Medical Directorships: Key Considerations, Fraud and Abuse Compliance, Lessons From Recent Enforcement

Mr. Balk focuses his practice on transactions and regulatory compliance matters. Working with a variety of healthcare entities, including hospitals, health systems and long-term care and post-acute providers, he serves as a strategic partner providing the experience needed to successfully address the many unique issues that can arise during healthcare transactions. Mr. Bank also assists clients as they navigate the complex regulatory considerations that govern the healthcare industry.

Ms. Ferrari is a nationally recognized expert on fair market value and commercial reasonableness, the "Big Three" and their role in regulatory compliance, investigations, and litigation. She has authored over 100 publications and presentations on topics related to physician and healthcare provider compensation, contracting, investigations, and related ethical issues. She is known for her work with rural, academic, public, and clinically integrated, value-based healthcare systems. Ms. Ferrari's focus areas include compensation review for compliance with fraud and abuse laws, tax-exempt regulations, antitrust laws, anti-discrimination laws, and assisting clients in transition to value-based payments, including structuring participation agreements, compensation plans and incentive payments in the context of coordinated care and provider alignment strategies, such as clinically integrated networks, ACOs, gainsharing and "Hospital Quality and Efficiency Programs." Prior to joining Hancock Daniel, she was Principal and GC for a national advisory and healthcare solutions firm and a Partner at a well-known national compensation consulting and advisory firm, where she led the service line focused on CINs, ACOs, and other value-based care structures and worked with clinically integrated network and ACO participants across the U.S.

Mr. Sylla has a decade of experience in helping hospitals and health systems comply with healthcare's fraud and abuse regulatory framework. Specializing in provider compensation arrangements, Mr. Sylla has used that experience to develop compensation plans, investigate and audit provider arrangements, and resolve problematic arrangements with governmental agencies.