King & Spalding LLP continues to advise a diverse clientele on a full range of issues, including white-bagging, alleged overpayments, and M&A. The practice is known for its distinct expertise in bringing Medicare reimbursement litigation against the HHS, and acting for providers in payment disputes with commercial insurance companies. Jim Boswell co-heads the team alongside Mark Polston. Based in Atlanta, Boswell has extensive experience in representing physician groups, while Stephanie Johnson is particularly adept at defending clients in False Claims Act (FCA) investigations. In the Washington DC office, Polston leads the Medicare reimbursement litigation team, advising a number of clinical laboratories and hospitals, while Chris Kenny is particularly adept at advising on payment systems in relation to reimbursements for organ acquisitions. Adam Robison supports the team from Houston with his broad expertise in Medicare payment programs, often taking the lead in Civil Monetary Penalty investigations for nursing home providers and hospitals; and Washington DC's Daniel Hettich is a Medicare reimbursement specialist.

The team at McDermott Will & Emery LLP displays ‘exceptional depth‘ as it advises a host of tech companies, private equity funds, hospitals, and ambulatory and surgical care clients, handling partnerships between service providers and digital tech companies, intellectual property, and governance issues. Jerry Sokol leads the team from Miami as the global head of the healthcare group, while Gary Scott Davis advises major health insurance companies on healthcare joint ventures and reimbursement transactions. In the Chicago office, Bernadette Broccolo has longstanding expertise in issues surrounding healthcare IT and compliance programs for academic medical centers, while Kerrin Slattery is adept at advising health systems and hospitals on transactional matters. Also based in Chicago, Sandra DiVarco is particularly adept at representing clients in restructurings and the legal aspects of clinical issues, and Monica Wallace exhibits both regulatory and transactional expertise when advising on Medicare and Medicaid enrolment, fraud and abuse matters. Charles Buck leads the Boston practice, and primarily handles healthcare transactions, while associate Gregory Fosheim supports the team from Illinois, contributing his expertise in outbreak responses, investment initiatives in clinical research and pharmaceutical procurement.

Ropes & Gray LLP’s healthcare team utilizes its ‘deep and extensive knowledge‘ to assist hospital systems and pharmaceutical companies with acquisitions, drug pricing investigations. The team is known for its broad expertise in handling healthcare privacy and data security mandates. Deborah Gersh heads the practice alongside Timothy McCrystal. Based in Chicago, Gersh advises medical device and managed care companies on value-based care initiatives, while Jennifer Romig dispenses regulatory advice to private equity firms and software companies using her expertise in blockchain tech matters. Working out of the Boston office, McCrystal notably handles healthcare privacy and cybersecurity matters; The ‘extremely knowledgeable‘ Adrianne Ortega frequently advises on Covid-19 financial relief provisions under the CARES Act, and David Peloquin has considerable experience advising life sciences companies on clinical research issues. Stephanie Webster has expansive litigious expertise and often represents hospitals in federal district court cases, while Thomas Bulleit provides regulatory, and fraud and abuse related advice, with both practitioners situated in Washington DC. In the New York practice, Stephen Warnke assists clients with fraud and abuse related government enforcement proceedings, while associate Sarah Blumenthal advises a number of biologic companies and physician networks.

Turned to by telehealth companies, health systems, universities, and medical centers, the broad team at Hogan Lovells US LLP dispenses advice on a variety of issues, including value-based arrangements and alternative payment models for innovative therapies. Situated in Washington DC, practice head Ronald Wisor has expansive experience advising on fraud and abuse compliance issues, particularly in relation to anti-kickback and Stark self-referral prohibitions. Also based in Washington, Jonathan Diesenhaus is an FCA litigation specialist with a regulatory focus, who advises the American Hospital Association (AHA) on advocacy strategies; Clifford Stromberg advises on a number of strategic transactions; and Sheree Kanner utilizes her prior experience in serving for the CMS to handle violations of notice and administrative appeals. Jeffrey Schneider leads the New York practice, regularly handling hospital and academic medical center transactions, joint ventures, and compliance issues. Based in Miami, Craig Smith advises a mix of providers and private investment firms on Medicare and Medicaid investigations. 

Commended by clients for their ‘incredible depth and bench strength’, the team at Jones Day assists a diverse roster of hospitals, digital health organizations, and health systems with government enforcement litigation and joint operating agreements. Based in Washington DC, Kenneth Field utilizes his expertise in antitrust and competition matters to handle government investigations and compliance issues within healthcare, while Alexis Gilroy maintains her distinct focus on digital health, often advising on telemedicine and mobile health. Working out of the Chicago office, Heather M. O’Shea is particularly adept at handling Medicare and Medicare reimbursement and compliance issues, while ‘key strategist’ James Dutro supports the team from San Francisco, often advising health systems and digital health companies on joint operating arrangements and healthcare M&A. Claire Castles, based in Los Angeles, often handles matters relating to health privacy allegations, emerging public health threats, and value-based and risk-based payment arrangements.

Praised for its ‘excellent’ breadth and depth, Latham & Watkins LLP’s practice assists a diverse roster of financial investors, hospitals, and health systems with FCA and qui tam cases, compliance programs, and the negotiation of corporate integrity agreements. John Manthei and the ‘first class’ Ben Haas co-head the practice from Washington DC, while Judith Hasko co-leads the team from San Francisco. Also based in Washington, Stuart Kurlander often acts for providers before the CMS; and Eric Greig, noted for his ‘energy, commitment and intelligence‘, maintains a strong regulatory focus on issues regarding third party payors. In the San Diego office, Jason Ohta utilizes his experience in white-collar criminal defense to handle healthcare fraud cases. Terra Reynolds supports the team from Chicago, often litigating federal criminal cases.

The sizeable team at Manatt, Phelps & Phillips, LLP advises a full range of healthcare stakeholders, including major foundations, dialysis care providers, and health systems on joint ventures, operating arrangements, and the transformation of Medicaid delivery systems. Chairing the practice from New York, William Bernstein often advises managed care companies, emerging companies, and financial institutions on models for the payment of health services, health IT, and care delivery systems. Also based in New York, Anne Karl frequently advises states on the implementation of the Affordable Care Act and Medicaid issues. Barry Landsberg has extensive litigious expertise, representing hospital and physician medical staff in consumer class cases before the California Supreme Court. Greg Pimstone represents service providers who are targets of government investigations and enforcement actions, and Paul Carr-Rollitt assists both for profit and non-profit healthcare organizations with healthcare M&A matters and public offerings. In the Washington DC office, Cindy Mann has longstanding experience advising on strategic issues in relation to state and federal health reform and the Children’s Health Insurance Program. All named lawyers are in Los Angeles unless otherwise specified. Megan Thibert-Ind joined the Chicago practice from McDermott Will & Emery LLP, contributing her knowledge of regulatory disputes, often assisting hospital systems and ambulatory surgery centers.

The ‘outstanding' Sheppard, Mullin, Richter & Hampton LLP exhibits ‘broad experience and provides exceptional support‘ to physician organizations, digital health companies, and hospital systems. The team is experienced handling shifts to risk and value-based reimbursement systems, in addition to advising on provider sponsored health plans. California-based practice head Eric Klein often acts for Chinese healthcare companies and private equity funds in healthcare M&A matters, supported by Lynsey Mitchel, who primarily represents managed care and risk bearing organizations in HMO regulatory matters. Michael Paddock heads the Washington DC practice, and focuses on healthcare fraud and abuse matters and federal healthcare program compliance issues. Also based in Washington, Erica Kraus - who was promoted to partner in February 2022 - draws on her broad knowledge of FCA litigation and government investigations. In Dallas, Phil Kim utilizes his expertise in corporate matters to advise private equity companies and ambulatory surgery centers on healthcare M&A and operational issues.

Dentons’ healthcare practice provides a diverse offering to clients, advising service providers on Chapter 11 bankruptcy issues, healthcare M&A and tax strategy matters, and Medicare coordination of benefits. Kimberly Kerry heads the practice from San Francisco, advising a number of multi-hospital health systems and skilled nursing facilities on tax exemption and governance issues, and licensing matters. In Washington DC, Holley Thames Lutz advises on Medicaid and Medicare coverage, and clinical research compliance, often defending clients against CMS allegations of non-compliance. Also based in DC, Gadi Weinreich acts for health systems and hospitals in fraud and abuse cases, while Charles Luband supports the team from New York, and frequently uses his ‘specialist knowledge' to advise hospitals and physician practices on managed care provider payments, as well as Medicare and Medicaid disproportionate share hospital payments.

The ‘extremely knowledgeable' team at McGuireWoods LLP exhibits a ‘deep understanding' of both contentious and non-contentious matters concerning healthcare M&A, private equity, and compliance related issues. Based in the Chicago office, practice head Holly Buckley - a ‘master of her craft' - advises providers on the HIPAA Privacy and Security Rules; and Scott Becker advises ambulatory surgery center chains and private equity funds on transactional matters. The ‘outstanding‘ Kate Hardey possesses ‘exceptional expertise' representing physician practices and academic medical centers in matters concerning joint ventures and contractual affiliations, while Bart Walker regularly advises dental services organizations and end-stage renal disease facilities on regulatory issues. Kayla McCann Marty is particularly adept in matters concerning reproductive health and hospitals. All named practitioners are based in Charlotte, unless otherwise specified.

The ‘very competent‘ team at Nixon Peabody LLP, predominantly based in Los Angeles, dispenses advice on a range of issues, including telemedicine, medical staff controversy, and behavioral health. Peter Armstrong Egan heads the practice in New York, advising providers on compliance with federal and state-level fraud and abuse rules during transactions. Jill Gordon often advises long-term care facilities and surgery centers, in addition to telehealth companies, on alignment strategies and the formation of joint ventures. Thomas Fahey and associate Alexandra Busto assist providers with financing transactions and strategic matters. Harsh Parikh was promoted to partner in early 2022, and continues to represent managed care organizations and hospitals in reimbursement matters, and FCA investigations.

The 'outstanding' New York-based team at Debevoise & Plimpton LLP showcases diverse expertise as it acts for pharmaceutical companies, investment funds, and hospitals. The team regularly dispenses advice on multi-plaintiff class actions and mass torts, FDA regulatory issues, and antitrust litigation. Andrew Bab co-heads the practice alongside the ‘very smart, extremely articulate and super dedicated' Mark Goodman and Maura Monaghan, who are both adept at commercial litigation. Practice co-heads Kevin Rinker and Paul Rubin have extensive experience in healthcare-related corporate, M&A, and PE buyouts, with Rubin being based in Washington DC.

The ‘extremely knowledgeable' team at DLA Piper LLP (US) handles corporate restructurings of service providers, strategic alliances between payors and physicians, and the development of provider networks. As ‘a master of his craft‘, practice head Joshua Kaye exhibits ‘exceptional knowledge and experience‘ in healthcare M&A matters, while Joshua Samek focuses on financing deals and value-based healthcare M&A issues. Russell Sass focuses on advising clients on anti-kickback related matters and the corporate practice of medicine. Based in Washington DC, Kristi Kung is ‘unmatched' in advising providers, emerging health IT companies, and investors in the digital health industry on regulatory issues relating to telehealth products, while Donna Thiel has ample experience in advising on fraud and abuse and reimbursement matters. David Kopans joined the Washington practice from Jones Day in May 2022, contributing his expertise in acting for managed care organizations in transactional and value-based payment arrangements. All practitioners are part of the Miami practice unless specified otherwise. 

Goodwin’s team is known for its ‘excellent work‘ and its provision of ‘white glove service‘ when advising on financings, emerging company IPOs, and compliance within the healthcare sector. ‘True consigliere‘ David Cappillo co-heads the practice from Massachusetts, alongside Chris Wilson. Cappillo maintains a focus on technology and emerging healthcare and telehealth companies, while Wilson routinely advises private equity sponsors on healthcare transactions and general corporate issues. Based in New York, practice co-head James Gatta utilizes his experience in white-collar crime defense and government investigations to advise private equity firms on DOJ FCA, and SEC investigations into healthcare and telehealth company activity. Also working out of the New York office, Delphine O’Rourke is a women’s health specialist who often provides strategic advice on patient access, reproductive rights, and remote patient monitoring.

Greenberg Traurig LLP houses a team of ‘extremely competent‘ practitioners who exhibit a ‘wide breadth of knowledge‘ in regulatory matters, acquisitions, and corporate issues. Nancy Taylor and David Peck co-head the practice from Washington DC and Florida, respectively. Taylor is ‘very helpful‘ when advising hospitals and private equity firms on transactional and reimbursement related matters, while Peck assists healthcare technology and services companies with corporate formation and IPOs. Also based in Washington, Andrew Tsui has expansive expertise in acting for providers in matters concerning Medicare litigation and bad debt reimbursement, as well as home health and hospice payments and appeals.

Following the recent merger with Waller Lansden Dortch & Davis, Holland & Knight LLP’s healthcare and life sciences team advises a diverse client base of renal dialysis companies, investor-owned health systems, and non-profit hospital chains on government and internal investigations, reimbursement matters, and Medicare Advantage related issues. Maria Currier, who leads the team from Miami, advises long-term care providers, physician-hospital organizations, and home health companies on HIPAA matters, physician incentive arrangements, and FCA compliance. Brian Platton works out of the New York office, advising a number of managed care organizations and venture capital funds on strategic alliances and partnerships. Based in Tallahassee, Shannon Hartsfield focuses on data privacy and cybersecurity within healthcare, often advising assisted living facilities and continuing care retirement communities on informed consent and patient engagement matters.

Exhibiting ‘expertise and incredible legal talent‘, the team at Husch Blackwell LLP assists hospices and behavioral health providers with service closures, and the creation of ambulatory surgery centers. Practice head Curt Chase works out of the Kansas City office, where he utilizes his ‘rare and exceptional‘ skills and experience to advise hospitals and health systems on physician hospital integration arrangements. Based in Austin, Hal Katz assists both for-profit and non-profit governmental healthcare businesses on collaborations, and transactional matters, while Ellee Cochran acts for managed care companies and physicians in matters concerning Medicare and Medicaid enrollment, private audits, and patient issues. Regarded by clients as a ‘clever problem solver‘, Robert Blaisdell supports the team from Boston, representing physician groups and nursing homes with HIPAA compliance, medical staff credentialing and peer review, and plans of correction.

K&L Gates houses a ‘deep bench‘ which acts for long-term care facilities and Medicaid-managed care organizations in matters concerning federal regulations, HIPAA, and regional care delivery. Mary Beth Johnston heads the team alongside Limo Cherian, working from North Carolina and Chicago respectively. Johnston primarily assists health and hospital systems, accountable care organizations, and clinical laboratory providers with physician compensation models and corporate governance, while Cherian handles government investigations, and Medicare fraud and abuse issues. Based in Dallas, the ‘amazing‘ Joshua Skora often advises skilled nursing facilities and hospice agencies on overpayment audits, internal investigations, and payor disputes. Ken Marlow, who works out of the Nashville office, maintains a transactions focused practice, advising alternative investment management firms, non-profit health systems, and healthcare companies on strategic acquisitions and syndications.

The team at Katten is adept at handling a variety of mandates, including Medicare and Medicaid reimbursement issues, and reorganizations of healthcare companies. Based in Dallas, healthcare practice chair Lisa Atlas Genecov is particularly adept at advising home healthcare companies and health systems on transaction structures, compliance, and strategic opportunities within the Affordable Care Act. Chicago-based Kenneth Davis has considerable experience advising radiology groups on Stark Law related issues, joint ventures, and business model development. In New York, Joseph Willey often acts in Medicaid FCA cases, settlements, and investigations, in addition to federal anti-kickback compliance.

The ‘exceptionally personable, detail-oriented, and very collaborative’ team at Norton Rose Fulbright is known for its ‘impressive' expertise in healthcare M&A, regulatory issues concerning reimbursement and fraud and abuse, and medical school accreditation programs. D’Lesli Davis co-heads the practice from Dallas, while the ‘fantastic’ Stacey Murphy leads from St. Louis. Murphy regularly represents multi and single speciality physician groups and post-acute care providers on the structuring of joint ventures. Based in New York, Andrew Roth often handles national accreditation matters for academic medical centers, teaching hospitals, and healthcare systems.

Primarily based in New York, Proskauer Rose LLP’s healthcare team handle a diverse range of mandates for health systems, hospitals and health information companies, including matters relating to kickback schemes, misconduct arising from billing, and contracts with third party payors. Practice head David Manko advises on healthcare M&A and joint ventures, in addition to regulatory compliance. Other key names to note include healthcare transaction specialist Edward Kornreich, who advises for-profit and not-for-profit providers on governance and payment issues, and Jason Madden, who acts for physician groups, hospitals, and financial institutions in matters concerning HIPAA, and fraud and abuse.

Working with a range of medical centers, healthcare companies, and universities, Arnold & Porter‘s healthcare team often advises on transactions concerning the ownership of vascular access clinics, independent physician associations, and clinically integrated delivery systems. Allison Shuren and Daniel Kracov jointly head the practice; Shuren, in particular, possesses key expertise in fraud and abuse matters, as well as FCA cases and physician self-referral issues. Mahnu Davar is well versed in compliance program management, regularly advising multinational corporations on government enforcement matters and regulatory inspections. All named practitioners are based in Washington DC.

Nelson Mullins Riley & Scarborough LLP’s practice is engaged by a host of providers, including senior living facilities and physician groups, for its capabilities in joint ventures, not-for profit tax matters, and FCA claims. Thomas Moran, who leads the team from South Carolina, is an experienced advisor to hospitals and physicians on healthcare M&A, employment agreements, and joint ventures, with a particular emphasis on acting for tax-exempt hospitals. Based in Fort Lauderdale, Gabriel Imperato has broad litigious expertise, often handling the development of compliance programs and qui tam actions. Patricia Markus bolsters the team in North Carolina with her knowledge of technology and data privacy; she routinely advises accountable care organizations and post-acute care facilities on health information exchange initiatives.

Williams & Connolly LLP’s healthcare fraud practice advises private medical practices, nursing homes, and medical professional associations. Enu Mainigi and Jennifer Wicht jointly head the practice from Washington DC. Mainigi has extensive litigious expertise, often handling qui tam cases for healthcare companies, while Wicht regularly acts for senior living facilities and hospitals in contentious FCA matters.

The ‘incredibly collaborative, bright, and insightful‘ team at Winston & Strawn LLP notably advises on the antitrust aspects of healthcare M&A, fraud and abuse issues involving criminal investigations, and contentious matters before administrative boards. Reed Stephens and Amandeep Sidhu jointly lead the ‘responsive, efficient‘ team from Washington DC. Sidhu, in particular, exhibits varied expertise in contentious government investigations, whistleblower cases, and international risk compliance. Guy Collier often acts for universities and hospitals in affiliation negotiations between health systems. David Dahlquist has since left the team to join the Department of Justice.