Health System Affiliation
Represented large community health system in affiliation with major academic medical center.
Payor-Provider Joint Venture
Worked with an insurance company and a network of primary care practices to create a joint venture, providing Medicare members with access to high-quality, personalized health care in a community setting.
Sale of Teaching/Community Hospital
Assisted with the sale of a 500-bed teaching and community hospital to the teaching hospital of a major university, making this hospital system one of the largest in the country.
Appellate Tax Board Decision Appeal
Represented a trade association, on behalf of a health insurer, before the state Supreme Judicial Court in a successful appeal of an Appellate Tax Board decision.
Sale of Nursing College
Worked with a hospital in the sale of its nursing college to a nearby university, including negotiation of a management agreement to allow the university to operate the college pending regulatory approvals.
Acquisition of Urgent Care Centers
Represented a private equity group in acquiring the stock of two entities which owned 13 urgent care centers.
Assisted a tax-exempt health care organization to draft new bylaws following extensive discussions with board committees and the full board to assure that both the mission and governance structure of the organization were fully captured in the new bylaws.
Population Health Management
Represented a large non-profit health maintenance organization in the development of a population health management vehicle in partnership with its contracting hospitals and health systems.
Acquisition of Cardiology Practice
Worked on behalf of a hospital in the acquisition of two large cardiology practices, each with multiple locations.
Determination of Need
Assisted clinic in successfully obtaining a Determination of Need from State Department of Public Health, including contentious negotiations with state regulators.
Advised client on establishing gainsharing arrangements in connection with the Centers for Medicare & Medicaid Services bundled payment models.
Assisted innovative primary care start-up with regulatory compliance, payor contracting, and related issues.
Health System Affiliation
Acted as corporate counsel to a large health system during a major affiliation, negotiating deal documents and advising on structural and various legal issues, which ultimately lead to the creation of the second largest non-profit health system in New England.
Advised national and state trade associations on legislative and regulatory strategy.
Counseled clients on public policy issues at the state and federal level and analyzed the impact of legislation and regulations on health care consumers and payers while assisting in the development of strategy and policy positions for the U.S. health insurance industry.
Health Insurer Coverage and Network Participation
Assisted an innovative primary care practice utilizing virtual patient visits in achieving coverage and network participation with health insurers.
Counseled an accountable care organization (ACO) on compliance with safe harbor provisions of the U.S. Department of Justice - Federal Trade Commission ACO Antitrust Enforcement Policy Statement.