Background
DeMuro, Paul Robert was born on March 21, 1954 in Aberdeen, Maryland. Son of Paul Robert and Amelia C. DeMuro.
(Describes the types of managed care organizations and pro...)
Describes the types of managed care organizations and providers, the forms of provider payment, and managed care contracting. Capitation as a preferred payment mechanism, the need to align financial incentives, risk pools, and Medicare and Medicaid risk arrangements are also discussed.
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DeMuro, Paul Robert was born on March 21, 1954 in Aberdeen, Maryland. Son of Paul Robert and Amelia C. DeMuro.
University of Maryland (Bachelor of Arts, summa cum laude, 1976). Washington University (Juris Doctor, 1979). University of California, Berkeley (Master of Business Administration, 1986).
Phi Delta Phi.
Article and Book Review Editor, Washington University Law Quarterly, 1978-1979. Author with L. Kalm: "Hospital Contracting with PPOs," The New Healthcare Market, 1985. "Joint Ventures for Mobile Equipment Reduce Hospital Costs," Healthcare Financial Management, April, 1989.
"Implications of Hospital Transfers to Related Corporations and Joint Ventures," Trustee, October, 1989.
"Medicare Funded Depreciation - A Plan for Hospitals," Health Spanish, February 1990. Certified Public Accountant, Maryland, 1981.
Certified Manager of Patients Accounts Accounts, 1989.
Worked at Latham & Watkins (Los Angeles, California. Also San Francisco) specializing in Healthcare, Mergers and Acquisitions, Managed Care. Admitted to the bar, 1979, Maryland.
1980, District of Columbia.
1982, California.
Phi Delta Phi. Article and Book Review Editor, Washington University Law Quarterly, 1978-1979.
Author with L. Kalm: "Hospital Contracting with PPOs," The New Healthcare Market, 1985. "Joint Ventures for Mobile Equipment Reduce Hospital Costs," Healthcare Financial Management, April 1989.
"Implications of Hospital Transfers to Related Corporations and Joint Ventures," Trustee, October 1989.
"Medicare Funded Depreciation - A Plan for Hospitals," HealthSpan, February 1990. "How to Negotiate a Medi-Cal Inpatient Contract," California Hospitals, September/October 1991. Author with G. Margolis, "Crisis Management Can Leave Residual Effects," Healthcare Financial Management, October 1991.
Author with J. Little, "Know Your Investigator - The Basics of How to Handle a Medicare or Medicaid Audit, Review or Investigation," Homecare, November 1991.
"Seeking a Safe Harbor," Legal TimesSpecial Report on Health Law, November 16, 1992 also reprinted as "A Complex Cure for Health Care Deals," The Recorder, December 4, 1992. Author with J. Roth, "Fraud and Abuse Compliance Programs: Their Time Has Come," Healthcare Financial Management, March 1993.
"Struggle for Control," Los Angeles County Medical Association Physician Magazine, Volume 123, Number 20, December 13, 1993. "Capital Finance," Chapter 29, National Healthcare Lawyers Association, Health Law Practice Guide, 1993.
Editor and Contributing Author: Integrated Delivery Systems, Topics in Health Care Financing issue, 1994.
"Antitrust and Integrated Delivery System ModelsAn Overview," Health Care Reform and 056434500, Practicing Law Institute, 1994. "Integrated Delivery Systems," Health Care Law and Health Reform, Practicing Law Institute, 1994. "Provider Alliances: Key to Health Care Reform," Healthcare Financial Management, January 1994.
"Ten Steps for Integrated Delivery Systems to Maintain Exempt Status," Healthcare and Taxation: Tax Exempt Integration, Compliance and Financing, Volume 1, Number.
1, October 1994; "Practice Integration for the Delivery of Oncology Services," Oncology Reimbursement: Practice Oriented Solutions, Volume I, Issue V, October 1994. "Integrated Delivery System VehiclesHealth Care Law of the 1990s," in CCM: The American Lawyers"s Corporate Counsel Magazine, Winter 1994.
"How to Manage the Transition to Capitation," Managing Integration and Operations, February 1995. The Financial Managers Guide to Managed Care and Integrated Delivery Systems, Irwin, 1995.
With T. Rieger, "Pediatric Integrated Delivery Systems: A Market Perspective," Capitation Contracts, A Guide to Negotiating Successful Agreements, June 1995.
"Paying Specialists and Subspecialists on a Capitated Basis," Healthcare Financial Management, July 1995. "The Effect of Integration on Debt Arrangements," Northern California Edge, August/September 1995. "Market Dynamics Spawn Merger Mania in Health Care Industry," California Business, March 4, 1996.
"Recent Mergers and Acquisitions in Health Care," Health Care M&A: Commercialization of the Medical Industry, Practicing Law Institute, 1996.
"Corporate Structure and Tax Issues in M&A," Health Care M&A: Commercialization of the Medical Industry, Practicing Law Institute, 1996. "Providers as Insurers," Law and Practice of Insurance Regulation of Health Care Arrangements, 1996.
With M. Unsuh, Health Care Mergers and Acquisitions: The Transactional Perspective, The Bureau of National Affairs, Incorporated., 1996. "Corporate Structure and Limited Liability Company Issues in M&A Transactions," Health Care M&A: How to Structure the Transaction, Practicing Law Institute, 1997.
With C. Mauch, "Contracting and Negotiation," The Nuts and Bolts of Building and Managing Successful IPAs: Lessons from the Real World, The Indian Pharmacist Association Association of America, 1997.
"Managed Care: Where is it Today and Where is it Going?" A Roadmap to Managed Care: From Design to Delivery for Providers and Purchasers, American Bar Association National Institute on Managed Care, March 13, 1997. "Businesses Demand More Competitive Pricing on Health Care," Los Angeles Business Journal, September 16, 1996. Certified Public Accountant, Maryland, 1981.
Certified Healthcare Finance Professional.
Member, Editorial Board: Managed Care Manual, Aspen, 1994. Report on Healthcare Compliance, Atlantic Information Systems, 1996.
Member, Advisory Board, School of Health, California State University, Dominquez Hills, 1992. Member: Los Angeles County (Member, Section on Healthcare Law) and American (Member, Section on Health Law) Bar Associations.
American Academy of Healthcare Attorneys.
National Health Lawyers Association. American Institute of Certified Public Accountants. Medical Group Management Association.
The Indian Pharmacist Association Association of America (Member, Legal Steering Committee, 1996).
Healthcare Financial Management Association (Member, Board of Directors, Northern California Chapter, 1990-1993. Member, Principles and Practices Board, 1992-1995 and Vice Chairperson, 1993-1995.
Member, National Board of Directors, 1995-1997. Member, Executive Committee, 1996-1997).
Healthcare Financial Management Association Education Foundation (Member, Board of Directors, 1996-1997).
Accountants 52 Club. Charter Member, Managed Care Forum (Board Liaison, 1995-1997). Fellow, Healthcare Financial Management Association, 1989.
(Also at San Francisco Office).
(Describes the types of managed care organizations and pro...)
Member, Editorial Board: Managed Care Manual, Aspen, 1994. Report on Healthcare Compliance, Atlantic Information Systems, 1996. Member, Advisory Board, School of Health, California State University, Dominquez Hills, 1992.
Member: Los Angeles County (Member, Section on Healthcare Law) and American (Member, Section on Health Law) Bar Associations.
American Academy of Healthcare Attorneys. National Health Lawyers Association.
American Institute of Certified Public Accountants. Medical Group Management Association.
The Indian Pharmacist Association Association of America (Member, Legal Steering Committee, 1996).
Healthcare Financial Management Association (Member, Board of Directors, Northern California Chapter, 1990-1993. Member, Principles and Practices Board, 1992-1995 and Vice Chairperson, 1993-1995. Member, National Board of Directors, 1995-1997.
Member, Executive Committee, 1996-1997).
Healthcare Financial Management Association Education Foundation (Member, Board of Directors, 1996-1997). Accountants 52 Club. Charter Member, Managed Care Forum (Board Liaison, 1995-1997).
Fellow, Healthcare Financial Management Association, 1989. (Also at San Francisco Office).
Fellow, Healthcare Financial Management Association, 1989.
(Also at San Francisco Office).
Married Susan Taylor, May 26, 1990. Children: Melissa Taylor, Natalie Lauren, Alanna Leigh.