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Patricia C. Shea

Partner
+1.717.231.5870
Fax +1.717.231.4501
+1.503.226.5726
Fax +1.503.248.9085
Ms. Shea advises an array of entities doing business in the health care industry on compliance obligations under numerous federal and state laws such as privacy and security of health information, licensure, and associated reporting obligations. Ms. Shea also works with innovative entrants to the health care-related market that offer new products or promote new ways of conducting business, typically incorporating the new uses of electronic transmission of health information. She assists health care providers, suppliers, and purchasers in reviewing and negotiating managed care relationships under private and self-insured/ERISA plans and federal health care programs, including Medicare and Medicaid. She also advises persons doing business in the health care market regarding their anti-referral and other compliance obligations under the federal Anti-Kickback Statute and the Stark Law. She applies each of these aspects of her practice to provide clients with compliance reviews, transaction assistance, and due diligence assistance.

Professional/Civic Activities

  • American Bar Association
  • American Health Lawyers Association

Speaking Engagements

  • “An Evolving Trend: Employer-Based Healthcare,” Financial Research Associates, Jan. 30-31, 2008.
  • “Legal Issues for Hospitals Providing Convenient Care – More of the Same?” Presented as part of the Hospitals and Convenient Care: The Financial, Legal and Marketplace Landscape, sponsored by the Healthcare Web Summit, December 6, 2007.
  • Complying with the NPI requirement, "A Primer for Health Care Providers and Plans," Lorman Education Services, March 2007.
  • Confidentiality of Medical Records “Privacy Refresher on Confidentiality Requirements in Pennsylvania ” and “Oh No – What Do I Do Now?” Lorman Education Services, February 2006 and March 2006.
  • Confidentiality of Medical Records in Pennsylvania – Employee Health Records, “Oh No – What Do I Do Now" Lorman Education Services, October 29, 2004.
  • Confidentiality of Medical Records “Privacy Refresher on Confidentiality Requirements in Pennsylvania.” Lorman Education Services, February 24, 2005.
  • “Pennsylvania’s PDL: The Wave of the Future,” American Health Lawyers Association HMOs and Health Plans Newsletter, Winter 2005
  • “HIPAA Basics for Pharmacies:  A Prescription for Compliance,” Pennsylvania Pharmacists Association Newsletter, March 2004.
  • “Determining Your HIPAA Compliance Strategy:  An Employer’s Guide to HIPAA Compliance.” Greater Harrisburg Chamber of Commerce, March 2003.
  • “Determining Your HIPAA Compliance Strategy – An Employer’s Guide to Complying with HIPAA,” Ellwood Group, Inc., February 2003
  • HIPAA Compliance Understanding and Implementing The Security and Privacy Regulations in Pennsylvania. “Health Insurance Portability and Accountability Act (“HIPAA”) – A “Private” Overview.  Lorman Education Services, January 8, 2003.
  • Disclosure of Information Issues Under HIPAA in Pennsylvania. Lorman Education Services, November 12, 2002.
  • “HIPAA Training: Now What?,” Lorman Education Services, November 2002
  • “HIPAA Disclosures: Consents, Authorizations, and Business Associate Agreements,” Pennsylvania Community Providers Association Annual Conference, October 2002
  • “How ABC Company Ended Up on the HIPAA Hot List,” The Pittsburgh Business Group on Health, September 2002
  • “Health Insurance Portability & Accountability Act (“HIPAA”): A ‘Private’ Overview,” Lorman Education Services, Pittsburgh (Jan. 2002); Erie (May 2002); Altoona (September 2002)
  • “Proposed Changes to HIPAA Privacy Rules Would Ease Patient Consent Requirements,” Kirkpatrick & Lockhart LLP Law & Privacy Update, April 2002
  • HIPAA Compliance - Understanding and Implementing The Security and Privacy Regulations in Pennsylvania. “Health Insurance Portability and Accountability Act (“HIPAA”) – A “Private” Overview. Lorman Education Services, January 31, 2002 and May 21, 2002.
  • “Managing a Resource Dilemma: A Phased Approach to Compliance,” PANPHA/MANPHA Annual Conference, May 2000
  • “The Doctor and the Patient in the New Health Care Economy: Critical Legal Issues,” Widener Law Symposium, March 1995
  • Develop a full range of HIPAA privacy and security compliance program for self- and fully-insured employer welfare benefit plans, including security and privacy risk assessments, training, and preparation of policies and procedures
  • Advise entities experiencing a real or potential breach of security and privacy obligations regarding notification and related obligations under both federal and state law
  • Respond to investigations and letters of inquiry from various regulatory agencies, such as the Health and Human Services Office of Civil Rights, regarding compliance obligations
  • Evaluate proposed business models, transactions, and new product offerings within the health care market for compliance with regulatory requirements and recommend changes as required
  • Review and negotiate agreements with managed care plans on behalf of pharmacies, hospitals, physicians, and other health care providers and suppliers