Firms To Watch: Service providers

Led by Charlene McGinty in Atlanta, and Lynn Sessions in Houston, BakerHostetler‘s practice assists both profit and non-profit healthcare bodies on managed care contracts, delivery reform initiatives, and the creation of accountable care entities.
Noted for its specialist expertise in labor and employment, Ford & Harrison LLP advises hospitals, physicians, and registered nurses on race discrimination allegations and retaliation related matters. The team is led by Allen McKenna in Charlotte.

Service providers in United States

King & Spalding LLP

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.

Practice head(s):

Jim Boswell; Mark Polston


Other key lawyers:

Dan Hettich; Adam Robison; Chris Kenny; Richard Zall; Stephanie Johnson


Key clients

GenesisCare (formerly 21st Century Oncology)


Advent Health


Affinity Health Plan


American Clinical Laboratory Association


Antelope Valley Hospital


Archimedes Health Investors


Arrowhead Regional Medical Center


Ascension Health, Inc.


Athyrium Capital Management


Atrium Health


Baylor College of Medicine & Affiliated Medical Services


Baylor, Scott & White


Bon Secours Health System


BronxCare Health Network


Bronx-Lebanon Hospital Center Health Care System


California Hospital Association


Capital One/Healthcare Financial Services


CareOne LLC


Charleston Area Medical Center


Clinton Health Access Initiative


Community Health Systems, Inc.


Community Health Systems Professional Services Corporation


Cooper University Hospital


Crossroads Hospice


DaVita Inc.


Digital Transformation Opportunities Corp (DTOC)


El Camino Hospital


Eleanor Health


Emory Healthcare


Encompass Health


Exact Sciences


Florida Hospital Association


Work highlights


McDermott Will & Emery LLP

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.

Practice head(s):

Jerry Sokol 


Testimonials

‘The team at McDermott Will & Emery provides creative, high quality advice. They understand the need to help clients meet their objectives, and provide practical guidance.’

‘Anisa Mohanty has great expertise in the healthcare space. She provides very thorough and thoughtful advice.’

‘McDermott Will & Emery has exceptional depth across healthcare.  The team provides the highest quality advice, and they deliver every time.’

‘When it comes to M&A, they have exceptional strength that can handle any transaction, no matter how complex.’

‘Gary Gertler is the preeminent M&A lawyer for healthcare transactions.  He has exceptional industry knowledge and is supported by an exceptional team, and their work is outstanding with their deep knowledge.’

Key clients

Summit Health City-MD


Steward Health Care System LLC


Atrius Health, Inc.


Best Buy Co, Inc.


BehaVR


OxfordVR


Wheel


Maven Clinic


Brave Health


Moffitt Cancer Center


Mercy Health


Hospital for Special Surgery


Cancer Treatment Centers of America


Cedars-Sinai Health System


University of Southern California


Unified Women’s Healthcare


Amulet Capital Partners


OMERS Private Equity and Forefront Dermatology


US Heart & Vascular


Lee Equity Partners


Solaris Health Holdings, LLC


Duly Health Care


Ares Capital Management


Pinnacle Dermatology Management


athenahealth, Inc.


Beecken Petty O’Keefe & Company, LLC


General Atlantic


Welsh Carson


NMS Capital


Patient Square Capital


Refresh Mental Health


Caisse de dépôt et placement du Québec


Work highlights


  • Representing Summit Health-CityMD, a provider of primary, specialty and urgent care in its sale to VillageMD, a leading, national provider of value-based primary care services.
  • Represented Steward Health Care System LLC in the sale of its Medicare value-based care business to CareMax, Inc., a technology-enabled provider of value-based care to seniors, establishing CareMax as one of the largest independent senior-focused value-based care platforms in the U.S.
  • Represented Atrius Health, Inc. in its acquisition by Optum Care, the healthcare delivery arm of UnitedHealth Group.

Ropes & Gray LLP

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 knowledgeableAdrianne 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, 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. Thomas Bulleit  has since retired.

Practice head(s):

Deborah Gersh; Timothy McCrystal


Other key lawyers:

Stephanie Webster; Stephen Warnke; Jennifer Romig; Adrianne Ortega; David Peloquin; Harry Richards; Sarah Blumenthal; Christina Bergeron


Testimonials

‘A cut above in terms of their legal expertise and business acumen.  The team has vast experience and comes up with clear and, when necessary, creative, ways to approach client goals.’

‘Stephen Warnke, I really cannot say enough about his knowledge and personal style. He is patient in explaining concepts, and has a great sense of humor.’

‘The team has deep and extensive knowledge regarding governance, corporate law and how healthcare laws overlay and interplay in these arenas.’

‘Adrianne Ortega is our go-to for all governance matters and is extremely knowledgeable and an overall pleasure to work with. She provides legal advice in addition to practical and creative guidance on how to approach the unique issues that arise in an academic medical center environment.’

‘Ropes and Gray deftly analyzes complex regulatory issues in the healthcare space.’

‘Christina Bergeron is very detailed oriented and strategic. She has a grasp on corporate governance and the ability to quickly come up to speed on healthcare regulatory matters.’

Key clients

1Life Healthcare/One Medical


ADAPT Community Network


Advocate Aurora Health


Allina Health Services


American Hospital Association


Amwell


Atrium Health


Avista Capital Partners


Baptist Health South Florida


Benevis YesBeth Israel Lahey Health


Boston Children’s Hospital


California Northstate University


Capital Clubhouse


Children’s Hospital and Health System, Inc.


City Medical of Upper East Side PLLC


Community Hospitals of Central California


Coordinated Behavioral Care


Dana-Farber Cancer Institute


Elite Dental Partners


Emory University


Galderma Laboratories


George Washington University


H.I.G. Capital


Harvard Pilgrim Health Care


Heartland Dental LLC


Hospital for Special Surgery


Indiana University Health


Lifespace Communities


LifeStance Health Group


Molina Healthcare


Montage Health


National Association of ACOs


Northwest Oncology and Hematology, S.C.


Work highlights


  • Advised 1Life Healthcare, Inc., which operates under the name ‘One Medical’, on healthcare matters in relation to its sale to Amazon for approximately $3.9 billion.
  • Represented Allina Health Services in a significant D.C. Circuit and Supreme Court appeal affirming the invalidation of a Medicare policy standard involving Medicare Disproportionate Share payments adopted without proper notice and comment.
  • Representing Atrium Health in connection with its strategic combination with Advocate Aurora Health to form Advocate Health, creating a nation’s large non-profit health systems.

Hogan Lovells US LLP

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.

 

Practice head(s):

Ronald Wisor


Other key lawyers:

Jonathan Diesenhaus; Clifford Stromberg; Jeffrey Schneider; Craig Smith; Robert Liebenluft; Sheree Kanner; Lauren Battaglia


Key clients

Columbia University Medical Center


The State University of New York (SUNY)


Henry Ford Health System


Atrium Health


Parker Jewish Institute for Health Care and Rehabilitation


Penn State Health


Beaumont Health


Medical College of South Carolina


University of Minnesota


Ohio State University


Wake Forest University Baptist Medical Center


St. Louis University


Work highlights


  • Representing the various medical campuses of The State University of New York on a broad range of matters and serves as one of two firms that exclusively provide outside legal representation for these medical school campuses.
  • Advised St. Louis University on the sale of its academic physician practice (SLUCare) to SSM Health Care Corporation.
  • Advising Albert Einstein Healthcare Network on all aspects of its merger with Jefferson Health, including corporate, antitrust, health regulatory, and other matters.

Jones Day

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.


















Practice head(s):

Kenneth Field; Alexis Gilroy; Heather O’Shea


Other key lawyers:

Claire Castles; James Poth; James Dutro; Lisa Han; Kurt Copper


Testimonials

‘The Jones Day team is highly strategic and consists of industry thought leaders. They produce first-rate work product, and certainly have depth and experience. They are equally comfortable in the courtroom, at the negotiating table, or in the boardroom.’

‘James Dutro is also a key strategist, thinking creatively and, often times, several steps ahead of other counsel. Each member of the team is extremely responsive.’

‘Jones Day has incredible depth and bench strength across healthcare which is extremely helpful for complex regulatory or litigation matters.’

‘Jim Poth is a formidable trial lawyer and expert on managed care reimbursement. Health Plans respond to Jim’s expertise and ability to prosecute a case aggressively.’

‘Claire Castles is a regulatory genius and is the first call for any impossible healthcare regulatory matter that no one else can solve.’

‘Kurt Copper is incredibly responsive and manages litigation with precision. I trust him to lead important matters and have confidence that he will handle any issue that arises without my need to micromanage.’

‘Lisa Han and the team are an amazing group of attorneys. Her knowledge of health plans, transactions, contracts, and health care is top-notch.’

‘Lisa Han is very hardworking and smart. Her knowledge of health plans, buying, selling, and running them is vast and deep. She is very responsive and has made us a better company with her guidance.’

Key clients

Prime Healthcare


Sutter Health


Ascension


American Hospital Association & Association of American Medical Colleges


Cardinal Health


Work highlights


  • Advised Sutter Health on securing a complete defense verdict in a landmark class action seeking over USD 1.2 billion in treble damages as well as injunctive relief.
  • Advised Ascension on a cutting edge strategic alliance with Labcorp.
  • Represented the American Hospital Association and the Association of American Medical Colleges in a notable amicus brief supporting the United States’ challenge to Idaho’s abortion law set to take effect in late August 2022.

Latham & Watkins LLP

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.

Practice head(s):

John Manthei; Ben Haas; Judith Hasko; Jason Caron; Eveline Van Keymeulen


Other key lawyers:

Stuart Kurlander; Eric Greig;  Jason Ohta; Terra Reynolds


Testimonials

‘The breadth and depth of Latham’s healthcare practice is excellent and without peer in the US market.  They do a terrific job to bring practical and thoughtful advice.’

‘Ben Haas and Eric Greig are first class.  I value Ben for his no nonsense and business like approach which is always considered and on point.  I value Eric for his energy, commitment and intelligence – he is a rising star.’

Work highlights


Manatt, Phelps & Phillips, LLP

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.


Practice head(s):

William Bernstein


Other key lawyers:

Anne Karl; Barry Landsberg; Cindy Mann; Greg Pimstone; Paul Carr-Rollitt; Brian Bewley; Blair Cantfil; Megan Thibert-Ind


Key clients

Benefis


Ann & Robert H. Lurie Children’s Hospital of Chicago


City of New York/New York City Health + Hospitals Corporation


Humana


New York State Coalition of Anchor Safety Net Hospitals


North Carolina Department of Health and Human Services


Yale New Haven Health


Northwell Health


Dignity Health


Health Net


Canopy Health


Blue Shield of California


Memorial Sloan Kettering Cancer Center


California Department of Health Care Services


Work highlights


  • Advised Humana on a multistage transaction that involved Humana’s buyout of TPG Capital and Welsh Carson as owners of Kindred at Home (KAH); the spin-off of KAH’s hospice business from its health home business; and a sale of the hospice business to a private equity firm.
  • Advising the state of North Carolina in transforming its Medicaid delivery system, including transitioning from fee-for-service to Medicaid managed care.
  • Represented Dignity Health in a suit brought by the American Civil Liberties Union (ACLU) on behalf of Physicians for Reproductive Health and Rebecca Chamorro, after the hospital followed binding ethical and religious directives for Catholic health care in denying Chamorro’s request for an elective sterilization procedure.

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

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.’s Washington DC-based healthcare group assists a diverse client base of telehealth companies and hospitals with strategic transactions. Karen Lovitch leads the team, focusing on the enforcement side of the practice, often representing diagnostics companies in matters concerning relationships with healthcare professionals. Hope Foster focuses on matters within the diagnostics and laboratory industry, and regularly defends clients in both state and federal investigations which arise under the civil healthcare fraud statutes. Susan Berson has retired.

Practice head(s):

Karen Lovitch


Other key lawyers:

Hope Foster


Key clients

Walk-In MD Clinic LLC


U.S. Family Health Plan


Radiology Partners, Inc.


Mass General Brigham


OnTrak, Inc.


ProKidney


Instride


CareWell Urgent Care (formerly Urgent Care Centers of New England)


DarioHealth


Possible Health (d/b/a Hey Jane)


Quest Diagnostics Incorporated


Cornell Capital LLC


Myriad Genetics


Inform Diagnostics


Summit Pharmacy Solutions


Devoted Health


TPG Capital / TPG Growth & The Rise Funds


Centerbridge Partners


Nautic Partners


Harvard Pilgrim Health Care Plan and Tufts Health Plan (Point32Health)


Work highlights


  • Advised TPG Capital on a number of healthcare regulatory diligence reviews in several transactions.
  • Advised JP Morgan and Goldman Sachs in connection with the financing and bond offerings relating to the purchase of athenahealth by Bain Capital and Hellman & Friedman.
  • Advised ProKidney on going public through a merger with a special purpose acquisition corporation (Social Capital Survetta Holdings Corp. III). The firm advised on due diligence and disclosure matters related to the de-SPAC.

Sheppard, Mullin, Richter & Hampton LLP

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.

Practice head(s):

Eric Klein


Other key lawyers:

Lynsey Mitchel; Michael Paddock; Phil Kim; Kathleen O’Neill; Jordan Grushkin; Erica Kraus


Testimonials

‘The team at Sheppard Mullin has broad experience and provide exceptional support. The team is wonderful.’

‘Kathleen O’Neil, her experience as a nurse practitioner gives her unique insight when dealing with medical group problems including quality, human resources, hiring and firing, dealing with providers and affiliated medical centers. It’s a pleasure working with Katie.’

‘Every attorney is knowledgeable and professional.  They value their clients and work tirelessly to support their needs.  I would recommend them to other healthcare companies without hesitation.’

‘They have a top-notch healthcare department. I am most impressed by their commitment to excellence.’

‘Jordan Grushkin leads a team of exceptional attorneys and closes deals in record time.’

‘The entire healthcare department are subject matter experts, with the upmost professionalism. They are there for their clients. We have used the healthcare practice at Sheppard Mullin for 25 years and find them to be outstanding.’

Key clients

VillageMD


Ethos Veterinary Health


Montefiore Health System


Prospect Medical


PSN Group


UpStream


Save Mart Supermarkets


Duke University and Duke University Health System


Quartet Health


Advantage Wound Care


Millennium Physicians Group


University of Maryland Medical System


Parachute Health, LLC


Vision Integrated Partners


Physicians Medical Group of San Jose, Inc.


Work highlights


  • Representing VillageMD in its agreement to acquire Summit Health-CityMD. The transaction is valued at approximately $8.9 billion.
  • Advised Ethos Veterinary Health, as co-counsel with Proskauer Rose, in its $1.65 billion sale to National Veterinary Associates.
  • Representing Montefiore Health System and its affiliates in connection with the pending sale of the assets and operations of its joint venture with Crystal Run Healthcare to Optum.

Dentons

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.

Practice head(s):

Kimberly Kerry


Other key lawyers:

Holley Thames Lutz; Gadi Weinreich; Charles Luband


Testimonials

‘The practice offers knowledge related to Medicaid supplemental payments.’

‘Charles Luband offers specialist knowledge related to Medicaid supplemental reimbursement, which is quite complex.  He offers the expertise to bridge the gap of the finance reimbursement members and the legal regulations, and also offers the national perspectives, letting clients know what other states are doing and what CMS has approved.’

Key clients

HCA Holdings, Inc.


SCL Health, Inc.


The University of California Health System


University of North Carolina Health Care System dbaUNC Health


Adelanto HealthCare Ventures, LLC


Verity Health Systems of California


Vidant Health n/k/a ECU Health


Parkland Health and Hospital System


Northwestern Memorial HealthCare and its affiliates


Essilor of America


Work highlights


  • Advising HCA Holdings, Inc. on , fraud and abuse, regulatory, operational and compliance matters.
  • Advising Northwestern Memorial HealthCare and its affiliates on financial matters, and in actions to revise its organizational structure, including the integration of debt and updating its debt covenant compliance process.
  • Represented SCL Health in its combination with Intermountain Healthcare to form a US$11 billion health system operating across Colorado, Idaho, Montana, Nevada, Utah and Wyoming.

Epstein Becker & Green, P.C.

The ‘very knowledgeable and dedicated' Washington DC-based practice at Epstein Becker & Green, P.C. handles a range of issues for long-term care facilities, physician-owned practices, and home health companies. The team regularly dispenses advice on privacy and security issues, government investigations, and investment matters. Mark Lutes and George Breen jointly head the practice, with Breen having extensive expertise in handling contentious matters concerning alleged FCA violations and civil monetary penalties. Amy Lerman has ample experience in telehealth, and assists clients with regulatory strategies, while Lynn Shapiro Snyder is ‘extremely knowledgeable‘ when it comes to reimbursement, behavioral health, and compliance related issues. Based in Boston, Emily Chi Fogler has a distinctive focus on clinical research and advises research organizations and health systems with human research programs.


Practice head(s):

Mark Lutes; George Breen


Other key lawyers:

Amy Lerman; Rich Westling; Christopher Dunn; Lynn Snyder; Helaine Fingold


Testimonials

‘Epstein Becker Green has a very knowledgeable and dedicated healthcare team. They have expertise on a variety of important healthcare topics.’

‘Lynn Snyder and Helaine Fingold are extremely knowledgeable on behavioral health issues.’

‘Christopher Dunn is the most savvy lawyer I know.  He has an eye for detail and a keen ability to get to the bottom of cases quickly. He is smart, a critical thinker, quick to grasp the key issues, and an astute navigator of the waters for his clients.’

Work highlights


McGuireWoods LLP

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 ‘outstandingKate 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.


Practice head(s):

Holly Buckley


Other key lawyers:

Kate Hardey; Bart Walker; Kayla McCann Marty; Scott Becker; Chris Scheurer; Amanda Roenius


Testimonials

‘The team has expertise across all healthcare industries and subsectors.’

‘Kate Hardey is outstanding; Kate has exceptional expertise, and is very collaborative.’

‘The team has a diverse range of healthcare knowledge. They are responsive and practical while helping to manage risk. There is no question that they can’t address.’

Key clients

Novant Health


Audax Group


Smile Doctors


HCA Healthcare


Sverica Capital


Biofrontera AG


Revelstoke Capital Partners


Silver Oak Services Partners


Women’s Health USA


Work highlights


  • Represented Vios Fertility Institute in its sale to Kindbody. The deal, announced on Feb. 1, 2022, propelled Kindbody to unicorn status at a $1.15 billion valuation.
  • Represented BetterMed Urgent Care (BetterMed) in its sale to HCA Virginia Health System, a subsidiary of HCA Healthcare.
  • Represented United Urology Group in a joint venture with United Surgical Partners International, pursuant to which it sold a portion of its ownership interests in 22 ambulatory surgery centers.

Nixon Peabody LLP

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.


Practice head(s):

Peter Armstrong Egan


Other key lawyers:

Jill Gordon; Alexandra Busto; Thomas Fahey; Rebecca Simone; Harsh Parikh; Michele Masucci


Testimonials

‘It’s all about the quality of people , and that’s where Nixon Peabody shines’

‘Michele Masucci is a truly amazing attorney who has such insight into business, and is able to guide you through those difficult decisions we all have to make. She is an invaluable resource to any executive in healthcare services.’

‘Very competent and responsive.’

‘They are very good listeners and offer reasonable solutions to issues.’

Key clients

Methodist Hospital of Southern California


Medical Debt Resolution d/b/a RIP Medical Debt


Kaiser Foundation Health Plan


eMed Labs, LLC


Fresno Community Hospital and Medical Centers dba Community Medical Centers


CHA Bio & Diostech Co., Ltd.


Children’s Hospital Los Angeles


Sentinel Capital Partners


LIFEPlan CCO NY, LLC


GoForward, Inc.


Work highlights


  • Advised Methodist Hospital of Southern California, one of the top hospitals in the nation offering a wide array of medical services, in their affiliation with the University of Southern California.
  • Assisting Medical Debt Resolution (RIP Medical Debt), a nonprofit organization that works to purchase and forgive patients’ medical debts, with tax-exemption, contract negotiation, corporate governance and structuring, and health information privacy.
  • Assisting NH Critical Access Hospital with becoming a member of a larger health system and integrate with other critical access in the system.

Reed Smith LLP

With ‘deep domain expertise', the team at Reed Smith LLP advises a diverse client base of pharmacies, hospitals, and academic medical entities. Scott Hasselman heads the primarily Washington DC-based practice, assisting a number of post-acute care companies with contentious fraud and abuse issues. Frederick Robinson maintains a white collar crime focused practice, advising health systems on whistleblower lawsuits and class action cases. Selina Coleman uses her ‘unflappable legal skills‘ to act in FCA, Medicaid, and Medicare cases and government investigations for a broad range of service providers, while Carol Loepere utilizes her business and finance expertise to advise private equity and healthcare clients on transactional issues, including healthcare M&A. San Francisco’s Paul Pitts has an established presence in the radiology and telehealth sectors, and is adept at advising on HIPAA and privacy matters. In Austin, Jeff Layne is an experienced litigator who represents hospital systems and managed care organizations in both internal and government investigations.


Practice head(s):

Scot T. Hasselman


Other key lawyers:

Selina Coleman; Paul Pitts; Jeff Layne; Frederick Robinson; Carol Loepere


Testimonials

‘The strength of Reed Smith is deep domain expertise. They are a top-tier firm but bring a real understanding of industry sectors and related issues. I’ve also found their cross-sector expertise to be invaluable. Finally, for corporate resolutions, opposing folks don’t want to mess with them.’

‘Selina Coleman has a deep industry practice, particularly when it comes to issues facing healthcare providers, especially pharmacies and related areas. There are few people who know what to do more than Selina. She pairs this experience with unflappable legal skills and a high level of efficiency. She’s ALWAYS prepared.’

Work highlights


Debevoise & Plimpton LLP

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.



Practice head(s):

Andrew L. Bab; Mark P. Goodman; Maura K. Monaghan; Kevin Rinker; Paul D. Rubin


Other key lawyers:

Jennifer Chu


Testimonials

‘Mark Goodman is as good as any lawyer. He is very smart, extremely articulate and super dedicated to representing his clients.’

‘Outstanding team.’

Key clients

Adare Pharmaceuticals


Allergan plc


Blackstone


Carestream Dental


Carlyle


Centerbridge Partners


Certain former directors and shareholders of Purdue Pharma, Inc.


Clayton, Dubilier & Rice, LLC


Deutsche Bank


EmblemHealth / Group Health Incorporated, Inc.


GlaxoSmithKline


Guggenheim Securities


Hospital Corporation of America and subsidiaries


J.P. Morgan Securities


JAB Holdings


Johnson & Johnson


Kindred Healthcare


Merck KGaA


Nestle


Novartis


Pfizer, Inc.


SVB Leerink


TPG Capital


Work highlights


DLA Piper LLP (US)

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.

 












Practice head(s):

Joshua Kaye


Other key lawyers:

Kristi Kung; Donna Thiel; Joshua Samek; Russell Sass


Testimonials

‘DLA Piper has a strong healthcare practice. They have a very practical knowledge base in the 340b and hospital space.’

‘The team is extremely knowledgeable and has deep bench strength.’

‘Russell Sass, Kristi Kung, and Danny Tobey are unmatched.’

‘Joshua Kaye is a master of his craft. He has exceptional knowledge and experience of transactions of all sizes on the provider’s side. Joshua is an extraordinary thinker and quickly grasps all information. He is a great negotiator, deal strategist and communicator.’

 

Key clients

SOC Telemed


TherapeuticsMD


CareMax


Unio Health Partners


Work highlights


  • Represented SOC Telemed, Inc., a national provider of acute care telemedicine services, in its go-private sale to Patient Square Capital, a leading healthcare investment firm.
  • Represented TherapeuticsMD in its divestiture of vitaCare Prescription Services to GoodRx.
  • Represented CareMax in its US$135 million acquisition of the Medicare value-based healthcare business of Steward Health Care.

Duane Morris LLP

The ‘extremely knowledgeable‘ team at Duane Morris LLP advise a range of service provider clients, including post-acute care and senior services, physicians, and hospitals. The ‘unique practice’ is well versed in healthcare IT, care and disease management, and hospice and palliative care services. Gregory Brodek and Erin Duffy jointly lead the team. Brodek, who divides his time between Boston and Bangor, regularly represents physician groups and hospital systems in disputes with public and private payors, reimbursement issues, and negotiations with federal and state agencies, while Duffy utilizes her regulatory focus to assist with HIPAA and fraud and abuse matters. The ‘exceptional’ Sean Zabaneh, who has extensive litigious expertise, handles healthcare related government investigations and antitrust matters. Jonathan Swichar regularly ‘works tirelessly’ when representing pharmacy associations in matters concerning audits and unlawful competition issues. Working out of the Atlanta office, Kirk Domescik advises owners and operators of long-term care communities on licensing and regulatory issues, on both a federal and state level. David Loder is well versed in hospital governance and managed care arrangements. All mentioned practitioners are based in Philadelphia unless specified otherwise.


Practice head(s):

Gregory Brodek; Erin Duffy


Other key lawyers:

Kirk Domescik; Jonathan Swichar; David Loder; Sean Zabaneh


Testimonials

‘Duane Morris has a unique practice. They are thego-to firm for pharmacy disputes with payers and regulators.’

‘Jonathan Swicher is very knowledgeable about pharmacy law and arbitration. He cares deeply about his clients and works tirelessly for them.’

‘This team is extremely knowledgeable and well respected. They are always on top of things and are great at keeping clients in the loop.’

Key clients

Aveanna Healthcare


Hunterdon Healthcare System


Virtua Health


Kennsington Hospital


Suburban Community Hospital


Lancaster Rehab Hospital


HealthSouth Harmarville


Mercy Catholic Hospital


Chicago Covid Control


Executive Committee of Board of Directors of Ray Graham Association


Pipeline Health System, LLC


Center for Allergy & Asthma of Georgia, P.C./Dr. Eugene Hurwitz


Georgia Bone & Joint Surgeons, P.C.


Brightlink Communications, LLC


Axis Pain Center


Gadsden Eye Associates, P.C.


Marietta Plastic Surgery, LLC


Work highlights


Goodwin

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 consigliereDavid 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.

Practice head(s):

David Cappillo; James Gatta; Chris Wilson


Other key lawyers:

Delphine O’Rourke


Testimonials

‘The quality of work at this level of firm is table stakes. They all do excellent work. What separates Goodwin for me is the service. We’re a small company, but we are treated with white glove service. They’ve won my business and loyalty.’

‘David Cappillo is not only a great business person and legal mind, but a true consigliere. I feel I can share anything with him and I’ll get his best and objective advice.’

Key clients

Exalt Health


Whoop


Healthscope


Cohere Health


Carrot Fertility


Paradigm


Amplifire


Forte Health Advisors


HDX Labs


Wellspan Health


Work highlights


  • Advised Pinnacle Fertility on a vertically integrated model, enabling patients to get all kinds of fertility services through six acquisitions over the course of 12 months.
  • Represented PointClickCare in its acquisition of Audacious Inquiry.
  • Represented Comprehensive Pharmacy Services in its acquisition of Trellis Rx.

Greenberg Traurig LLP

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.

Practice head(s):

Nancy Taylor; David Peck


Other key lawyers:

Andrew Tsui; Chia-Feng-Lu; Robert Charrow; Lawson Parker


Testimonials

‘Chia-Feng Lu has deep knowledge in the development and registration of pharmaceutical products, as well as a vast amount of real case experience in matters related to their in-/out-licensing and acquisition. Mr. Lu’s team worked consistently and seamlessly.’

‘Mr. Lu stands out among many for his proactiveness, empathy, and flexibility.’

‘Lawson Parker is awesome.’

‘The firm has a wealth of experienced attorneys that are extremely competent. There was a comprehensive due diligence call and appropriate follow through. I never felt as I was being billed to increase revenue, rather for the service they were providing.’

‘The healthcare team at GT really are experts. They understand the industry, what drives value, what areas are ripe for negotiation, what industry best practices are, they are real healthcare experts.’

‘Very strong and deep health care team and wide breadth of knowledge on health care legal and policy issues.’

‘Nancy Taylor for years is very helpful on key issues facing hospitals. She has a great team around her. Robert Charrow is also very helpful.’

‘Chia-Feng Lu is excellent. He has a great network not only in US but also in Japan. His support is always proactive, not reactive. He always gives us precious insight into strategy, based on his irreplaceable knowledge and experience.’

Key clients

Panorama Orthopedics & Spine Center


Alpaca Group Holdings, LLC


Thompson Street Capital Partners


McKesson Corporation


Boca Home Care


Envision Healthcare


New Mountain Capital


Patient Square Capital


Blue Wolf Capital


Work highlights


Holland & Knight LLP

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.

Practice head(s):

Maria Currier


Other key lawyers:

Brian Platton; John Kern; Mia McKown; Shannon Hartsfield


Key clients

Advanced Urology Institute


Advanced Diagnostics Hospitals and Clinics LLC


AdventHealth


AdventHealth Medical Group


Banyan Medical Systems


MCCI Medical Group


RWJ Barnabas Health


Northwell Health


Beth Israel Lahey Health


Memorial Sloan Kettering Cancer Center


Palm Medical Centers


Women’s Healthcare Florida


OB/GYN North Florida


Mount Sinai Health System


Montefiore Medicine Academic Health System


New York Presbyterian Health Systems


MDVIP, Inc.


Global Nephrology Solutions


NYU Fertility Clinic


Palomar Health


Premier Oral Surgery and Implantology Centers


River Oaks Hospital and Clinic


Work highlights


  • Advised Lionheart Acquisition Corp. II, a special purpose acquisition company, on state and federal regulatory issues in connection with Lionheart’s IPO, through the acquisition of MSP Recovery LLC.
  • Represented Premier Care Associates in its sale of 70 percent of the company’s ownership to Genuine Health Group, following a capital infusion of $160 million.
  • Represented Memorial Sloan Kettering Cancer Center in a $1bn License Agreement for MyelomaTherapy.

Hooper, Lundy & Bookman, PC

Dedicated solely to representing healthcare clientele, Hooper, Lundy & Bookman, PC assists both providers and organizations. San Francisco-based Mark Reagan advises on matters in the long-term and post-acute care sectors, often acting for the American Healthcare Association (AHA). Also based in San Francisco, Katrina Pagonis handles the regulatory side of the practice, and is proficient in advising on the implementation of the Affordable Care Act, and out-of-network reimbursement. Karl Schmitz and Robert Miller jointly lead the business department, advising physician associations and healthcare consultants on a full range of corporate and M&A matters from Los Angeles. Scott Kiepen and Devin Senelick maintain their litigious focus from San Francisco and Los Angeles respectively, and often represent senior housing and continuing care retirement providers in disputes with payors, fraud and abuse claims, and unpaid and underpaid patient claims.

Practice head(s):

Mark Reagan; Katrina Pagonis; Karl Schmitz; Robert Miller; Scott Kiepen; Devin Senelick


Other key lawyers:

Lloyd Bookman; Mark Johnson


Key clients

Massachusetts Health & Hospital Association


AndHealth


California Association of Health Facilities (CAHF)


Reliance Medical Systems


MLK Community Healthcare


KAR Management Skilled Nursing Facility


Beach Cities Health Care District (BCHD)


Privia Health


Cedars Sinai


Stanford Health Care


Scripps Health


USC


California Hospital Association (CHA)


American Health Care Association


MemorialCare


Lucile Packard Children’s Hospital


Work highlights


  • Advised Massachusetts Health & Hospital Association on significant financing and reimbursement transformations to the state Medicaid program.
  • Advising Martin Luther King Jr. Community Hospital on state and federal regulations to establish unique health equity focused programs.
  • Representing the California Association of Health Facilities on CalAIM legslation (AB 133), requiring that all skilled nursing (SNFs) services will be reimbursed by Medi-Cal managed care plans effective January 1, 2023.

Husch Blackwell LLP

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.

Practice head(s):

Curt Chase


Other key lawyers:

Hal Katz; Ellee Cochran; Robert Blaisdell; Tom Shorter


Testimonials

‘The HB team have subject matter experts. They are accessible and their advocacy is unsurpassed.’

‘The team works together seamlessly, and their responsiveness is incredible. I would feel as if I was on an island without them.’

‘Tom Shorter’s presence lends a steadiness and calming influence to any meeting or issue he’s involved in. His ability to keep four health care competitors and County leaders focused on the key points that need to be moved forward is impressive.’

‘Curt Chase is an exceptional and knowledgeable healthcare attorney. The diversity, expertise and incredible legal talent across this organization is second to none.’

‘Curt Chase has a vast and intense knowledge of healthcare law across all spectrums. His experience and skills are very rare and exceptional, and he always provides a pathway for resolution or compromise to get the best outcome.’

‘Robert Blaisdell is clearly a subject matter expert when it comes to legal matters and their intersection with healthcare in Massachusetts. He is a clever problem solver while remaining compassionate and considerate of those impacted by his decisions.’

Key clients

North Bend Medical Center


Edward Elmhurst Health System


Bryan Health


Mid Dakota Clinic


Health Management Systems, Inc.


Work highlights


K&L Gates

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 ‘amazingJoshua 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.

Practice head(s):

Mary Beth Johnston; Limo Cherian


Other key lawyers:

Joshua Skora; Ken Marlow; Rebecca Schaefer; Gina Bertoloni; Andrew Lloyd


Testimonials

‘Great collaboration across all specialties, including corporate, regulatory, financing, and bankruptcy.’

‘Josh Skora is amazing, very plugged into happenings in the industry.’

‘I have used several healthcare law firms in my career, and this firm as been the best thus far, their legal expertise and strategy is unparalleled.’

‘K&L has a deep bench and extensive experience in healthcare regulatory matters, including fraud, waste and abuse, transactions and investigations.’

‘This firm has tremendous historical knowledge, which is incredibly valuable. They have a high level of expertise and I know I am getting reliable advice that is tailored to my company, and that is valuable.’

Key clients

ECU Health


Hospice of the Carolina Foothills


Atrium Health, Cape Fear Valley Health, and ECU Health f/k/a Vidant Health


Virginia Premier Health Plan, Inc.


Vanderbilt University Medical Center


McKay Consulting


Ochsner Clinic Foundation


UC Health


AdaptHealth


Sleep Data Services


VeruStat, Inc.


SouthEast Alaska Regional Health Consortium


Work highlights


  • Advised ECU Health with the legal and operational integration across all service lines, including regional care delivery, physician services, privacy, compliance, IT, risk management, insurance, among others.
  • Assisted Virginia Health Plan, Inc. with obtaining a voluntary dismissal with prejudice of eight False Claims Act counts in the U.S. District Court for the Western District of Virginia.
  • Advised UCHealth, a non-profit health system and academic medical center headquartered in Aurora, Colorado, on COVID-19 related matters.

Katten

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.

Practice head(s):

Lisa Atlas Genecov


Other key lawyers:

Kenneth Davis; Joseph Willey


Key clients

Cardiovascular Research Foundation


E3 Health Solutions  (eTrue North or eTN)


Greater New York Hospital Association


Montefiore Medical Center


New York City Health and Hospitals Corporation


Northwell Health


PPG Health, PA


The Brooklyn Hospital Center


The Hospital & Health System of Pennsylvania


The Regents of the University of California


Work highlights


  • Representing eTN in its negotiation and contracting with the HHS for over 350 COVID-19 testing sites across the country, including at border and other military facilities.
  • Representing three large municipal school districts in United States of America and States of the United States ex rel. Donohue v. Richard Carranza, et al., a case brought in the United States District Court for the Southern District of New York, by a whistleblower under the qui tam provisions of the federal FCA and various state FCAs.

Norton Rose Fulbright

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.



Practice head(s):

D’Lesli Davis; Stacey Murphy


Other key lawyers:

Debbi Johnstone; Jay Dewald; Susan Harris; Andrew Roth; Donna Clark


Testimonials

‘We’ve used this firm as our go-to for advice on counsel on Graduate Medical Education training, and they haven’t let us down.’

‘Andrew Roth has been our point person and is timely, keeps us informed of new developments and is very familiar with the market and trends.’

‘This team is exceptionally personable, detail-oriented, very collaborative, and fantastic to work with. The expertise they have in the industry is impressive. I really look forward to working with Norton Rose, and I am very grateful for the service they provide. They are not only keen legal advisors, but they are also people I consider friends.’

‘Donna Clark is the go-to person on Stark law related matters. She has an understanding of this field that is nearly unparalleled in this industry.’

‘Stacey Murphy is fantastic at understanding integrations within health systems and key considerations, she is also personable.’

‘Jay Dewald is a trustworthy advisor in high stakes legal matters. Jay is an excellent listener and analyzer, and a fantastic lawyer.’

‘Debbi Johnstone is an excellent healthcare lawyer with a keen understanding of Stark and Anti-Kickback.’

Susan Harris is a jack of all trades. She has a fantastic understanding of issues faced by academic medical centers. Susan is also exceptionally bright on all things Medicaid related.’

Key clients

Ancor Holdings LP d/b/a Ancor Capital Partners


Harris Health System (a d/b/a of Harris County Hospital District)


Pure Health Capital


Roper St. Francis Healthcare


Memorial Hermann Health System


Apollo Endosurgery Inc.


Work highlights


  • Advised Alpha Dhabi Holding subsidiary Pure Health Capital on a series of agreements related to the potential acquisition of an equity stake in US healthcare company Ardent Health Partners L.L.C for US$500 million.
  • Representing Harris Health (Houston) in a lawsuit filed by a current employee under the Qui Tam whistle blower provisions of the federal False Claims Act and the Texas Medicaid Fraud Prevention Act.
  • Represented Memorial Hermann Health System in forming joint ventures with GoHealth (urgent care centers) and Contessa Health (home-based patient services).

Proskauer Rose LLP

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.

Practice head(s):

David Manko


Other key lawyers:

Lauren Boglivi; Edward Kornreich; Jason Madden


Key clients

Advanced Reimbursement Solutions and American Surgical Development


Aledade


Apollo Investment Management


Ares Capital Corporation (Benefytt)


Ascend Capital Partners Manager, LP


Biomedical Research Alliance of New York


Brius LLC


Church & Dwight


Collaborative Imaging, Texas Radiology Associates, and California Medical Imaging


Financial Oversight and Management Board for Puerto Rico


Greater New York Hospital Association


Harren Equity Partners


Henry Schein


Hospital for Special Surgery


Lighthouse Guild


Live on NY


Lung Cancer Research Foundation


OneSource Medical Diagnostics


VillageMD


Westmed Medical Group


Work highlights


  • Representing Ascend Capital Partners on transactional and regulatory matters, including portfolio company transactions with an aggregate value in excess of $2 billion.
  • Represented Biomedical Research Alliance of New York (BRANY) in its acquisition of Tech Software. BRANY is a national company owned by leading academic medical institutions, including: Montefiore Medical Center, New York University School of Medicine, Icahn School of Medicine at Mount Sinai, and Northwell Health.
  • Filed, in conjunction with attorneys from Children’s Rights, Inc., Disability Rights New York, and the National Health Law Program, a class action lawsuit against New York officials in response to the mental health crisis arising from New York’s failure to provide, in sufficient quantity, frequency, and duration, home- and community-based mental health services that are medically necessary to permit children with mental health issues to remain safely at home in their communities.

ArentFox Schiff

The ‘broad and high quality' team at ArentFox Schiff assist acute and sub-acute providers, including telehealth providers, ambulatory surgery centers, and hospices. Practice head Douglas Grimm works out of the Washington DC office, supported by Stephanie Trunk and Jacques Smith. Grimm, who has key experience in healthcare administration, acts for academic medical centers and hospitals; Trunk handles drug pricing issues; and Smith assists clients with fraud and abuse, and FCA disputes. Based in Los Angeles, Lowell Brown dispenses operational advice to long-term care facilities and medical groups, often appearing before the California Courts of Appeal. Also in Los Angeles, Debra Albin-Riley maintains her distinct focus on administrative peer review hearings and physician whistleblower claims, often acting for hospitals and medical staff.

Practice head(s):

Douglas Grimm


Other key lawyers:

Lowell Brown; Debra Albin-Riley; Stephanie Trunk; Jacques Smith; Annie Lee


Testimonials

‘The firm has a broad and high quality healthcare practice that addresses a broad range of issues, with special expertise in the medical staff arena.’

‘What makes the firm unique, in my experience, is its lawyers’ commitment to understanding client needs.’

‘Lowell Brown and Debra Albin-Riley are both extremely knowledgeable and have deep experience in their areas of expertise. I view each of them as a colleague that I can rely on for excellent advice.’

Key clients

Akorn Operating Company


Cardinal Health


Providence St. Joseph Health System


Fundamental Long Term Care


Long Beach Memorial Medical Center


Maxim Healthcare Services, Inc.


Maxim Healthcare Staffing Services


California Hospital Association


Tenet Healthcare/John F. Kennedy Memorial Hospital


Providence St. John’s Health Center


United Hospital Association


Novartis Pharmaceuticals Corporation


Work highlights


  • Represented Akorn in an investigation related to the DOJ’s issuance of a Civil Investigative Demand, alleging violations of the False Claims Act. The investigation involved $72m in potential liability for Akorn.
  • Represented Providence St. Joseph Health System in Bonni v. St. Joseph Health System before the California Supreme Court in an important matter involving anti-SLAPP motions in medical staff peer review cases, as well as in various appellate proceedings.
  • Advised Fundamental Long Term Care on numerous transactions over the past year.

Arnold & Porter

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.

Practice head(s):

Allison Shuren; Dan Kracov


Other key lawyers:

Mahnu Davar


Key clients

Laboratory Corporation of America


Alliance Family of Companies (AFC) (Stratus Neuro)


Children’s Health & CHKD


Pfizer


Metrodora Institute


Mylan Inc.


Johns Hopkins University


Planned Parenthood


Zimmer Biomet


Newark Beth Israel Medical Center


RxSight


UltraSight


Thermo Fisher Scientific


Performant Recovery, Inc.


Work highlights


  • Representing five Planned Parenthood affiliates that perform healthcare services in Texas and Louisiana in a FCA case in the northern district of Texas.
  • Representing a Medicare Recovery Audit Contractor (RAC) in a declined qui tam suit filed in the Southern District of Texas. The firm has moved to dismiss the case on numerous grounds, and the motion remains pending.
  • Conducted an internal investigation for, and is presently representing Newark Beth Israel Medical Center and its parent company, RWJBarnabas Health against allegations that the hospital had been keeping heart transplant patients alive to improve survival statistics.

Nelson Mullins Riley & Scarborough LLP

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.










Practice head(s):

Thomas Moran


Other key lawyers:

Gabriel Imperato; Patricia Markus; Gina Greenwood; Noah Huffstetler


Testimonials

‘The team are known as aggressive litigators, so they are a good fit when the stakes are high. They are willing to think creatively and approach the case from many angles to maximize chances of a good outcome.’

‘Noah Huffstetler is one of the most strategic and creative litigators I know. He comes up with ideas to maximize leverage and assert pressure on the opponent. He is willing to take risks and is not content to sit back and go on autopilot.’

Key clients

Clinical Site Partners


Appalachian Regional Healthcare System, Inc.


Rural Healthcare Initiative


Statesboro Cardiology


Official Committee of Unsecured Creditors in Chapter 11 bankruptcy cases of In re Americore Holdings, LLC


Randolph Hospital, d/b/a Randolph Health


MEDNAX


Tidelands Health


Cano Health, LLC


Cedartown-Polk County Hospital Authority d/b/a Polk Medical Center


Beacon Health Options


Work highlights


  • Represented Clinical Site Partners, LLC in its sale to Flourish Research.
  • Represented Appalachian Regional Healthcare System, Inc. in the completion of a new and innovative management relationship for the system, and resolution of matters relating to the licensure and opening of the system’s new Appalachian Regional Behavioral Health Center.
  • Representing the Rural Healthcare Initiative on topics such as governing board structure and liability issues, facility planning and management, and healthcare trends.

Williams & Connolly LLP

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.

Practice head(s):

Enu Mainigi; Jennifer Wicht


Other key lawyers:

Holly Conley; Grant Geyerman


Key clients

Cardinal Health


CVS Health


CVS Health/Aetna


CVS Health/Omnicare


Medtronic plc


CVS Pharmacy


Cigna/Express Scripts


Cigna/MDLIVE


CVS/Caremark


Work highlights


  • Advising Cardinal Health on all things opioids, including Attorney General litigation and investigations, civil litigation, congressional investigations, and other matters relating to the company’s distribution of opioid medications.
  • Represented CVS Health in class action litigation related to the company’s Health Savings Pass generic discount drug program, and continues to defend the company in plaintiffs’ appeal to the Ninth Circuit.
  • Representing CVS Health in multiple pending federal and state securities class actions alleging 1933 and 1934 Act violations relating to its acquisition of Omnicare in 2015 and subsequent accounting judgments, securing a major victory before the First Circuit, which affirmed the district court’s dismissal with prejudice of a putative investor class action arising from the acquisition.

Winston & Strawn LLP

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.

Practice head(s):

Reed Stephens; Amandeep Sidhu


Other key lawyers:

Guy Collier


Testimonials

‘The Winston team is incredibly collaborative, bright, and insightful for all of our business needs. They have helped us streamline in the midst of an incredibly high pace of acquisitive growth.’

‘Responsive, efficient team which delivers the right advice for situations that impact how we run our business. They deliver the full suite of our needs from regulatory advice, transaction execution, and managing difficult situations.’

Key clients

Allscripts Healthcare Solutions


Ascension Health


Big Health


Cityblock Health


Eye South Partners


Granite One Health


Lexington Health Network


Northshore University Health Systems


Protocol First


RWJBarnabas Health


Shore Capital Partners


United Network for Organ Sharing (UNOS)


UnityPoint Health


Universal Health Services


Work highlights


  • Represented Northshore University Health Systems in a class action litigation brought by employees challenging the service provider’s COVID-19 vaccine mandate.
  • Represented EyeSouth Partners in its sale to Stamford, CT-based Olympus Partners.
  • Representing Ascension Health in regulatory, compliance, and litigious matters involving its hospitals and nursing care facilities around the US.