Steve Banghart represents health care providers in various corporate transactions, regulatory compliance and the structuring of clinical integration programs. As a leader of the firm’s value-based contracting arrangements, he also helps providers design and develop Medicare and commercial accountable care organization programs, processes and infrastructure. He lectures frequently on value based payment models, provider-payor relationships and health care regulatory matters including clinical integration initiatives, accountable care organizations, anti-trust issues, HIPAA, fraud and abuse, and the Stark law.
Helping health care providers plan for and implement clinical integration programs is a significant focus of my practice. This includes working with the Federal Trade Commission (FTC) to help providers achieve compliance with FTC standards. I’ve completed numerous clinical integration networks that are successfully contracting on behalf of their participating providers in various value-based payor contracting arrangements.
With growing demand for value-based contracts, I advise health care providers on the application and implementation process for Medicare shared savings programs, bundled payment initiatives, alternative payment programs and related federal, state and commercial payer contracting initiatives.
Health care providers also turn to me for assistance with all aspects of their operations, including corporate merger and affiliation transactions, as well as the purchase and sale of health care facilities and professional medical practices and in the development of various clinical joint ventures.
Health care provider organizations are subject to complex regulations and regulatory scrutiny. As the industry continues to experience significant changes, I help providers maintain compliance with applicable health care regulations, including physician self-referral, fraud and abuse, HIPAA, tax and antitrust guidelines.
The federal and state governments and commercial payors will continue to usher in new value-based payment programs to incentivize collaboration among health care providers. It’s important to identify and implement strategies to effectively respond to and capitalize on these value-based contracting programs as they’re implemented in Medicare, Medicaid and commercial payer initiatives. I expect more opportunities for provider networks to form larger regional provider networks that deliver value-based services across a much broader patient population. We are experienced in forming these “super networks” and in addressing the various regulatory, organizational and structural requirements that are inherent in their formation.
Wolters Kluwer | August 09, 2018
Chicago Health Care partner Steven Banghart is quoted in this article for his analysis of a proposed overhaul of the Medicare Shared Savings Program’s approach towards accountable care organizations.
Thomas M. Cooley Law School, J.D., with honors
University of Michigan, M.H.S.A.
Michigan State University, B.A.