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AHIP - Accountable Care Organization Summit

Event | 05.15.13, 12:00 AM UTC - 12:00 AM UTC

Physician practices, hospital systems, and health plans are partnering through Accountable Care Organizations (ACOs) and other integrated care models to improve patient care, generate greater efficiencies, and respond to demands for greater accountability.  These new models of care also are raising a number of policy and legal issues at the state and federal levels, particularly with respect to hospital and physician integration. 

AHIP’s ACO Summit will convene industry experts, thought leaders, leading academics, and policymakers to examine the policy and legal implications of hospital and physician integration in the marketplace.  This unique conference will focus on the trends in rising health care costs, payment reform initiatives, and the resulting shifts in hospital and provider market power.

Art Lerner will speak on the topic, "Legal and Policy Issues Related to ACO Formation by Independent Physician Groups."

For more information, please visit these areas: Corporate and Transactional, Litigation and Trial

Insights

Event | 02.20.25

Has the Buss Stopped? Recoupment Today

Has the Buss Stopped? Recoupment Today: In 1997, the California Supreme Court decided Buss v. Superior Court. In Buss, the court concluded that a liability insurer that defended a mixed action could seek reimbursement from the insured for the defense costs associated with the claims that were not even potentially covered. Since then, numerous courts have held that insurers are entitled to recoup their defense costs associated with uncovered claims or causes of action. On the other hand, a significant number of courts have rejected insurers’ right to recoupment, at least in the absence of a policy provision granting the insurer that right. Some commentators have even suggested that the current judicial trend might be away from permitting insurers to recoup their defense costs. Is that correct? Has the Buss stopped? This panel of coverage experts will analyze insurers’ claimed right to recoupment today, and offer their perspectives on what the law on recoupment should perhaps be and might be in the future.