At The Podium

	Michael Joseph

Oklahoma’s new SoonerCare (Medicaid) Upper Payment Limit (UPL) program for nursing homes now has many municipal and county hospitals considering acquiring long-term care facilities. The benefits for non-state government hospitals who own and operate such facilities include the potential for additional revenue as well as increased coordination of care between hospitals and nursing facilities.

While speaking at the Nursing Home UPL Meeting sponsored by the Oklahoma Hospital Association, McAfee & Taft attorney Michael Joseph joins a panel of health care attorneys to review recent developments and uncover the potential risks associated with the new UPL program. His presentation takes a closer look at how the program works from an operational and regulatory compliance standpoint and provides prospective participants with a list of key issues to consider before moving forward. Topics include:

• Operations transfer agreements
• Liability considerations
• The pros and cons of hospitals having non-state government-owned (NSGO) status
• Matters involved with subleasing the nursing facility to a hospital
• Management agreements, including the roles and responsibilities of the nursing home operator as manager
• Financial considerations, including insurance and taxes, compensation issues, and capital needs
• Key contracting issues