Healthcare: advice to service providers in United States

King & Spalding LLP

King & Spalding LLP has a strong record in litigation, investigations, and enforcement including the False Claims Act, managed care, and government reimbursement litigation. Atlanta-based Jim Boswell and Peter Strotz in Los Angeles defended Prime Healthcare against the California Department of Insurance under the Insurance Frauds Prevention Act. Mark Polston and Chris Kenny, both in Washington DC, represented the Florida Hospital Association in litigation seeking to increase their Medicare DSH payments going back to 2007. Dan Hettich, also in Washington DC, focuses on Medicare reimbursement issues. In the transactional space, the practice has experience with public-private partnerships, the affiliation of hospital chains with larger networks, acquisitions and disposition, and health plan contract renegotiations. San Francisco-based Stephen Goff advised the California Public Employees Retirement System on renegotiating its contract negotiation of premiums with multiple insurers. Jon Harris in Atlanta has extensive experience in healthcare industry transactions. Atlanta-based Glenn Reed jointly heads the practice.

Practice head(s):

Jim Boswell; Mark Polston; Glen Reed

Key clients

Atrium Heath

American Clinical Laboratory Association

Atlantic Health System

BronxCare Health System

California Public Employees Retirement System (CalPERS)

California Hospital Association

Capital One/Healthcare Financial Services

Catholic Health Services of Long Island

Charleston Area Medical Center

CHRISTUS Health

Citizens Medical Center

Community Health Systems

DaVita Healthcare Partners

Florida Hospital Association

H and H Drug Stores

Hackensack Medical Center

HCA

LifeLinc Corporation

Montefiore Medical Center

Northbay Healthcare

Northwell Health

North Carolina Hospital Association

Ochsner Health System

Ohio State University Wexner Medical Center

Piedmont Healthcare

Work highlights

  • Represented over 40 hospital plaintiffs in the University of Kansas Health Authority challenging CMS’s authority to lower certain outpatient payment rates in the University of Kansas Health Authority et al. v. Azar
  • Represented the American Clinical Laboratory Association in a challenge to Medicare regulation impacting payment for clinical diagnostic laboratory services.
  • Represented SCP Health in a lawsuit against Blue Cross Shield of Texas over payment for out-of-network emergency services.
  • Represented Northeast Georgia Health System in litigation against Blue Cross Blue Shield of Georgia and Anthem over payment for outpatient imaging scans.
  • Represented St Luke’s University Health Network in its entry into Civica Rx, a non-profit generic drug company.

McDermott Will & Emery LLP

McDermott Will & Emery LLP provides a full spectrum of services in the healthcare space, including business transactions, digital health and privacy advice, regulatory compliance, litigation, and enforcement. On the transactional side, Bernadette Broccolo and Lisa Mazur in Chicago acted as counsel to Walmart on its development of multi-specialty healthcare clinics. Miami-based Gary Scott Davis focuses on managed care transactions, Kerrin Slattery in Chicago has experience in advising investors and advising on joint ventures, Christopher Jedrey in Boston concentrates on healthcare M&A, and Chicago-based Sandra DiVarco has a deep knowledge of health system restructurings. In regulatory work, the practice handles government investigations and reimbursement litigation. Monica Wallace in Chicago focuses on regulatory counselling. Eric Zimmerman heads the team from Washington DC. Boston-based associate Amy Pimentel is also noted.

Practice head(s):

Eric Zimmerman

Testimonials

‘McDermott, Will & Emery’s  digital health practice has tremendous experience and expertise across the entire ecosystem for insurers, to health systems, to tech companies’

‘Amy Pimentel may be the best associate I have worked with’

‘Subject matter expertise is excellent and responsiveness is great’

Work highlights

  • Represented CVS Health Corporation on regulatory matters in its $69bn acquisition of Aetna.
  • Advised Covera Health on its Radiology Centers of Excellence program, connected with a strategic collaboration with Walmart.
  • Represented Steward Healthcare System in its recovery of possesion of the Florence Hospital, Arizona, and in its acquisition of substantially all the assets or stock of 47 affiliate physician groups.
  • Represented Lahey Health System in its combination with Beth Israel Deaconess Medical Center, New England Baptist Hospital, Mount Auburn Hospital, and Anna Jaques Hospital.
  • Represented OMERS private equity as healthcare regulatory counsel in its acquisition of Paradigm Outcomes, a medical case management services provider.

Epstein Becker & Green, P.C.

Epstein Becker & Green, P.C. has extensive experience acting for a range of clients in the healthcare sector, including healthcare systems, hospitals, nursing homes, long-term care facilities, home health companies, medical groups, ambulance companies, pharmacies, and healthcare technology companies. Key areas of work include transactions, litigation, government investigations, regulatory, and compliance. The team is primarily focused on healthcare providers and has a strong record in hospital, physician group, and long-term care company mergers and acquisitions. Private equity specialist Mark Lutes and George Breen, who focuses on defending companies investigated for healthcare fraud, jointly head the practice from Washington DC. Richard Westling, who leads the Nashville office, is recommended for his wealth of practical experience’. Washington DC-based David Matyas concentrates on healthcare fraud. Amy Lerman, also in Washington DC, has extensive experience in telehealth and telemedicine.

Practice head(s):

Mark Lutes; George Breen

Testimonials

‘Smart, responsive, cost effective services with in-depth knowledge of the law and the regulators, both at the federal and state level’

‘Richard Westling’s experience, calm reflection and subject matter knowledge, coupled with a wealth of practical experience and a sense of humor, made the process bearable’

Work highlights

  • Served as health regulatory counsel to KabaFusion in its sale from private equity sponsor Brown Brothers Harriman to Pritzker Private Capital.
  • Served as special regulatory counsel to Integrated Oncology Network in its recapitalization of the company with Silver Oak Services Partners.

Hogan Lovells US LLP

The Washington DC-based practice at Hogan Lovells US LLP has extensive experience in healthcare transactions and restructuring, with a niche in work for academic medical centers. Clifford Stromberg advised the University of Minnesota (UMN) on the restructuring and closer combination between the University of Minnesota and Fairview, which jointly operate UMN’s medical centers. Jonathan Diesenhaus is an expert in civil healthcare fraud, False Claims Act and qui tam litigation. Other key areas of work for the team include government investigations, antitrust litigation (where Leigh Oliver specializes), and coverage and reimbursement issues. Practice head Sheree Kanner represented the American Hospital Association to challenge a Medicare rule that would cut payments to hospitals for certain outpatient services.

Practice head(s):

Sheree Kanner

Testimonials

‘Excellent advice on health care issues, particularly Medicare-related’

Key clients

American College of Radiology

Wake Forest Baptist Health

Albert Einstein Healthcare Network (Einstein)

University of Minnesota (UMN)

Penn State University/Penn State Hershey Medical Center (PSH)

The State University of New York (SUNY)

Vitality Home Health (d/b/a/ Trilogy Home Health)

American Hospital Association

Allina Health

Vanderbilt University

St. Louis University

University of Colorado Health

Carolinas HealthCare System

The University of California System

Nebraska Medicine

Holy Spirit Health System

National Jewish Health

Howard University Hospital

A.I. duPont Hospital for Children

Georgetown University Medical Center

Work highlights

  • Acted as antritrust counsel to Albert Einstein Healthcare Network in its planned merger with Jefferson Health.
  • Acted as outside counsel to SUNY in its acquisition of Eastern Long Island Hospital and Long Island Community Hospital.
  • Advised Beaumont Health on its $1.4bn acquisition of Summa Health.
  • Advised Columbia University on medical school faculty issues, the acquisition of physician practices, and numerous joint ventures.
  • Served as outside general counsel to the American Board of Neurological Surgery.

Jones Day

Jones Day’s healthcare group handles litigation relating to healthcare fraud (including the False Claims Act and defending clients in internal investigations), M&A, joint ventures and private equity transactions, reimbursement and payment reform, and IRS tax audits and state property tax disputes. The practice is co-chaired by James Dutro in San Francisco, Stephen Sozio in Cleveland, and Kenneth Field in Washington DC, who focuses on antitrust law in connection with healthcare transactions. Washington DC-based Alexis Gilroy has extensive experience in digital health, telemedicine, and telehealth.

Key clients

Transplant Centers

One Health Solutions

Children’s Health

Evidera

Pharmaceutical Product Development

Work highlights

  • Represented 14 organ transplantation programs and four individual patients in a lawsuit against the US Department of Health and Human Services, challenging its revised policy for allocating donated livers.
  • Assisted One Health Solution with acquiring telehealth software from Aspen Dental and ASP Support Services.
  • Represented Children’s Health in the sale of pediatric primary care clinic assets to Familia Care.
  • Advised Evidera on its acquisition of Medimix International, a cloud-based data company which provides information to the pharmaceutical, diagnostic, and medical device industries.
  • Advised Pharmaceutical Product Development in connection with the acquisition of the clinical research site business of Bioclinica.

Latham & Watkins LLP

Latham & Watkins LLP advises clients in the healthcare industry on M&A, antitrust and competition, litigation, and regulatory issues. Key areas of work include fraud and abuse, Medicare and Medicaid reimbursement, HIPAA, financing regulation, tax exemptions, licensure, quality of care issues, and managed care. Scott Shean in Orange County jointly chairs the practice with Washington DC-based Daniel Meron, who specializes in compliance advice and fraud litigation. Los Angeles-based Daniel Settelmayer represented DaVita in the US$4.3bn sale of its primary care physician clinics and managed care network business unit, DaVita Medical Group, to Optum, a UnitedHealth affiliate.

Practice head(s):

Scott Shean; Daniel Meron

Key clients

DaVita

Adventist Health

HCA

GNC Holdings

Sutter Health

U.S. Renal Care

Tenet Healthcare

Varian Medical Systems

NextGen Healthcare

Kohlberg Kravis Roberts (KKR)

Leonard Green & Partners

Goldman Sachs Group

Work highlights

  • Represented KKR in its acquisitions of Envision Healthcare and Brightspring Health Services.
  • Represented Varian Medical Systems in its $283m acquisition of Cancer Treatment Services International.
  • Represented NextGen Healthcare in its $43m acquisition of Medfusion.
  • Represented Goldman Sachs Merchant Banking Division in its $2.7bn acquisition of Capital Vision Services, a provider of management services to optometry practices.
  • Represented US Renal Care in its $2.7bn sale to a private investor group.

Manatt, Phelps & Phillips, LLP

The healthcare practice at Manatt, Phelps & Phillips, LLP provides a full spectrum of transactional, regulatory, and contentious services to healthcare clients. Key areas of work include payment and delivery system transformation, Medicaid redesign and innovation, healthcare mergers and acquisitions, corporate governance, and healthcare innovation and digital strategy. The team advised on Medicaid, Medicare and value-based payments, and has a niche advising faith-based hospitals and Catholic providers. Los Angeles-based James Schwartz represented Dignity Health with respect to obtaining California regulatory approval of its proposed combination with Catholic Health Initiatives. William Bernstein, who provides strategic and business advice to clients in the healthcare industry, leads the group from New York.

Practice head(s):

William Bernstein

Key clients

Mt Sinai Health System

HCR ManorCare

State of North Carolina Department of Health and Human Services

Providence St Joseph Health

Yale New Haven Health System

CVS Health

County of Los Angeles

Lucile Packard Foundation for Children’s Health

Health Net

Dignity Health

Robert Wood Johnson Foundation

Work highlights

  • Represented Mount Sinai Health System in negotiating $128m in Mount Sinai’s for-profit genomics laboratory subsidiary by a syndicate of private equity investors.
  • Advised North Carolina on transforming its Medicaid delivery system from fee-for-service to Medicaid managed care.
  • Represented Providence St Joseph Health with respect to reporting and modifications of consent arising from the merger of Providence Health and Services with St Joseph Health.
  • Defended Dignity Health in a case alleging its Catholic hospitals discriminate against pregnant women, violate the ban against corporate practice of medicine, and violate a California hospital licensing statute governing sterilization.
  • Advised Yale New Haven Health in the remarketing of $410m in tax-exempt bonds through public offerings managed by Barclays and Citigroup.

Ropes & Gray LLP

The ‘exceptionally client focused’ team at Ropes & Gray LLP advises healthcare clients on transactions, compliance, managed care, reimbursement, government investigations, and enforcement actions. On the transactional side, Boston-based practice co-chair Timothy McCrystal represented a consortium of financial sponsors in their acquisition of US Renal Care, the third-largest dialysis provider in the United States, for $2.7bn. Chicago-based Deborah Gersh, who has extensive experience in value-based care initiatives, privacy, and digital health, also co-chairs the practice. Other areas where the team has a strong record are tax exemptions and healthcare data privacy and security. Stephen Warnke in New York concentrates on representing clients in investigation and enforcement actions. Washington DC-based Thomas Bulleit is an expert in regulatory compliance. Jennifer Romig in Chicago was promoted to partner.

Practice head(s):

Deborah Gersh; Timothy McCrystal

Testimonials

‘Exceptionally client focused’

Key clients

Stanford University

Dana-Farber Cancer Institute

LabMD

Harvard Pilgrim Health Care

Advocate Aurora Health

Wake Forest Baptist Medical Center

Allscripts Healthcare Solutions

American Kidney Fund

Visiting Nurse Service of New York

Flatiron Health

Work highlights

  • Advised Advocate Aurora Health on a joint venture with Foxconn/Hon Hai aimed at delivering a preventative care platform.
  • Advised the American Kidney Fund on compliance and regulatory initiatives related to its Health Insurance Premium Program.
  • Advised the Office of the Mayor of the District of Columbia in connection with building a new hospital.
  • Represented Memorial Sloan Kettering Cancer Center in an investigation into its chief medical officer’s failure to disclose financial ties and conflicts of interest in several publications.
  • Advised 1Life Healthcare on its strategic affiliations with several prominent health systems and academic medical centers.

Debevoise & Plimpton LLP

The New York-based team at Debevoise & Plimpton LLP provides a range of services including M&A, litigation including mass torts and class actions, antitrust litigation and merger control, FDA regulatory counselling, and licensing and collaboration agreements. The team has a strong record in work for private equity investors. Andrew Bab advised Prudential Financial on its $2.35bn acquisition of Assurance IG, a direct-to-consumer health and wellness platform.  Other areas of work include fraud and abuse defense and representation in government investigation. Maura Monaghan represented Hospital Corporation of America in several class action matters involving alleged overbilling practices and TCPA violations. Monaghan and Bab co-head the practice with Mark Goodman and Kevin Rinker.

Other key lawyers:

Jennifer Chu; Kristin Kiehn

Key clients

Hospital Corporation of America

Allergan

Johnson & Johnson

Bayer

Pfizer

Memorial Sloan Kettering Cancer Center

Centerbidge Partners

Emblem Health

Bristol-Myers Squibb

Foundation Medicine

Work highlights

  • Advised Centerbridge Partners on its investment in GoHealth.
  • Conducted an internal investigation on behalf of Memorial Sloan Kettering Cancer Center regarding conflict-of-interest allegations.
  • Represented EmblemHelath in a qui tam suit under the FCA and an ongoing putative class action lawsuit alleging misrepresentation of the level of reimbursement provided for out-of-network services.
  • Advised HCA Healthcare on its $1.5bn acquisition of Mission Health, a non-profit North Carolina health system.
  • Represented TPG Capital and Welsh Carson, Anderson & Stowe, alongside Humana, in their $4.1bn joint acquisition of Kindred Healthcare.

Dentons

The healthcare practice at Dentons advises on issues including fraud and abuse litigation under the False Claims Act, reimbursement, M&A, and affiliation transactions. Gadi Weinreich in Washington DC assisted Phoebe Putney Health System with Medicare and Medicaid coverage and reimbursement matters, FCA whistle-blower investigations, and corporate governance. Other areas of work include regulatory and compliance counseling. Washington DC-based Holley Thames Lutz advised HCA Holdings on general regulatory, operational, and compliance matters, including fraud and abuse, Medicare, and Medicaid. Kimberly Kerry in Los Angeles heads the practice.

Practice head(s):

Kimberly Kerry

Key clients

HCA Holdings

SCL Health System

Dignity Health

Sutter Health

Children’s National Medical Center

State University of New York

Green Thumb Industries

University of California Health System  (UCLA Medical Center, UCSD Medical Center, UCSF Medical Center)

Boston Medical Center Health Plan

Verity Health System

Work highlights

  • Served as primary outside legal counsel to SCL Health.
  • Served as outside transactional, fraud and abuse, Medicare/Medicaid regulatory GME and ACGME, and compliance counsel for all University of California campuses and hospitals.
  • Represented Compassionate Care Hospice Group in a False Claims Act investigation and qui tam lawsuits.
  • Represented CommonSpirit Health in its inaugral financing, issuing $6.4bn of taxable and tax-exempt bonds.
  • Represented Dignity Health in its merger with Catholic Health Initiatives.

DLA Piper LLP (US)

The healthcare practice at DLA Piper LLP (US) focuses on transactional and related work in the healthcare sector, with a strong offering for private equity firms. The team has extensive experience in dealing with the corporate and healthcare regulatory aspects of a transaction, and the ongoing day-to-day matters arising within a portfolio of healthcare companies. Other areas of expertise include managed care contracting, value based care, and data security and privacy. Miami-based Joshua Kaye, who concentrates his practice in healthcare M&A and private equity investments, chairs the group. The department also has offices in New York, Dallas, Austin, and Philadelphia.

Practice head(s):

Joshua Kaye

Other key lawyers:

Tom Califano; Kristi Kung; Danny Tobey

Key clients

Triton Pacific Capital Partners

Cigna Corporation

Aetna Life Insurance Company

Boyne Capital Management

Abry Partners

DentaQuest

Acon Equity

Work highlights

  • Represented DentaQuest in its acquisition of DCP Holding Company, the parent company of the Dental Plus Care Group.
  • Represented BioMatrix Specialty Pharmacy in a RICO matter brought by health insurer Highmark.
  • Represented Boyne Capital Management in tis acquisition of Infusion Associates, a provider of intravenous therapy healthcare services.
  • Represented Great Point Partners in its majority equity investment in Tergus Pharma.
  • Represented Aldrich Capital Partners in its acquisition of eHealth Technologies, a provider of medical record retrieval and healthcare information services.

McGuireWoods LLP

The healthcare practice at McGuireWoods LLP is recommended for its ‘extraordinary depth and expertise’. The department has two main offices; Chicago focuses on healthcare litigation and private equity investments, while Charlotte concentrates on M&A transactions. Other key areas of work in both offices include antitrust litigation, bankruptcy counselling, employment advice, and privacy and data security. Department chair Amber McGraw Walsh, who is based in Chicago, advised Women’s Health USA on restructuring its fertility platform.

Practice head(s):

Amber McGraw Walsh

Testimonials

‘The team has extraordinary depth and expertise’

Key clients

Charlotte Radiology PA

Surgical Care Affiliates (Nasdaq: SCAI)

Sheridan Capital Partners

Physicians Endoscopy – a subsidiary of Kelso & Company

Women’s Health USA – a portfolio company of Sverica

Chicago Pacific Founders Fund

Revelstoke Capital Partners

Capital Southwest Corporation (Nasdaq: CSWC)

Silver Oak Services Partners

HCA

Work highlights

  • Represented Ridgemont Equity Partners in its acquisition of Lake Pines Hospital, Sundance Behavioral Healthcare, and the Speech Pathology Group.
  • Represented LEARN Behavioral and LLR Partners, a private equity firm, in the sale of a majority stake in LEARN to Gryphon Investors.
  • Advised Chicago Pacific Founders Fund in its joint venture with SightMD, an ophthalmology platform.
  • Represented Silver Oak in its buyout of Integrated Oncology Network.
  • Represented Audax Group in the acquisition of ownership interest in Fort Sanders West Outpatient Surgery Center and in the consolidation of its Denver area group practices under a single brand, Colorado Urology.

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C. advises clients on private equity transactions, regulatory compliance, and healthcare enforcement, including False Claims Act litigation and government investigations. The practice has a strong offering for laboratories, diagnostics companies, and pharmacies. Susan Berson, who provided regulatory counsel to Sanford Health in its recent affiliation with long-term care provider the Evangelical Lutheran Good Samaritan Society, jointly heads the team with Karen Lovitch. Lovitch and Berson are based in Washington DC, but the practice also has offices in Boston and New York.

Practice head(s):

Karen Lovitch; Susan Berson

Other key lawyers:

Hope Foster; Tara Dwyer; Joanne Hawana

Key clients

Sanford Health

Northwell Health

Philips North America

Partners HealthCare System

Healthpoint Capital

Quest Diagnostics Incorporated

Inform Diagnostics

US Family Health Plan

TPG Capital

Kindred Healthcare

Work highlights

  • Defended Roche Diagnostics Corporation in qui tam allegations.
  • Advised TPG capital on its acquisition of Convery Health Solutions.

Polsinelli PC

Polsinelli PC represents hospitals and health systems, post-acute providers, dialysis providers and healthcare technology companies. The practice has offices in Chicago, Washington DC, and Nashville, as well as in Los Angeles, Dallas, Denver, and Miami. Areas of experience include strategic transactions, HIPAA and privacy breach cases, fraud and abuse, and compliance issues. Chicago-based department chair Matt Murer concentrates on counseling providers of senior housing, assisted living, and skilled nursing.

Practice head(s):

Matt Murer

Key clients

Elements Behavioural Health

Senior Care Centers

Signature Healthcare

Oakbend Medical Center

Work highlights

  • Advised Elements Behavioral Health in closing the $65m sale of its assets in a deal stemming from bankruptcy proceedings.
  • Represented Senior Care Centers in its spinoff of around 80 facilities and its proposed reorganization of an additional 22 facilities through Chapter 11 bankruptcy proceedings.
  • Represented Oakbend Medical Center, a Texas health system, in a dispute with Aetna.
  • Represented Signature Healthcare in litigation over its participation in the Medicare and Medicaid program following a certification survey that alleged multiple instances of patient abuse and neglect.

Proskauer Rose LLP

Proskauer Rose LLP is well known for acting as transactional counsel, and also handles healthcare employment matters, regulatory and compliance work, and private equity investments. ‘Efficient and enthusiastic’ practice head Richard Zall represented Kelsey Seybold, a Houston medical group and health plan, in the sale of a minority interest to a large private equity firm. Other key names are Edward Kornreich, who has extensive experience in regulatory counseling, and transaction-focused David Manko. All named partners are based in New York.

Practice head(s):

Richard Zall

Other key lawyers:

Edward Kornreich; David Manko

Testimonials

‘The team I work with is innovative, punctual, honest, creative and delivers on time, every time’

‘Mr Zall has the utmost integrity, and is efficient and enthusiastic’

Key clients

Agilon Health

Beacon Orthopaedics & Sports Medicine

CityMD

Clinton Health Access

Covenant Surgical Partners

EHE Health

Henry Schein

Hospital for Special Surgery

Kelsey Seybold

LiveOnNY

Medical Home Network

Mount Sinai

Town Hall Ventures

UnitedHealth

Warby Parker

WestMed Medical Group

Work highlights

  • Provided Agilon, a Medicare Advantage management organization, with regulatory advice.
  • Represented Beacon Orthopaedics & Sports Medicine in the launch of a national management services organization formed with an investment from Revelstoke Capital Partners.
  • Provided CityMD with general regulatory advice in connection with restructuring.
  • Represented Clinton Health Access as outside general counsel, advising on agreements with NGOs and pharmaceutical companies.
  • Advised EHE Health on the development of customer agreements, provider agreements, health data privacy and security, and intellectual property matters.

Reed Smith LLP

The healthcare practice at Reed Smith LLP is particularly strong in representing clients in government investigations, fraud and abuse cases, and dealing with privacy issues. The team also has experience handling the regulatory aspects of large transactions. A particular specialism is in work for radiology and imaging providers. Washington DC-based Scot Hasselman chairs the department and focuses on representing post-acute care companies. Carol Colborn Loepere, also in Washington DC, is an expert in regulatory requirements in healthcare transactions.

Practice head(s):

Scot Hasselman

Arent Fox LLP

Arent Fox LLP is known for its handling of matters relating to government investigations, healthcare fraud and abuse, and long-term care. A particular specialism is in peer review law. Debra Albin-Riley and practice co-chair Lowell Brown, both based in Los Angeles, are representing the medical staff at a Community Medical Centers hospital in several peer review hearings. The team also has a strong offering in connection with drug pricing. In this area co-chair Stephanie Trunk, based in Washington DC, advised Heritage Pharmaceuticals on regulatory issues including drug price reporting, Medicaid, and Medicare. The department also has offices in New York, San Francisco, and Boston.

Practice head(s):

Lowell Brown; Stephanie Trunk

Testimonials

‘Deep bench expertise in CA healthcare operations’

Key clients

Novartis Pharmaceuticals Corporation

Cedars-Sinai Health System

Providence St Joseph Health

Maxim Healthcare Services

Heritage Pharmaceuticals

Fresenius Kabi

Adventist Health

Community Medical Centers

Cardinal Health

Kaiser Permanente

Sunrise Senior Living

MemorialCare Health System

Patient Advocate Foundation

Work highlights

  • Represented Novartis Pharmaceuticals Corporation in two separate qui tam matters in the District of Rhode Island and the Souther District of New York.
  • Handled peer review matters for Providence St Joseph Health System.
  • Advised Fundamental Long Term Care on the acuqisition of two Texas nursing facilities and the creation of a new institutional pharmacy joint venture.
  • Advised Maxim Healthcare Services on the creation of a new in-home care model.
  • Served as outside counsel for Adventist Health System, providing healthcare and regulatory counseling.

Greenberg Traurig LLP

Greenberg Traurig LLP advises clients on healthcare transactions and due diligence, including deals involving private equity and other investor groups. A key area of work is advice on the regulatory components of health and insurance deals. The team also handles review of Medicare payment and policies, audits and sanctions, state licensure, and accreditation. Washington DC-based Nancy Taylor has significant experience in ACA provisions and reimbursement, and co-chairs the practice with David Peck in Fort Lauderdale.

Practice head(s):

Nancy Taylor; David Peck

Testimonials

‘They are very knowledgeable, professional, and understanding of the health care industry and all the drastic changes that are constantly being made’

Key clients

Cleveland Clinic Foundation

MRO Corporation

New MainStream Capital

Omni Ophthalmic Management Consultants

Envision Healthcare

The Cleveland Clinic Foundation

Valir Health

Presbyterian Communities & Services (PC&S)

Work highlights

  • Represented Cleveland Clinic Foundation in connection with a member substitution transaction.
  • Represented MRO Corporation in its acquisition of release-of-information customer contracts from Medical Record Associates.
  • Represented New MainStream Capital in its acquisition of Foot and Ankle Specialists of the Mid-Atlantic.
  • Represented Omni Opthalmic Management Consultants in its acquisition of Ludwick Eye Center.
  • Represented Valir Health in connection with 19 consolidated appeals for reconsideration of ADR denials and findings related to reimbursement claims of an assisted living facility.

Hooper, Lundy & Bookman, PC

Hooper, Lundy & Bookman, PC is dedicated solely to the representation of healthcare providers and suppliers. Their practice is divided into transactional, regulatory, and litigation areas. Lloyd Bookman and Katrina Pagonis head the regulatory team, which focuses on Medicare and Medicaid reimbursement, Scott Kiepen and Devin Senelick head the litigation team which represents healthcare providers against public and private payors, and Charles Oppenheim heads the transactional team, advising on M&A, joint ventures, and affiliations. Bookman, Senelick, and Oppenheim are based in Los Angeles, and Pagonis and Kiepen are based in San Francisco.

Testimonials

‘Deep bench expertise in healthcare regulatory matters’

Key clients

Pacific Alliance Medical Center

Cisco Systems

California Association of Health Facilities

Rockport Healthcare Services

Consumer Technology Association

Massachusetts Senior Care Association

Cedars Sinai Health System

Dr Gregory Colburn, Amy Colburn

American Health Care Association

University of Chicago Medical Center

Work highlights

  • Represented Pacific Alliance Medical Center in a claim against Blue Shield of California Promise Health Plan over recovery of overpayments.
  • Represented Cisco Systems in a deal establishing several new employee health clinics for Cisco Systems at worksites in Mexico.
  • Represented the California Association of Health Facilities in relation to antipsychotic medications and provision of end-of-life care in nursing facilities.
  • Advised Rockport Healthcare Services in a purported class action alleging understaffing.
  • Advised the Massachusetts Senior Care Association on reimbursement, regulatory oversight, and litigation.

K&L Gates

K&L Gates provides regulatory and strategic counsel to a broad range of healthcare service providers, including academic medical centers and teaching hospitals, non-profit and for-profit medical health systems, hospice, home health and long-term care facilities, and equity private investors. Mary Beth Johnston, who has extensive experience in Medicare and Medicaid reimbursement and physician compensation models, jointly heads the practice with Richard Church, who focuses on regulatory aspects of healthcare transactions and enrolment and compliance matters. Both are in North Carolina, and the team also has partners in Seattle and Dallas.

Key clients

Parkview Health

UCHealth

St Clair Hospital

AdaptHealth

Texas Children’s Hospital

Ashley

Vidant Health

Cape Fear Valley Health System

Vanderbilt University Medical Center

Augusta University Medical Center

Work highlights

  • Advised Parkview Health on its acquisition of DeKalb Health in Auburn, Indiana, and provided regulatory advice on data sharing its relationships with payors.
  • Advised UCHealth on arrangements with payors and federal healthcare regulations.
  • Advised AdaptHealth on fraud and abuse regulations, HIPAA, and DME supplier standards.
  • Advised Texas Children’s Hospital on arrangements with payors and managed care organisations, and on managed care contracting.
  • Advised Ashley, addiction treatment providers, on a corporate reorganization strategy.

Morgan, Lewis & Bockius LLP

Morgan, Lewis & Bockius LLP provides a full range of services in the healthcare sector, including fraud and abuse litigation, compliance counselling, transactional work, coverage and reimbursement, public policy and advocacy, and privacy and data security. Howard Young in Washington DC has extensive experience in representing clients targeted by federal and state investigative agencies. He co-chairs the practice with Brian Jazaeri in Los Angeles, who focuses on commercial litigation and class actions in the healthcare space.

Practice head(s):

Howard Young; Brian Jazaeri

Testimonials

 ‘The ability and time commitment to really understand our business allows Morgan Lewis to provide tailored legal and regulatory advice and services’

Key clients

Children’s Hospital Association of Texas

University of California

Alpine Investors

Capital Caring

Varsity Healthcare Partners

National Partnership for Hospice Innovation

Seattle Children’s Hospital

University of Houston

EyeCare Services Partners

Health Net

Seattle Children’s Hospital

Work highlights

  • Represented Capital Caring in a civil fraud investigation related to potential violations of the False Claims Act.
  • Represented Emergency Care Partners in its acquisition of Illinois Emergency Medical Specialists.
  • Represented Walgreen in two qui tam complaints filed under the False Claims Act.
  • Represented Shore Capital Partners in its platform expansion into ear, nose and throat, allergy, and audiology care services.
  • Advised Philips in its acquisition of the radiology healthcare information systems business of Carestream Health.

Nixon Peabody LLP

Nixon Peabody LLP focuses its healthcare practice on matters relating to corporate organization, government programs, emerging payment programs, healthcare delivery, and managed care models. Other areas of work include digital health, telemedicine, behavioral health, medical staff controversies, and private equity investments. New York-based group leader Peter Egan concentrates on business transactions including affiliations, private equity, and the purchase and sale of licensed facilities. The group also has offices in Los Angeles, Providence, Chicago, and Albany.

Practice head(s):

Peter Egan

Key clients

North American Partners in Anesthesia

Frisbie Memorial Hospital

ReachOut Healthcare America

MidOcean Partners

New York Presbyterian Hospital

William F Ryan Community Health Center

Mount Sinai Health System

BrookBeam Dental

University of Southern California

Providence Health & Services

Cook County Health and Hospitals System

Trinity Health

ProCure Treatment Centers

Work highlights

  • Advised the University of California Board of Regents on a joint venture for the development of several acute care hospitals and affiliated clinics in China.
  • Represented Frisbie Memorial Hospital in an asset transaction with Hospital Corporation of America.
  • Represented the Children’s Surgical Foundation with tax-exemption guidance, employee benefits and physician compensations, Medicaid reimbursement, and health information privacy issues.
  • Served as outside counsel for the Carmelite System, a group of nursing homes controlled by the Carmelite Sisters.
  • Represented Oroville Hospital in connection with its borrowing of $195m of tax-exempt bonds issued on its behalf by the City of Oroville, California.

Norton Rose Fulbright

Norton Rose Fulbright provides a wide range of transactional and regulatory services in the healthcare sector. On the transactional side the team handles M&A deals involving regulatory issues and affiliations, and on the regulatory side it has extensive experience in third party reimbursement rules and in False Claims Act and fraud litigation. Debbi Johnstone in Houston heads the group. The New York team, led by Andrew Roth, has a niche presence in medical school accreditation. The department has a strong presence in Texas with offices in Austin and Dallas, as well as in Washington DC and St Louis.

Practice head(s):

Debbi Johnstone

Testimonials

‘Their bench strength is terrific’

‘Very strong in US healthcare’

Key clients

Milford Hospital

Memorial Hermann Health System

Texas Health Resources

Kalispell Regional Healthcare

Fairview Health System

Providence Health System

Baylor Scott & White Health

Duke University Health System

Seton Family of Hospitals

Drexel University College of Medicine

Methodist Hospitals of Dallas

Intermountain Healthcare

Work highlights

  • Represented Medidata Solutions in connection with its sale by public merger to French software company Dassault Systèmes SE.
  • Advised Intermountain Healthcare on its acquisition of DaVita Medical Group’s HealthCare Partner’s Nevada operations.
  • Represented Hendrick Medical Center in its sale of its interest in FirstCare Health Plans to Scott & White Health Plan.
  • Represented Children’s Healthcare of Atlanta as borrower’s counsel for a £1bn 2019 bond financing.
  • Represented Duke University and Duke University Health Systems in a qui tam lawsuit alleging that a research technician improperly falsified and fabricated data to obtain research funding.

Sheppard, Mullin, Richter & Hampton LLP

Sheppard, Mullin, Richter & Hampton LLP is best known for its transactional work, which encompasses matters such as joint venture projects, often involving multiple hospital systems and large physician groups, and a growing private equity practice. Other areas of work include health plan licensing, HIPAA issues, payor and provider contracting, fraud and abuse litigation, and advice on risk- and value-based reimbursement systems. The group has a robust presence in California, with offices in San Diego, San Francisco, and Los Angeles, where practice head Eric Klein is based. Other locations include Chicago, Dallas, Washington DC, and New York.

Practice head(s):

Eric Klein

Key clients

Summit Medical Group

Jinxin Fertility Group

Pediatric Associates

The Polyclinic

VillageMD

Amulet Capital Partners

R1RCM

agilon health

ChenMed

Varsity Healthcare Partners

University of California San Diego

Pikes Peak Anesthesia Associates

Planned Parenthood of Greater Northwest Hawaii

Bon Secours Mercy Health

Caremount Medical Group

Work highlights

  • Advised Summit Medical Group on its merger with CityMD, an urgent care provider in the New York metro area.
  • Represented Jinxin Fertility Group as US counsel in its $400m public offering on the Hong Kong Stock Exchange.
  • Represented Pediatric Associates (Florida) in its sale to Summit Partners and consequent recapitalization.
  • Represented the Polyclinic in its combination with OptumHealth, a subsidiary of UnitedHealth.
  • Advised VillageMD on a strategic collaboration with Walgreens.

Arnold & Porter

The Washington DC-based team at Arnold & Porter handles regulatory counseling, transactional work, compliance issues, antitrust, and litigation under the False Claims Act. Other areas of expertise include HIPAA-related matters, and privacy and data security. Allison Shuren, who advises on compliance issues involving product pricing, joint ventures, and telehealth, jointly heads the practice with Daniel Kracov, who has extensive experience with FDA regulation.

Practice head(s):

Daniel Kracov; Allison Shuren

Other key lawyers:

Matthew Fornataro; Murad Hussain

Key clients

MacroGenics

Fresenius Medical Care North America/Fresenius Vascular Care

Coloplast

Zeiss USA

Bausch Health/Valeant Pharmaceuticals

American European Conference of Ophthalmic Surgeons

EyeCare Partners

DaVita

Millennium Health

RxSight

Work highlights

  • Represented three retina specialty group practices in False Claims Act investigations.
  • Defended UCB in a federal qui tam case alleging violations of the Anti-Kickback Statute and False Claims Act.
  • Defended Bristol-Myers Squibb and Sanofi in state and federal governmental investigations.
  • Advised Carolinas Centers for Sight, and Florence Surgery & Laser Center in its sale of assets and entry into practice management agreements with Eye Health America.
  • Represented Delray Eye Associates in its sale of assets and entry into practice management arrangement with Eyecare Service Partners Management.

Baker & Hostetler LLP

The healthcare transaction practice at Baker & Hostetler LLP deals with M&A, acquisitions and affiliations, and advises on the ACA. Clients include long-term care providers, non-profit and for-profit hospital organizations, academic medical centers, home health agencies, and ancillary service providers. Key names are Robert Rupp in Columbus and Christopher Swift in Cleveland.

Other key lawyers:

Robert Rupp; Christopher Swift

Duane Morris LLP

The healthcare team at Duane Morris LLP has experience dealing with matters in post-acute care, long-term care and senior services, information technology, telemedicine, insurance reimbursement and payor contracting, and hospice and palliative care services. David Loder in Philadelphia is chair of the practice group, and concentrates his practice on hospital governance, credentialing, and Medicaid and Medicare programs. Vice-chair Nicholas Lynn, who is based in Chicago, focuses on pharmaceutical law and regulatory compliance matters. The group also has an Atlanta office, which is headed by G. Kirk Domescik.

Practice head(s):

David Loder; Nicholas Lynn

Work highlights

  • Represented Pipeline Health in transactions involving the acquisition of three separate hospital campuses and the acquisition of 22 free-standing emergency departments.

Katten Muchin Rosenman LLP

The healthcare practice at Katten Muchin Rosenman LLP handles transactional work including M&A, joint ventures, affiliations, corporate reorganizations, and the sale of assets and partnership or membership interests. The team also advises on private equity transactions, recapitalizations, and restructurings. Key names are co-chair of the healthcare practice Lisa Atlas Genecov in Dallas, fellow co-chair Laura Keidan Martin in Chicago, and Joseph Willey in New York.

Other key lawyers:

Joseph Willey

Nelson Hardiman, LLP

Los Angeles-based healthcare boutique Nelson Hardiman, LLP specializes in regulatory work. Areas of expertise include behavioral health, where managing partner Harry Nelson focuses, and pharmacy regulation. The practice often deals with the regulatory components of M&A pharmacy transactions outsourced from other firms, and joint managing partner Stacie Neroni handles this work. Hope Levy-Biehl advises on hospital operations, and Sara Hersh is an expert in medical peer review. Mark Hardiman defends clients in fraud and abuse litigation, while Aaron Lachant concentrates on California's medical cannabis sector.

Practice head(s):

Harry Nelson; Stacie Neroni

Key clients

University of Southern California

Verity Health System

Prime Health Services

Skilled Nursing Pharmacy Services

The Joint Corp

Icebreaker Health

Work highlights

  • Represented the University of Southern California in a suit by a doctor alleging that the University had wrongfully interfered with his medical practice referrals.
  • Served as lead regulatory counsel for Verity Health System in its Chapter 11 bankruptcy case, including in the sale of five hospitals and the dissolution of its foundations.
  • Represented Reich Bros in its recapitalization, spinning off a separate entity providing a portfolio of secured commercial loans in the cannabis space.
  • Represented individual psychotherapists in a case in connection with confidentiality in psychotherapeutic communications.
  • Defended Prime Healthcare Services in a False Claims Act qui tam lawsuit.

Nelson Mullins Riley & Scarborough LLP

Nelson Mullins Riley & Scarborough LLP has a robust presence in the south-east, with offices in Myrtle Beach, Raleigh, Nashville, Fort Lauderdale, and Boca Raton. The practice handles healthcare M&A joint ventures, strategic partnerships and collaborations agreements, regulatory counselling, defending clients in government investigations and fraud and abuse legislation, healthcare bankruptcies, and health information technology which is led by Roy Wyman out of Nashville. Thomas Moran, who focuses on tax-exempt hospitals, heads the practice and is based in Myrtle Beach.

Practice head(s):

Thomas Moran

Key clients

Novant Health

AnMed

Lexington Medical Center

Encompass Health

Broward Health

Tidelands Health

Advent Health

Medical University of South Carolina

Appalachian Regional Healthcare System

Work highlights

  • Advised South Lake Memorial Hospital in connection with its absorption into Orlando Health.
  • Advised the North Carolina Healthcare Association on propsed changes to hospital compensation under the State Health Plan.
  • Advised Tidelands Health on an audit under the 340B Drug Program.
  • Advised Wayne Memorial Hospital on coprorate compliance, electronic health record technology agreements, and legal audit matters.
  • Advised Broward Health on an independent monitoring process put in place after a settlement with the federal government following investigations related to alleged patient steering.

Seyfarth Shaw LLP

Seyfarth Shaw LLP handles matters such as contract negotiation and disputes, Medicaid bid protests, medical staff credentialing and peer review, HIPAA and antitrust compliance, and privacy and security, and often acts as outside general counsel. Clients have included non-profit and for-profit hospitals and health systems, academic medical and research institutions, behavioral health and home health providers, and independent practice associations. Houston-based Jesse Coleman has extensive experience in civil litigation, and co-chairs the practice with employment-focused Kristin McGurn in Boston and with Cynthia Mitchell in New York, who specializes in real estate transactions on behalf of healthcare clients.

Work highlights

  • Advisedthe California Hospital Association on a wage and hour issue.
  • Advised the California Medical Association on its collaboration with Altais and Aledade.
  • Advised Stryker Corporation on litigation over competitive practices in obtaining hospital contracts.

Williams & Connolly LLP

Williams & Connolly LLP’s Washington DC-based healthcare practice focuses on litigation and government investigations. The team has handled matters such as false billing and reporting, Medicare and Medicaid reimbursement, chargebacks, kickback issues, and consumer class actions. Clients include pharmaceutical companies and medical device makers, hospitals, nursing homes, assisted living facilities, private medicals practices, and medical professional associations. Enu Mainigi co-chairs the practice with Jennifer Wicht and Holly Conley.

Other key lawyers:

Grant Geyerman

Key clients

Cardinal Health

Aetna

CVS Health

Express Scripts Holding Company; Medco Health Solutions

Medtronic

CVS Health and Wellpartner

Work highlights

  • Advised Cardinal Health in investigations relating to the company’s distribution of opioid medications.
  • Represented CVS Health in a Texas trial over alleged Medicaid fraud.
  • Represented Express Scripts Holding Company and Medco Health Solutions in qui tam litigation relating to purchase discounts Medco received from a pharmaceutical manufacturer.
  • Represented Caremark in class actions relating to the pricing of diabetes-related products.
  • Represented Medtronic in qui tam litigation alleging that the company caused the submission of claims for medically unnecessary procedures.