The Health Care Reform Package has significant implications for health care compliance professionals. This presentation addresses many of the issues that they will be compelled to face right away, and in the next several years.

1. Kevin D. Lyles, Esq. [email_address] (614) 281-3821 Enforcement and Economic Challenges The Road Ahead and How to Navigate It Diane Meyer, CHC [email_address] (650) 724-2572 Frank E. Sheeder, Esq. [email_address] (214) 969-2900

50. Accountable Care Organization Model Accountable Care Organization Medicare and Potentially Other Payors Physician Investors Hospital Payor Contracts Patients Equity Investment Equity Investment

57. Service Line Co-Management Model Management Company, LLC Appropriate equity split Hospital Governing Board Physician Investors Hospital Orthopedic/Cardiovascular Service Line Agreement to manage Service Line Management Fee – 50% fixed, 50% based on performance incentives Appropriate governance split Mgmt. Co. reports to Hospital Bd.