Mobile Integrated Healthcare (MIH)

PWW works with agencies that provide Mobile Integrated Healthcare services.  We help our clients negotiate and draft agreements with hospitals, ACOs and others.  We also counsel our clients on the legal issues regarding the implementation of Community Paramedicine (CP) programs, including scope of practice and liability issues.  In addition, we help our clients structure their MIH programs to be compliant with federal laws such as the Anti-Kickback Statute, to ensure that arrangements between healthcare entities do not run afoul of these important healthcare fraud and abuse statutes.

Some of our Mobile Integrated Healthcare (MIH) professional services include:

Community Paramedicine (CP) Program Liability and Compliance

We work with MIH agencies in helping them assess the need for Community Paramedic programs in their service areas and develop MIH implementation strategies.  We also counsel our clients in identifying potential CP scope-of-practice issues and implementing programs in compliance with existing state laws. 

Pricing and Contracting for MIH Services

PWW attorneys can help develop pricing models and contracts between your agency and local hospitals, health systems, and accountable care organizations (ACOs) that help you obtain adequate reimbursement for MIH services.

MIH Compliance Issues

PWW works with MIH programs to ensure they are structured properly under federal fraud and abuse laws.  In particular, MIH arrangements with hospitals (such as those centered around reducing preventable hospital readmissions) can implicate the federal Anti-Kickback Statute if not properly structured, since EMS agencies and hospitals also are typically in a position to refer patient business to one another.  PWW attorneys are experienced in the application of these laws to MIH programs and other EMS arrangements.

MIH Reimbursement and Funding Mechanisms

PWW works with our clients to identify legally-compliant funding mechanisms for MIH programs, including fee-for-service options, capitated and shared-risk arrangements, Federal grants and other MIH compensation approaches.