m. - Panel III
Getting Treatment and Remuneration in the New Playing Field
Methods for obtaining adequate remuneration for physicians, including the implications of opting out of or limiting participation in Medicare, becoming a non-contracted, non-participating physician provider, and physician unionization
Long Do, Esq., Legal Counsel and Director of Litigation, California Medical Association
John Mills, Esq., Associate, Fenton Nelson LLP
Stuart Bussey, M.D., J.D., President, Union of American Physicians and Dentists
9:15 - 9:30 p.m. - Q & A
Program Committee:
Robert Bitonte, M.D., J.D., (Co-Chair)
Mary E. Kelly, R.N., J.D., Administrative Law Judge (Co-Chair)
Linda R. Carl, R.N., J.D.
Diana E. Gesshel, J.D.
Howard Krauss, M.D.
Helen E. Ovsepyan, J.D.