Jointly led by Jim Boswell in Atlanta and Mark Polston in Washington DC, King & Spalding LLP houses a ‘highly specialized set of experts’ known for their strength in administrative and commercial disputes concerning CMS and HHS regulations, and allegations of billing fraud. The group acts for a broad range of clientele, from university hospitals and major health systems, to physician staffing companies, and healthcare investors. Boswell regularly acts in managed care cases for providers, while Polston assists a diverse client list of clinical laboratories, health systems, and hospitals with the full range of healthcare fraud issues. Jon Harris often advises nonprofit healthcare systems on transactional issues, and Daniel Hettich is a key name for complex litigious Medicare reimbursement work, often advising hospitals and hospital consultants. Atlanta’s Jennifer Lewin is well-versed in federal level False Claims Act (FCA) disputes across New York, Texas, California, and Georgia. Richard Zall works out of the New York office, utilizing his deep regulatory knowledge to assist with joint ventures and M&A, in addition to digital health and telemedicine-related licensing issues. Glenn Solomon is noted for his experience in arbitrations involving government-managed providers in Los Angeles.
Service providers in United States
King & Spalding LLP
Praxisleiter:
Jim Boswell; Mark Polston
Weitere Kernanwälte:
Jon Harris; Daniel Hettich; Jennifer Lewin; Adam Robison; Chris Kenny; Alek Pivec; Sara Brinkmann; Glenn Solomon; Richard Zall; Christina McNamara; Dana Berkowitz; Craig Carpenito; Ariana Fuller
Referenzen
‘K&S has reliable and responsive attorneys with practical experience and tested expertise. I trust the guidance that I am provided. They are quickly able to collaborate across offices and departments to find and assign attorneys with the most relevant experience and expertise to assist in a matter.’
‘I work most frequently with Chris Kenny. I trust that Chris will be honest with me about risks and I value his experience and expertise. Everyone I work with at K&S is knowledgeable and thorough when providing counsel.’
‘Rick Zall is a pleasure to work with. He is responsive, and has wide-ranging knowledge. Knows exactly which KS team member to bring onto specific projects.’
Kernmandanten
American Clinical Laboratory Association
Arrowhead Regional Medical Center
Atrium Health
Aveanna Healthcare
Baylor College of Medicine & Affiliated Medical Services
Bon Secours Health System
Bronx-Lebanon Hospital Center Health Care System
California Hospital Association
Care Hospice
Charleston Area Medical Center
CHRISTUS Health
Citizens Medical Center
Community Health Systems, Inc.
Cooper University Hospital
El Camino Hospital
Florida Hospital Association
Fresno Community Hospital and Medical Center
HCA
Health Services Los Angeles County
Hill Country Memorial Hospital
Houston Methodist Hospital
John Muir Health
LifeGift Organ Procurement Organization
Marion Hospital Corporation
Memorial Healthcare System
Methodist Fremont Health
Mount Sinai Health System NYC
Montefiore Medical Center
National Association for Home Care and Hospice
Nemours Children’s Health
New York-Presbyterian Healthcare System
New York University Langone Medical Center
Northwell Health
Ochsner Health System
OSF Healthcare System
Piedmont Healthcare
Pomona Valley Hospital Medical Center
Presbyterian Healthcare Services
ProCare Hospice of Nevada
Regional Medical Center of San Jose
San Antonio Regional Hospital
San Miguel Hospital Corporation Hospital
Southwestern Health Resources Clinically Integrated Network
Stanford Health Care
Sutter Health
Tampa General Hospital
Texas Council Risk Management Fund
Tiero, LLC
Trinity Health
UAB Medicine
University of California
University of Kansas Hospital
University of Utah Hospital
University of California Health
University of Tennessee Medical Center
University of Texas San Antonio
The University of Texas System
Vituity
Quest Diagnostics
Highlight-Mandate
- Represented Lehigh Valley Health Network in its strategic combination with Jefferson, effective August 1, 2024.
- Represented more than 200 hospitals across three precedent setting cases on issues regarding the Medicare DSH program. Under this program, Medicare provides additional payments to hospitals that render services to a “disproportionate” share of low-income individuals. Payments are calculated according to a methodology that looks to the number of inpatients who receive Medicaid benefits as well as individuals who receive inpatient benefits under so-called “Section 1115 waiver programs.” CMS has determined that certain individuals who receive inpatient benefits under Section 1115 waiver programs in several states cannot be counted in this payment methodology. In August 2024, the Northern District of Texas vacated CMS’s new regulation—a victory that will result in hundreds of millions of dollars in additional Medicare payment to affected hospitals.
- Representing Baylor College of Medicine (BCM) in the defense of a qui tam FCA litigation styled Vaughn et al v. Harris County Hospital District et al, txsd-4:2017-cv-02749 brought in the Southern District of Texas. The litigation involved novel allegations and tests key defences, including the public disclosure bar. The government filed a statement of interest at the request of the court agreeing with Baylor College of Medicine and the other defendants that the case should be dismissed under the public disclosure bar.
McDermott Will & Emery LLP
The ‘knowledgeable, experienced, creative’ offering at McDermott Will & Emery LLP is well-known for its breadth, spanning physician practice management, cybersecurity, and government investigation-related matters. The team is active across the women’s health, telehealth, and optometry industries. Jerry Sokol heads the practice from the Miami office, with his primary area of focus being private equity-related healthcare work, while Gary Scott Davis handles the full spectrum of managed care mandates, including joint ventures and reorganizations. Sitting in Boston, Christopher Jedrey often represents academic medical centers and major system operators in complex transactions. In the Chicago office, Sandra DiVarco routinely advises health systems and hospitals on restructurings and accreditation-related matters, Gregory Fosheim is well-known for his specialism in regulatory mandates concerning diagnostic and fertility laboratories, and Monica Wallace is well-placed to assist with Medicare enrolment, and fraud and abuse issues. Regularly assisting non-profit hospitals and post-acute providers, Kerrin Slattery specializes in healthcare transactions, with a strong focus on joint ventures and affiliations. Taylor Hood and Rosalyn Broad are both key figures within the Houston and Austin offices respectively; Hood routinely advises clients on managed care contracting and the corporate aspects of medicine, while Broad is adept at handling anti-kickback and HIPAA work, in addition to advising on both Medicaid and Medicare reimbursement rules.
Praxisleiter:
Jerry Sokol
Weitere Kernanwälte:
Gary Scott Davis; Christopher Jedrey; Kerrin Slattery, Sandra DiVarco; Monica Wallace; Gregory Fosheim, Marshall Jackson; Taylor Hood; Rosalyn Broad; Amanda Jester; Stephanie DeGennaro; Justin Aiello
Referenzen
‘The firm has specialists in all areas of law, making it an easy one stop shop. It is knowledgeable, experienced, creative, committed to getting the job done, and wonderful to work with.’
‘McDermott has broad and deep expertise in health care regulatory law. When I receive advice from McDermott, I’m confident it reflects significant experience and expertise in handling similar issues for peer companies. I also greatly appreciate their pragmatism and focus on problem solving and risk evaluation.’
‘Justin Aiello and Stephanie DeGennaro are world class. They are always on top of their game 24/7. They have made such a big impact in our lives and business and we couldn’t praise them enough.’
Ropes & Gray LLP
Jointly leading the team at Ropes & Gray LLP from Chicago and Boston respectively are Deborah Gersh and Timothy McCrystal. On the contentious side, the practice is well-equipped to handle federal reimbursement disputes, particularly in relation to psychiatric care, while the non-contentious side of the practice advises on major health plan and hospital acquisitions. Gersh is a key name for value-based care initiatives and all matters relating to HIPAA, in addition to acting in qui tam actions, while McCrystal utilizes his longstanding experience to advise on issues relating to hospital-physician relationships, the establishment of health systems, and regulatory telehealth matters. In the Washington DC office, Stephanie Webster is an expert in disputes concerning government agency actions on both a state and federal level, drawing on her prior expertise at the Centers for Medicare and Medicaid Services (CMS) to represent health systems and hospitals alike. Chicago’s Jennifer Romig is a key contact for M&A and affiliations within the digital health and healthcare spaces, in addition to handling state privacy and HIPAA-related data privacy work. Sarah Blumenthal routinely assists managed care organizations and provider networks with corporate governance-related issues and third-party payment matters from the New York office. David Peloquin is a key name for all matters relating to clinical research.
Praxisleiter:
Deborah Gersh; Timothy McCrystal
Weitere Kernanwälte:
Stephanie Webster; Stephen Warnke; Jennifer Romig; Adrianne Ortega; Harry Richards; Sarah Blumenthal; Torrey McClary; Ranee Adipat; David Peloquin
Epstein Becker & Green, P.C.
The team at Epstein Becker & Green, P.C. is co-led by Mark Lutes and George Breen from Washington DC, and Amy Dow from Chicago. Hailed as ‘one of the strongest in the nation’, the practice is known for advising pharmacies, home health companies, and long-term care facilities on both the contentious and non-contentious aspects of healthcare fraud and reimbursement mandates. Lutes is a key contact for private equity investors seeking regulatory advice, while Breen is known for his vast experience in handling FCA violation allegations and government investigations on both a state and federal level. Dow is well-equipped to assist with regulatory enforcement actions and post-acquisition compliance-related work. Amy Lerman assists a varied client list of academic medical systems and telehealth providers with the full spectrum of regulatory issues, from Medicare, Medicaid, and third-party reimbursement programs, to the delivery of virtual healthcare. FCA, Stark, and AKS specialist Anjali Downs often advises ambulatory centers on government investigations, while New York-based Arthur Fried draws on his prior expertise within teaching hospitals and government agencies to assist with physician-patient relationship-focused work, and reimbursement matters.
Praxisleiter:
Mark Lutes; George Breen; Amy Dow
Weitere Kernanwälte:
Amy Lerman; Anjali Downs; Arthur Fried; Lynn Shapiro Snyder; David Matyas; Kathleen Premo
Referenzen
‘A wide range of resources. Very deep healthcare knowledge with wrap-around corporate, litigation and employment experience.’
‘Knowledge and integrity.’
‘Epstein Becker effectively balances commercial awareness with a keen understanding of the most salient regulatory issues in healthcare.’
Hogan Lovells US LLP
Hogan Lovells US LLP houses a broad offering which acts for a diverse client base of universities, health systems, and professional associations. The team is adept at handling the full spectrum of Medicare and Medicaid billing issues, and high-profile acquisitions of health systems. Ronald Wisor heads the practice from Washington DC, and stands out due to his deep knowledge of matters involving the Stark Law. FCA litigator Jonathan Diesenhaus is a key name for investigations, qui tam cases, and mandates concerning regulatory offences. Clifford Stromberg is renowned for his knowledge of major strategic deals involving managed care organizations, and both hospitals and health systems, and antitrust and competition expert Kenneth Field draws on his prior expertise at the Federal Trade Commission (FTC) to handle matters arising at the intersection between healthcare and competition law. In New York, Jeffrey Schneider is recommended for his expertise in divestitures and joint ventures concerning academic medical centers and hospitals, while transactions specialist Christine Pallares regularly assists with M&A, capital-raising transactions, and strategic alliances. Miami’s Craig Smith is known for his expansive knowledge of anti-kickback issues on both a state and federal level, allegations of non-compliance with Medicare and Medicaid rules, and fee-splitting.
Praxisleiter:
Ronald Wisor
Weitere Kernanwälte:
Jonathan Diesenhaus; Clifford Stromberg; Jeffrey Schneider; Craig Smith; Kenneth Field; Christine Pallares; Sheree Kanner; Stephanie Yonekura
Referenzen
‘Very helpful, easy to work with, knowledgeable and timely.’
‘Deep expertise, strategic long-term thinking, good relationships with regulators.’
‘Jon Diesenhaus and Stephanie Yonekura are excellent partners.’
Kernmandanten
Healogics, LLC
UPMC
Kaiser Permanente
The University of Minnesota
Henry Ford Health System
Oregon Health & Science University
Columbia University Medical Center
The State University of New York
American Board of Neurological Surgery
Yale/Yale New Haven Health System
Nicklaus Health System
Centene Corporation
Health First
Vitality Home Health
University of North Carolina Health
Highlight-Mandate
- Advised Kaiser Permanente on the creation of Risant Health, an new subsidiary to which Kaiser expects to commit $35-50bn in the next five years, to acquire health systems in various parts of the United States.
- Representing Columbia University in a variety of transactional, regulatory, and compliance matters, including ongoing counseling on medical school faculty issues, the acquisition of physician practices, numerous joint ventures, significant expansions and at least two transformative transactions.
- Representing Essentia Health, a $3bn Minnesota health system, in its combination with Marshfield Clinic Health System, a $3bn Wisconsin health system. The combined system will be a large provider of rural healthcare, and one of the larger systems in the Upper Midwest.
Hooper, Lundy & Bookman, PC
The broad offering at Hooper, Lundy & Bookman, PC is noted for its knowledge of major healthcare financing transactions, high-profile reimbursement disputes involving managed care plans, and lobbying work which is key to the sector. Mark Reagan draws on his longstanding expertise to assist major professional associations, hospitals, and hospices with amicus briefs and any interactions with both state and federal government entities. Healthcare regulatory expert Katrina Pagonis is a key name for contentious Medicare issues, and is noted for her knowledge of the Affordable Care Act, while Karl Schmitz remains a key port of call for providers seeking advice on M&A, and leasing of healthcare facilities. Robert Miller is well placed to advise on matters concerning value-based care models and the acquisition of ambulatory surgery centers, hospitals, and pharmacies. Scott Kiepen specializes in assisting long-term care providers with certification issues and changes of ownership, and Devin Senelick is recommended for his extensive experience in provider-payor disputes, with a strong focus on underpaid patient claims. The team is primarily based in California.
Praxisleiter:
Mark Reagan; Katrina Pagonis; Karl Schmitz; Robert Miller; Scott Kiepen; Devin Senelick
Weitere Kernanwälte:
David Vernon
Kernmandanten
Agendia, Inc.
Alpha Medical Group
American Health Care Association
Beach Cities Health Care District
California Association of Health Facilities
California Hospital Association
Cedars Sinai
Episcopal Communities & Services
Family Health Centers of Southwest Florida
KAR Management Skilled Nursing Facility
Lucile Packard Children’s Hospital
MLK Community Healthcare
Mariner Health Care
Marshall Medical Center
Mass General Brigham
Massachusetts Health & Hospital Association
MemorialCare
Privia Health
Reliance Medical Systems
Rockport Healthcare
Scripps Health
Stanford Health Care
University of Chicago Medical Center
University of Southern California
Zipline International, Inc.
Highlight-Mandate
- Advised on a $105,515,000 public offering tax-exempt bond financing transaction on behalf of Episcopal Communities & Services (ECS). ECS operates three continuing care retirement communities in Southern California licensed as residential care facilities for the elderly (RCFEs).
- Assisted the California Association of Health Facilities with negotiating the extension of Medi-Cal reimbursement for skilled nursing facilities under Assembly Bill 186, enacted in 2022. The firm secured an amendment ensuring COVID-19-related labor costs incurred during the pandemic counted toward the bill’s 85% labor spending requirement.
Jones Day
Jones Day‘s team is well-equipped to advise healthcare systems on Chapter 11 cases, labor issues within the health sector, and collaboration disputes. Practice co-lead Alexis Gilroy works out of the Washington office, and is noted for her strong focus on virtual health issues, often assisting clients with virtual clinical trials and product development across the digital health and life sciences spaces. In Chicago, co-head Heather O’Shea stands out due to her vast experience in fraud and abuse investigations and enforcement matters, and Medicare and Medicaid reimbursement disputes, with a large proportion of her caseload consisting of voluntary disclosures and internal investigations. Claire Castles is based in Los Angeles, and is adept at assisting with public health threat response strategies, and regulatory waivers from CMS, while James Dutro advises academic medical centers, health systems, and digital health clients on hospital and health system affiliations, and managed care arrangements in San Francisco. Dallas’ Kurt Copper is well-versed in qui tam actions and payor-provider disputes, often representing hospital systems and clinical laboratories.
Praxisleiter:
Alexis Gilroy; Heather O’Shea
Weitere Kernanwälte:
Claire Castles; James Poth; James Dutro; Kurt Copper; Elise Culliton; Rachel Page
Kernmandanten
Adventist Health
American Hospital Association
Astellas Pharma Inc.
Atlantic Health System
California Hospital Association
Community Medical Centers
Cook Children’s Health Care System (CCHC)
Daiichi Sankyo Europe GmbH
Dayton Children’s Hospital
The Henry Ford Health System
Loma Linda University Health
Mayo Clinic
Memorial Sloan-Kettering Cancer Center
Prime Healthcare Services, Inc.
Prisma Health
ProMedica Health System, Inc
Wenatchee Valley Medical Group
Saint Luke’s Health System
Stanford Health
Texas Hospital Association
Highlight-Mandate
- Advised Adventist Health on the acquisition of assets from Beverly Community Hospital Association and Montebello Community Health Services, Inc. in their Chapter 11 cases in the United States Bankruptcy Court in the Central District of California and related regulatory issues.
- Representing a Prime Healthcare owned hospital in a lawsuit filed against Medical Mutual of Ohio. The hospital alleges that it provided health care services to over 2,000 patients and Medical Mutual of Ohio failed to pay for those services in accordance with the contract it had with the hospital.
- Representing American Hospital Association, Texas Hospital Association, Texas Health Resources and United Regional Health Care System. The district court granted their summary judgment motion seeking vacatur of the new rule created in an HHS guidance document, which addressed the application of HIPAA to covered entities’ public-facing webpages using online technologies that collect the IPA addresses of devices visiting the pages.
Manatt, Phelps & Phillips, LLP
In New York, William Bernstein leads the practice at Manatt, Phelps & Phillips, LLP, which stands out for its strength in insurance-related disputes. The team notably advises on the formation of health plans, and on interactions between Medicaid programs and CMS. Bernstein counts financial institutions and managed care companies among his diverse client base, and Randi Seigel is recommended for his broad knowledge spanning HIPAA and state licensure rules, in addition to fraud and abuse issues. Helen Pfister stands out due to her focus on matters concerning accountable care organizations and federally qualified health centers, in addition to advising on 340B program-related issues. In the Los Angeles office, healthcare litigation specialist Ileana Hernandez’s caseload consists of ERISA, unfair competition, and bad faith denial of benefits disputes, while Greg Pimstone is noted for his vast experience in government investigations and his handling of class actions. Lisa Sbrana joined the firm in March 2024 from the New York State Department of Health.
Praxisleiter:
William Bernstein
Weitere Kernanwälte:
Ileana Hernandez; Greg Pimstone; Paul Carr-Rollitt; Randi Seigel; Helen Pfister; Rebecca Finkel; Lisa Sbrana
Kernmandanten
Health Net
Aetna Life Insurance Company
Blue Shield of CA
UCLA Health
Canopy Health
New York e-Health Collaborative
Welbe Health
Bayada Home Health Care
Molina Healthcare
Pfizer
Highlight-Mandate
- Represented Health Net in connection with a state court action filed by out-of-state substance abuse treatment facilities to recover additional reimbursement for services the facility allegedly rendered to Health Net insureds. In January 2023, the trial court ruled that the treatment facilities were not entitled to recovery on any of their claims based on the substantial evidence of the providers’ fraudulent conduct that infected all claims. The trial court awarded Health Net restitution under its Unfair Competition Law claim in the amount of $17 million plus interest for all insureds at issue in the case.
- Representing Aetna Life Insurance Company in an ERISA class action brought by an individual alleging that Aetna wrongfully denies coverage for lumbar artificial disc surgery on the ground that it is experimental and investigational.
- Obtained summary judgment and then affirmance on appeal in a lawsuit alleging improper denial of coverage (that Blue Shield of California failed to pay benefits for two members who were injured in an accident while traveling in Costa Rica).
Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
Primarily based in Washington DC, Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C. assists a varied roster of pharmacy, investor, and health plan clients. Karen Lovitch leads the team with her deep knowledge spanning healthcare private equity investments and AKS investigations, and Hope Foster is recommended for her specialism in the diagnostics and laboratory industry. San Francisco’s Daniel Cody utilizes his longstanding expertise in digital health to assist post-acute care entities and medtech companies with privacy and both state and federal level fraud and abuse investigations. Dividing her time between Boston and Miami, Deborah Daccord is known for her vast experience in M&A, divestitures, and joint ventures within the healthcare space. FCA expert Laurence Freedman routinely acts for hospitals in major investigations and complex disputes, while Lauren Moldawer is well placed to advise on matters concerning third-party payors and nurse staffing corporations. Boston-based Cassandra Paolillo is a key figure within the team who has knowledge of the regulatory aspects of transactions within the healthcare space, with a strong focus on private equity investments in ambulatory surgery and oncology providers.
Praxisleiter:
Karen Lovitch
Weitere Kernanwälte:
Hope Foster; Daniel Cody; Theresa Carnegie; Kate Stewart; Deborah Daccord; Laurence Freedman; Lauren Moldawer; Cassandra Paolillo
Kernmandanten
CVS Health
Silverlake Hospital
CVS Health Ventures
Mass General Brigham
TPG Capital
Highlight-Mandate
- Advised CVS Health on the sale of all 22 of its retail drug stores and additional real estate in Puerto Rico to Caribe Pharmacy Holdings dba Farmacia Caridad.
Sheppard, Mullin, Richter & Hampton LLP
Eric Klein, Christine Clements, Amanda Zablocki, and Eric Newsom jointly head the practice at Sheppard, Mullin, Richter & Hampton LLP, which is renowned for its handling of corporate healthcare mandates. The team counts private equity firms, health systems, and integrated care delivery systems among its broad client base. Klein works out of Century City, and is well-known for his expertise in handling high-profile joint ventures and M&A for health systems and hospitals, while Lynsey Mitchel is adept at advising on Knox-Keene Act-related risk arrangements. Chicago’s Kathleen O’Neill is a key contact for payors and providers seeking advice on provider employment work and commercial contracting, while Carolyn Metnick‘s primary area of focus is health data privacy and security, often assisting clients with using AI within the healthcare space. All having joined the Chicago team in 2024, Megan Rooney and Adam Marks joined from McDermott Will & Emery LLP, and Douglas Swill joined from Faegre Drinker Biddle & Reath.
Praxisleiter:
Erik Klein; Christine Clements; Eric Newsom; Amanda Zablocki
Weitere Kernanwälte:
Lynsey Mitchel; Kathleen O’Neill; Erica Kraus; Aytan Dahukey; Carolyn Metnick; Megan Rooney; Adam Marks; Douglas Swill
Arnold & Porter
Predominantly based in Washington DC, Arnold & Porter houses a broad offering which is known for representing providers in complex qui tam cases and transactional mandates involving digital and telehealth companies. Practice co-lead Allison Shuren is recommended for her expertise in eye care, often representing ophthalmologists and handling the regulatory aspects of FCA and AKS investigations and disputes. Mahnu Davar is well-placed to assist with compliance programs and internal investigations relating to state licensing, and fraud and abuse. New York-based Jami Vibbert leads the firm’s data privacy and cybersecurity practice, and is noted for her vast experience in tech-focused work within the healthcare space. Catherine Brandon is a key name for fraud and abuse, Stark, and both Medicare and Medicaid-related reimbursement mandates.
Praxisleiter:
Allison Shuren; Mahnu Davar
Weitere Kernanwälte:
Jami Vibbert; Catherine Brandon; Matthew Owens; Murad Hussain
Kernmandanten
Laboratory Corporation of America
Newark Beth Israel Medical Center
Abortion Defense Network
Maraposa Surgical Inc.
Intelligent Eye Care Management Platform
Performant Recovery, Inc.
Newark Beth Israel Medical Center
Global Medical Response
Highlight-Mandate
- Represented a Pennsylvania vein and vascular care cardiology practice and its physician in a False Claims Act qui tam suit in the U.S. District Court for the Western District of Pennsylvania.
- Representing an intelligent eye care management platform using digital health care technology and human-led initiatives on a mission to prevent vision loss from chronic eye diseases through patient care management tools that address clinical, social, mental health, and economic barriers to health care access and/or treatment compliance.
- Assisting a team of surgeons and engineers with an AI-driven image refinement software tool which has the potential to improve diagnosis of spinal cord injury and avoid the need for invasive testing methods such as lumbar punctures.
Dentons
Primarily based in Washington DC, Dentons is well-placed to act for healthcare consulting companies, health systems, and hospital associations in a broad swathe of mandates, including assisting with acquiring supplemental Medicaid payments, and Medicaid and Medicare coverage and reimbursement issues on both a state and federal level. Working out of the Bay Area, practice head Kimberly Kerry is known for her deep knowledge of medical facility licensing and certification work, and corporate transactions within the healthcare space, often assisting multi-hospital health systems and non-profit healthcare clients. New York’s Charles Luband is recommended for his longstanding regulatory expertise, particularly in relation to government programs, and is described by clients as ‘one of the most skilled health care lawyers in the country’. Fraud and abuse expert Gadi Weinreich is well-equipped to handle whistleblower claims, and AKS and Stark-related matters. The ‘extremely competent’ Holley Thames Lutz stands out due to her strong focus on Medicare and Medicaid reimbursement and coverage issues, and is noted for her experience in interactions with CMS, while Christopher Janney regularly advises on M&A and internal fraud and abuse investigations.
Praxisleiter:
Kimberly Kerry
Weitere Kernanwälte:
Holley Thames Lutz; Gadi Weinreich; Charles Luband; Ramy Fayed; Samantha Groden; Christopher Janney; Margo Wilkinson Smith; Stephanie Murtagh
Referenzen
‘Charlie Luband is one of the most skilled health care lawyers in the country. He is not only a nationally recognized expert, but he is also willing to really embed with his clients and understand their unique needs and challenges. He’s one of the best outside counsel we’ve worked with, in any specialty.’
‘Charlie Luband is not only one of the top experts in the field – he is also a terrific advisor who goes above and beyond to understand his clients’ unique needs. Charlie is an absolutely top notch advisor.’
‘The Dentons team operates as a true extension of our in-house legal team. They work diligently with us to first understand the relevant industry and business operations detail before rushing legal work. Legal and business team members of all levels feel comfortable partnering with the Dentons team.’
Kernmandanten
HCA Holdings
Adelanto HealthCare Ventures, LLC
Phoebe Putney Health Sytem
J.P. Morgan Securities LLC and Barclays Capital Inc – Health First
University of North Carolina Health System
Parkland Health and Hospital System
JPMorgan Securities
AdventHeatlh
Morgan Stanley & Co. LLC
Banner Health
Highlight-Mandate
- Advising HCA Inc. on Medicare/Medicaid, fraud and abuse, regulatory, operational and compliance issues.
- Assisted Adelanto with successfully obtaining governmental approvals and in implementing numerous local provider taxes that have generated hundreds of millions of dollars in additional Medicaid funding to hospitals in communities in Texas and Florida. The firm assisted with the creation and implementation of Medicaid managed care programs to enhance payment rates to hospitals in Texas and Florida.
- Advised Barclays as the direct purchaser of tax-exempt bonds issued on a forward delivery basis for Health First, Inc. This multi-year financing deal was structured with three series of bonds sold in 2022 with one series delivered in each of 2022, 2023 and finally in 2024. This delivery structure allowed Health First to best meet its needs and those of the communities it serves.
Latham & Watkins LLP
Primarily based in Washington DC, the practice at Latham & Watkins LLP stands out for its strength in healthcare private equity transactions, healthcare system bankruptcies, and 340B program issues. John Manthei, Ben Haas, Jason Caron, and Terra Reynolds jointly lead the practice. Caron often advises health systems and private investors on affiliations, public mergers, and joint ventures, and California’s Heather Deixler is well-known for her deep knowledge of genetic and de-identified data and its use in compliance with HIPAA and HITECH. In Chicago, Reynolds is noted for handling white-collar crime issues within the healthcare sector. Joseph Hudzik is a key contact for healthcare fraud and abuse compliance work. David Tolley works out of the Boston office, and regularly represents insurers, hospital systems, and pharmacy benefit managers in FCA and AKS investigations and disputes.
Praxisleiter:
John Manthei; Ben Haas; Jason Caron; Terra Reynolds
Weitere Kernanwälte:
David Tolley; Heather Deixler; Joseph Hudzik
Kernmandanten
Abridge AI
Adventist Health
Alsana
Ardelyx
Carbon Health Technologies
Everly Health
HCA
Health Outlook
Hinge Health
IKS Health
Lawrence General Hospital
Lifecore Biomedical
Magnus Medical
Massachusetts General Hospital
NextGen Healthcare
Novartis
Oura Ring
PACS Group
Pharmaceutical Research and Manufacturers of America
R1 RCM
Redesign Health
RefleXion Medical
Sight Sciences
United Therapeutics Corporation
Vektor Medical
Highlight-Mandate
- Advised PACS Group in its initial public offering.
- Advised JP Morgan as underwriters in BrightSpring Health Services’ initial public offering.
- Advising Apollo Global Management in the bankruptcy of the Steward Health Care System.
McGuireWoods LLP
The broad offering at McGuireWoods LLP is well-equipped to assist private equity funds, and is recommended for its expertise in the full gamut of matters concerning hospitals. Holly Buckley heads the practice from Chicago, utilizing her vast knowledge of corporate transactions within the healthcare space to assist both private equity investors and health systems. Charlotte’s Bart Walker is a key name for healthcare M&A, often representing lenders and major physician group practices and urgent care providers, while Kayla McCann Marty is noted for her strong focus on women’s health, in addition to health system and hospital ventures. Regulatory expert Tim Fry stands out due to his deep knowledge of AKS, Medicare policy, and Stark law issues, in addition to his experience in advising on the rules surrounding certificates of need in Chicago. Atlanta-based Kristen McDermott Woodrum is particularly adept at handling issues concerning the structure of healthcare joint ventures and contracting arrangements.
Praxisleiter:
Holly Buckley
Weitere Kernanwälte:
Bart Walker; Kayla McCann Marty; Tim Fry; Kristen McDermott Woodrum; Amber Walsh
Referenzen
‘The MW team is very responsive and serves as an extension of our internal legal team.’
‘Amber Walsh and Kayla McCann Marty have done outstanding work for us this year and I trust their judgement and counsel.’
Kernmandanten
Assured Healthcare Partners
Novant Health
Audax Group
Sverica Capital
Revelstoke Capital Partners
SCA Health
Silver Oak Services Partners
Women’s Health USA
Gastro Health Holdco, LLC
Main Post Partners
Origami Capital Partners
BC US LLC aka Bioculture
Highlight-Mandate
- Represented Novant Health in its expansion into urgent care centers in South Carolina by acquiring UCI Medical Affiliates, with 31 locations for urgent care and physical therapy.
- Represented Bon Secours Mercy Health, a large Catholic health system, in its joint ventures and a CIN reorganization.
- Represented Revelstoke Capital Partners, a Denver-based private equity firm, in many high-profile deals, providing ongoing representation for many of its platform companies, including numerous healthcare-related matters, including acquisitions, fund sales, post-closing sales, structuring advice, audit response letters, NDA reviews and joint ventures.
Nixon Peabody LLP
The ‘diverse and collaborative’ offering at Nixon Peabody LLP is well-equipped to handle major HIPAA data breaches and corporate healthcare mandates. In New York, practice head Lindsay Maleson is a key contact for medical schools and teaching hospitals, often assisting with peer review and the maintenance of Graduate Medical Education (GME) accreditation; Rebecca Simone is recommended for her deep knowledge of fraud and abuse issues within the telehealth and pharmacy industries; and healthcare private equity specialist Jéna Grady is noted for her focus on behavioral health and dermatology. Los Angeles-based Jill Gordon stands out for her experience in mandates concerning hospital and physician alignment strategies and M&A. Harsh Parikh often advises hospital systems and healthcare companies on Medicare and Medicaid reimbursement, and both California and federal level fraud and abuse matters. Alexandra Busto is known for representing long-term care facilities and academic medical centers, in addition to telehealth companies.
Praxisleiter:
Lindsay Maleson
Weitere Kernanwälte:
Jill Gordon; Alexandra Busto; Rebecca Simone; Harsh Parikh; Ethan Domsten; Valerie Breslin Montague; Michael Schnipper; Jéna Grady
Referenzen
‘This practice is unique due to its client-focused approach, diverse and collaborative team, and emphasis on innovation. Key strengths include deep industry expertise, commercial insight, and a commitment to delivering tailored solutions. Compared to other firms, it stands out for its adaptability, proactive client engagement, and ability to align legal strategies with business goals.’
‘The team stands out for its exceptional expertise, dedication, and collaborative mindset. They consistently go above and beyond to deliver solutions tailored to clients’ needs.’
‘Specific standouts include Mike Schnipper, who is known for his strategic insight and leadership. Mike’s commitment to excellence and client success truly sets them apart from competitors.’
Norton Rose Fulbright
Norton Rose Fulbright is recommended for its handling of work involving pediatric health systems, academic medical centers, and non-profit health systems. The team is particularly well-equipped to advise on AKS and Stark Law related issues, and qui-team cases. Notable clients for the firm include Xavier University of Louisiana, the Children’s Health System of Texas, and Baylor Scott & White Health. In St. Louis, co-lead Stacey Murphy is an expert in M&A and the structure of joint ventures to form ambulatory surgery and urgent care centers. Susan Feigin Harris co-leads the team from Houston, and is recommended for her vast knowledge of matters concerning children’s hospitals and disputes concerning supplemental payment programs, and co-head D’Lesli Davis works out of the Dallas office.
Praxisleiter:
D’Lesli Davis; Stacey Murphy; Susan Feigin Harris
Kernmandanten
Xavier University of Louisiana
Children’s Health System of Texas
Cincinnati Children’s Hospital and Medical Center
Baylor Scott & White Health
Wellstar Health System, Inc.
Memorial Hermann Health System
Harris Health System
CHRISTUS Health
Baylor College of Medicine
Texas Children’s Hospital
Highlight-Mandate
- Represented Xavier University of Louisiana in entering into an affiliation with Ochsner Health System (largest nonprofit New Orleans-based healthcare system) to establish a new medical school in New Orleans.
- Representing Children’s Health in a joint venture with UT Southwestern to own and operate a new $5bn pediatric health campus.
- Advising Cincinnati Children’s Hospital and Medical Center with implementation of Medicaid Managed Care Pediatric Accountable Care Organization (ACO).
Reed Smith LLP
Reed Smith LLP is well equipped to handle a broad variety of mandates, from major acquisitions, to complex issues faced by clients operating within state-specific and federal regulatory frameworks. Working out of the Washington DC office, practice head Scot Hasselman has longstanding experience in government investigations and FCA-related litigation, in addition to the negotiation of government settlements. Philadelphia’s Nicole Aiken-Shaban has vast regulatory knowledge, spanning fraud and abuse law on both a state and federal level, reimbursement issues, and value-based care models; Aiken-Shaban often assists investors and managed care organizations. Cited by clients as ‘one of the nicest and hardest-working attorneys’, San Francisco-based Paul Pitts routinely advises clients on joint ventures between providers, change of ownership-related work, and internal false claims investigations, and Jeff Layne handles a varied workload consisting of contentious regulatory mandates involving bribery, billing, and fraud and abuse issues in Austin.
Praxisleiter:
Scot Hasselman
Weitere Kernanwälte:
Nicole Aiken-Shaban; Paul Pitts; Jeff Layne
Referenzen
‘Reed Smith has made it easy for us to receive counsel on many different matters related to the business. Whenever we need legal assistance, Paul Pitts quickly connects us with the right person so that we can get the answers that we need.’
‘Paul Pitts is the reason we love this practice so much. He is one of the nicest and hardest-working attorneys we’ve had the privilege of working with. He is timely in his responses and provides clear cut answers that help us drive our business.’
‘The team at Reed Smith is incredibly responsive and communicative, which I so appreciate. They never leave you wondering about the status of a request and provide regular updates to let you know it’s in good hands.’
ArentFox Schiff
Led by Douglas Grimm from Washington DC, ArentFox Schiff’s practice is known for its strong focus on healthcare fraud and abuse issues, peer review work, and ERISA litigation within the healthcare sector. In the Los Angeles office, Lowell Brown is known for his longstanding experience in acting for medical professionals, long-term care facilities and hospitals in medico-legal and EMTALA issues, while seasoned litigator Debra Albin-Riley stands out due to her vast knowledge of administrative peer review cases and physician whistleblower claims. Annie Lee often advises on matters concerning physician wellness and managed care plans, and is renowned for her expertise in ambulatory surgery centers. Also in Washington DC, Stephanie Trunk is a key name for life sciences matters, particularly in relation to AKS and FCA investigations.
Praxisleiter:
Douglas Grimm
Weitere Kernanwälte:
Lowell Brown; Debra Albin-Riley; Stephanie Trunk; Jacques Smith; Annie Lee; Michael Blass
Kernmandanten
Providence Health
California Hospital Association
United Hospital Association
Providence Valley Service Area Community Ministry Board
Providence Saint Joseph Medical Center
Cedars-Sinai Medical Center
Providence Saint John’s Health Center
Long Beach Memorial Medical Center
Community Medical Centers
Cedars-Sinai Medical Center
Fundamental Long Term Care
Maxim Healthcare Services
Amergis Healthcare
The Arba Group
MGA Homecare
Apotex Corporation
GC Biopharma, LLC
Association for Accessible Medicines
Cardinal Health
Highlight-Mandate
- Advising Providence Health on peer review matters and complicated health care litigation matters. In Bonni v. St. Joseph Health System, the firm appeared before the California Supreme Court in a matter involving anti-SLAPP motions in medical staff peer review cases. The California Supreme Court remanded the matter to the Court of Appeal for further proceedings, which were handled in 2021-2022. The Bonni matter is now back in the trial court in Orange County.
- Advising Apotex Corporation on various matters including government price reporting, general fraud and abuse counselling, compliance with state drug price transparency laws, and compliance with federal drug distribution laws.
- Advising Fundamental Long Term Care on the transfer of the operations of skilled nursing facilities in Maryland, Nevada, and Texas; advising the company in regards to recently enacted disclosure and reporting requirements; completion of the company’s new senior secured credit facility; and representation of the company’s interests as a major creditor in the bankruptcy of an unrelated third-party health care provider.
DLA Piper LLP (US)
DLA Piper LLP (US)‘s ‘diverse, talented and knowledgeable’ team is well-equipped to handle corporate healthcare work for major physician groups, pharmacies, and non-profit health systems. Praised by clients for his ‘exceptional knowledge’, Joshua Kaye leads the team out of the Miami office, and primarily handles healthcare M&A. Kristi Kung is a key contact for health IT companies and investors in the digital health space, and Miami’s Darren Patz often advises on governmental affairs and lobbying within the healthcare sector. David Kopans assists a diverse client list of managed care organizations and service providers with value-based pay arrangements and licensing agreements, while Rachel Ludwig is noted for her broad regulatory knowledge, particularly in relation to digital health and telehealth networks in Washington DC.
Praxisleiter:
Joshua Kaye
Weitere Kernanwälte:
Kristi Kung; Russell Sass; Darren Patz,; David Kopans; Rachel Ludwig; Salvatore Favuzza
Referenzen
‘Joshua Kaye, as always, exceptional knowledge, presentation and evaluation and superb negotiator.’
‘The DLA team is diverse, talented and knowledgeable in most areas of healthcare practice. When we have an issue, they are quick to respond with well-reasoned and thorough answers. They are always up to date on recent legislation and other innovations that are helpful to ensure compliance within our organization.’
‘Josh Kaye is a great healthcare attorney and a great leader. He’s always willing to go the extra mile to ensure things are done quickly and done correctly. He’s also understanding and compassionate, which you don’t find in many law firms.’
Kernmandanten
Envision Healthcare
MedImpact Healthcare Systems, Inc.
AdaptHealth
Triton Pacific Capital Partners
Boyne Capital Partners
Blue Cross Blue Shield of Florida, Inc.
Femwell Group Health, Inc.
Access Telecare, Inc.
ResMed, Inc.
DexCom, Inc.
GE Healthcare
Highlight-Mandate
- Represented San Diego-based MedImpact Healthcare Systems, Inc. and its affiliates in the acquisition of Rite Aid Corporation’s pharmacy benefit management services business, Elixir Solutions for approximately $576.5m.
- Representing Envision Healthcare to provide advice, guidance, and assistance in navigating multiple state and federal government affairs issues.
- Representation of BioMatrix Specialty Pharmacy, LLC, as well as investor Triton Pacific Healthcare Partners in connection with the sale of BioMatrix to Frazier Healthcare Partners.
Duane Morris LLP
Duane Morris LLP‘s broad offering is known for its vast experience in contentious healthcare work, including reimbursement disputes, in addition to its handling of patient safety plans and corporate transactions within the healthcare space. The ‘practical and knowledgeable’ Erin Duffy heads the team from Philadelphia, often assisting clients with the regulatory aspects of HIPAA, and fraud and abuse mandates, while ‘seasoned healthcare litigator’ Sean Zabaneh handles both state and federal level administrative proceedings and government investigations, with a strong focus on IP and competition litigation. Chicago-based Neville Bilimoria represents a diverse client list of health systems, hospitals, and assisted living facilities with corporate transactional mandates, in addition to licensing issues. Jonathan Swichar is a key contact for pharmacies and pharmacy associations seeking advice on disputes with pharmacy benefit managers involving reimbursement issues and network terminations. Praised by clients for his ‘excellent deal mediation skills’, Kirk Domescik works out of the Atlanta office and regularly advises on multi-state acquisitions within the long-term care space.
Praxisleiter:
Erin Duffy
Weitere Kernanwälte:
Sean Zabaneh; Neville Billimoria; Jonathan Swichar; Kirk Domescik
Referenzen
‘Kirk Domescik is a trusted and valued partner. His communication style and ability to discuss difficult deal terms with clients is very special. He is able to handle stressful situations with respect and calmness while offering excellent legal advice.’
‘Kirk Domescik is highly knowledgeable of the area of expertise pertaining to private equity health care deals and the overall healthcare industry and compliance. Kirk shows a sense of urgency and delivers excellent advice in a timely manner. He has excellent deal mediation skills and is highly respected.’
‘The attention to detail, availability for communication, clear communication (including translation to those outside the field), and how personable the team was were all greatly appreciated.’
Kernmandanten
The Hospital and Healthsystem Association of Pennsylvania
American Association for Cancer Research
WellSpan Health
Jefferson Health Plans
Pennsylvania Homecare Association
Hunterdon Healthcare System
Virtua Health
Pharos Capital
Highlight-Mandate
- Advising American Association for Cancer Research on Project GENIE, which is a publicly accessible cancer registry of real-world genomic data assembled through data sharing between leading international cancer centers. The firm also advises on the AACR’s research sponsor and research services agreements, conflicts of interests analyses, research journal publication issues, and other major research projects.
- Advised WellSpan Health on the acquisition of Evangelical Community Hospital via a member substitution.
Goodwin
Goodwin houses a broad team known for its varied specialism, which spans contentious healthcare fraud work, and pharmacy and healthtech acquisitions. David Cappillo and Chris Wilson jointly lead the team from Boston, while William Jackson leads from Washington DC. Capillo is particularly active within the healthcare tech space, representing both tech and health companies, Wilson handles the full spectrum of issues which arise at the intersection between healthcare and private equity law, and Jackson is a seasoned litigator who often acts in major commercial cases. Miranda Hooker in Boston and Ilene Albala in Washington DC are key figures within the team known for their vast experience in FCA, AKS, and HIPAA investigations, and both women’s health initiatives and qui tam cases respectively. Philadelphia’s John Jones is noted for his expertise in private equity within healthcare, often advising health systems, and both private equity and venture capital firms. In the New York office, Roger Cohen utilizes his deep knowledge of tech to assist investors and health service clients with M&A and healthcare delivery issues.
Praxisleiter:
David Cappillo; William Jackson; Chris Wilson
Weitere Kernanwälte:
Miranda Hooker; John Jones; Roger Cohen; Ilene Albala
Kernmandanten
Retina Consultants of America
Webster Equity Partners
Sam Halper
CareBridge
Frazier Healthcare Partners
InTandem Capital Partners
Carevive Systems Inc.
Peloton Equity
OrthoNebraska
Varsity AOC Holdco, LLC
Vivo Infusion
Cartwheel Care
Whoop
Highlight-Mandate
- Advised Retina Consultants of America (RCA) and Webster Equity Partners in the sale of RCA to Cencora.
- Secured a verdict of acquittal on all charges against the CEO of a skilled nursing facility and long term care company involving charges of conspiracy to commit healthcare fraud, conspiracy to defraud the United States, and falsification of records in a healthcare matter.
- Advised Frazier Healthcare Partners on its acquisition of BioMatrix Specialty Infusion Pharmacy.
Greenberg Traurig LLP
Noted for its FDA regulatory expertise, the team at Greenberg Traurig LLP is also well-versed in major transactions within the pharmaceutical industry. Co-leading the team from Florida, David Peck is noted for his extensive expertise in M&A, and equity and debt financing mandates, with a strong focus on assisting high-growth corporate clients, while co-head Tricia Asaro works out of the New York office. In Washington DC, Nancy Taylor is a key contact for FDA-related work, while Philadelphia’s Brad Rostolsky acts for a diverse client base of pharmacies, electronic healthcare records providers, and medical device companies. Julie Sullivan is a key member of the Denver team, often advising on fee splitting and Medicare revocation-focused matters.
Praxisleiter:
Tricia Asaro; David Peck
Weitere Kernanwälte:
Nancy Taylor; Brad Rostolsky; Cate Galea; Nick Diamond; Stephen Rau; Julie Sullivan
Referenzen
‘Greenberg has high quality lawyers.’
‘This practice stands out as a beacon of excellence in its field, combining unmatched expertise with a forward-thinking approach that sets it apart from other firms. What truly makes this team unique is their commitment to personalized client service, a hallmark of their success. Every client is treated with the utmost respect and given tailored solutions that reflect a deep understanding of their needs and goals.’
‘The team is composed of top-tier professionals with diverse backgrounds, ensuring a breadth of knowledge that covers all facets of their specialty. They excel in problem-solving, communication, and delivering results-driven solutions that consistently exceed expectations. Their ability to work collaboratively within the team and with clients ensures that projects are handled with precision, efficiency, and creativity. Potential clients will appreciate the team’s transparency, responsiveness, and genuine passion for achieving the best outcomes.’
Kernmandanten
ONO Pharmaceutical Co. Ltd
OPKO Health, Inc.
Trividia Health, Inc.
Traverse Point Partners
Astrana Health
Care Plus ER
Imaware
QPS, LLC
Summit Stone Health Partner
Highlight-Mandate
- Represented ONO Pharmaceutical Co. in its $2.4bn acquisition of Decipher Pharmaceuticals.
- Represented CarePlus ER in the acquisition of two distressed freestanding emergency rooms in Houston, TX.
- Assisted SummitStone Health with the negotiation of $100m service agreement to operate a County ballot initiative funded full-service behavioral health treatment facility in Northern Colorado.
Holland & Knight LLP
With a strong emphasis on healthcare acquisitions and joint ventures between private and non-profit providers, Holland & Knight acts for a diverse client base of surgery centers, dental organizations, and outpatient care clients. Nashville-based practice co-lead Brent Hill is well-placed to assist physician services and outpatient provider clients with joint ventures and the regulatory aspects of healthcare transactions, co-head Jennifer Weaver is recommended for her vast knowledge of Medicare audits and government investigations, and Colbey Reagan stands out for his knowledge of AKS and regulatory reimbursement issues. In Miami, co-head Maria Currier has longstanding experience in HIPAA, and fraud and abuse matters on both a state and federal level, while Jeffrey Mittleman co-leads from the Boston office. Julia Hesse, John Saran, and Rachel Gartner joined the group from Choate, Hall & Stewart LLP, Ropes & Gray LLP, and McDermott Will & Emery LLP respectively in 2024.
Praxisleiter:
Brent Hill; Jeffrey Mittleman; Maria Currier; Jennifer Weaver
Weitere Kernanwälte:
Brian Platton; Julia Hesse; John Saran; Rachel Gartner; Colbey Reagan
Kernmandanten
HCA Inc.
Lifepoint Health
Acadia Healthcare
Surgery Partners
United Surgical Partners International
Northwell Health
North American Partners in Anesthesia
Lee Health
Panoramic Health
Epilog Partners
ThriveWorks
Palomar Health
Highlight-Mandate
- Represented Lee Health, a health system based in Fort Myers, Florida, in its conversion from a government healthcare district to a private, nonprofit health system.
- Represented Surgery Partners and its affiliate, Specialty Surgical Center of Thousand Oaks LLC, in long-running litigation which resulted in a win in the California Court of Appeal that affirmed both a grant of summary judgment and a bench trial victory in the Superior Court for Los Angeles County. This published decision confirms the rights of a limited liability company (LLC) to govern itself according to the terms of its operating agreement.
- Represented HCA in its acquisition of Valesco, its joint venture with EmCare, a physician practice management firm affiliated with Envision Healthcare, following its Chapter 11 bankruptcy.
Husch Blackwell LLP
Husch Blackwell LLP houses a team which is praised by clients for its ‘impressive breadth and depth across the universe of regulatory and transactional issues’. In Kansas City, Curt Chase leads the team with his expansive knowledge of regulatory compliance and transactional matters, often advising academic medical centers and hospitals. Boston’s Robert Blaisdell has longstanding experience in vendor contracting, and healthcare fraud and abuse, in addition to the full spectrum of issues concerning assisted living facilities, while Crystal Bloom stands out for her specialism in the regulatory regime governing psychiatric and community hospitals, and ambulance services in Massachusetts. Tom Shorter is recommended for his extensive knowledge of M&A, joint ventures, and restructurings within the healthcare space in Madison. Dallas’ Alison Hollender is well-equipped to advise on healthcare facility licensure issues and corporate healthcare transactions.
Praxisleiter:
Curt Chase
Weitere Kernanwälte:
Robert Blaisdell; Tom Shorter; Crystal Bloom; Jonathan Porter; Rebecca Rodman; Peggy Barlett; Alison Hollender
Referenzen
‘The firm has a great knowledge within the State of Massachusetts health care system and policy.’
‘The Husch Blackwell healthcare team combines impressive breadth and depth across the universe of regulatory and transactional issues relevant to the healthcare industry with rich domain knowledge of the industry itself, allowing the team to offer timely and actionable advice to their clients.’
‘Tom Shorter knows the healthcare landscape in Wisconsin better, I think, than just about anyone else in the State. His deep understanding of the healthcare industry allows him to be an advisor that is always looking around the corner, rather than just responding to discrete client requests.’
Kernmandanten
Ambercare Hospice
Gundersen Lutheran Health System, Inc.
Heywood Healthcare
Hospice of Central Pennsylvania
Hospice of Palm Beach County
Marshfield Clinic
Aria Care Management, LLC
Partners in Care
Premier Family Physicians
Southern Care Collaborative
Sprintz Center for Pain
SunCoast Hospice
Sutter Health
Vitas
K&L Gates
Noted for its ‘deep specialization’, K&L Gates is noted for handling issues concerning billing systems and value-based payment work, in addition to acting in cases concerning FCA allegations. Ken Marlow co-leads the team from Nashville, regularly assisting private equity funds and healthcare clients with strategic transactions within the healthcare space. Chicago-based practice co-head Limo Cherian is noted for her specialism in Medicare fraud and abuse mandates, and payment disputes, while co-head Gary Qualls focuses on matters concerning Certificates of Need in North Carolina. Seattle’s Carla DewBerry is well-placed to advise on Medicare and Medicaid audits and disputes, in addition to assisting with tax issues on both a state and federal level. In North Carolina, Kelsey Jernigan often acts in Stark and AKS mandates, in addition to handling operational issues concerning medical staff.
Praxisleiter:
Ken Marlow; Limo Cherian; Gary Qualls
Weitere Kernanwälte:
Carla DewBerry; John Lawrence; Kelsey Jernigan; Kim Looney
Referenzen
‘The firm is extremely knowledgeable and responsive.’
‘Kim Looney has extensive knowledge of Tennessee regulations and is a preeminent Certificate of Need lawyer. She is very responsive and sees matters through to completion.’
‘The team is responsive and provides direct and correct answers.’
Kernmandanten
Butler Health System
LifePoint Health, Inc.
Parkview Health System, Inc.
ECU Health
Atrium Health
Cape Fear Valley Health
ECU Health
UNC Rex Hospital
Cape Fear Valley Health
Lehigh Valley Health Network, Inc.
AdaptHealth
Bridges Health Partners LLC
Cottage Health
Highlight-Mandate
- Represented Butler Health System in its $1bn combination with Excela Healthcare.
- Secured the dismissal of a False Claims Act case for Cape Fear Valley Health that represented potentially $5-$10m in exposure for the client.
- Represented LifePoint Health on a $1.1bn senior secured notes offering.
Katten
Divided between Dallas and Chicago, Katten‘s practice is recommended for its expertise in payment and reimbursement issues. Practice lead Kenya Woodruff assists a varied client roster of physicians, hospitals, and health plans with M&A and joint ventures, with a strong emphasis on operation expansion, while Laura Keidan Martin is noted for advising post-acute care providers and physician groups with government investigations. Michelle Apodaca is a key contact for all matters concerning licensing under the Texas Department of Health Services, the Texas Medical Board, and the Texas Health and Human Services Commission. Alessandra Denis has departed the team.
Praxisleiter:
Kenya Woodruff
Weitere Kernanwälte:
Laura Keidan Martin; Kenneth Davis; Lisa Prather; Michelle Apodaca
Referenzen
‘Kenneth Davis is perhaps the foremost attorney in the radiology industry, and his experience and guidance is very valuable.’
Kernmandanten
Care Metx
Children’s Advocacy Centers of Texas, Inc.
E3 Health Solutions d/b/a eTrueNorth
GI Alliance
Greater New York Hospital Association
Lupin Inc
Medvantx Inc.
MHN ACO
City of New York
New York City Health and Hospitals Corporation
Pascal Metrics
Specialty Networks
Highlight-Mandate
- Representing MHN ACO, LLC in ongoing negotiations with multiple payors, including state-controlled Medicaid managed organizations and direct Medicare contracting entities.
Morgan, Lewis & Bockius LLP
Morgan, Lewis & Bockius LLP houses a broad practice with extensive expertise in FDA and FCA-related issues. The group often advises medical equipment suppliers and not-for-profit healthcare systems. Jointly leading the team from Washington DC are Michele Buenafe and Howard Young, while Scott McBride divides his time between the Houston and Dallas offices. McBride is well-known for assisting physician and home health clients with FCA litigation and overpayment disputes, while Young stands out for his specialism in value-based care arrangements and transactions within the healthcare space. Buenafe leads on the FDA and digital health fronts. Seattle’s Amy Magnano is a regulatory expert who often acts for physician groups and public health organizations in regulatory investigations and state privacy regulations-related mandates. Jacob Harper is noted for his knowledge of telehealth licensing and reimbursement issues, often advising home health providers. Gregory Etzel is well-versed in all matters concerning hospital and medical school operation, and often acts for cancer centers.
Praxisleiter:
Michele Buenafe; Scott McBride; Howard Young
Weitere Kernanwälte:
Jacob Harper; Amy Magnano; Gregory Etzel
Debevoise & Plimpton LLP
Debevoise & Plimpton LLP houses a team known for its strength in acquisitions and class actions across the pharma and healthcare spaces. Andrew Bab is noted for his vast experience in private equity-focused healthcare and life sciences work, and M&A. Mark Goodman is a key contact for all matters relating to commercial litigation and white-collar crime within the healthcare space, areas in which Maura Monaghan is also an expert. Kevin Rinker has deep knowledge of private equity buyouts, as does Jennifer Chu, and Washington DC-based Paul Rubin is a key figure within the team, known for his experience in FDA and FTC compliance work, and the regulatory aspects of M&A.
Praxisleiter:
Andrew Bab; Jennifer Chu; Mark Goodman; Maura Monaghan; Kevin Rinker; Paul Rubin
Referenzen
‘High level of expertise with wide range of complementary skills.’
‘Extraordinary team who work incredibly well together and maximize their different skills and areas of expertise.’
‘Very professional, capable and experienced in Healthcare M&A.’
Kernmandanten
agilon
Former CEO of Sandoz
Carlyle
Former directors and shareholders of Purdue Pharma, Inc.
Clayton, Dubilier & Rice, LLC
Deutsche Bank
EmblemHealth
Group Health Incorporated, Inc.
Gedeon Richter
Gentiva
GlaxoSmithKline
Hospital Corporation of America and subsidiaries
J.P. Morgan Securities
JAB Holdings
Merck KGaA
OneOncology
Resonetics
StanCorp Financial
SVB Leerink
TPG Capital
The George Rawlings Trust
Valnez Health
Highlight-Mandate
- Advised Clayton, Dubilier & Rice on its acquisition, together with TowerBrook Capital Partners, of R1 RCM Inc. at an enterprise value of $8.9bn.
- Representing certain former directors and shareholders of Purdue Pharma, Inc., in defending litigation regarding prescription opioids in numerous for a across the country, including a federal multi-district litigation, actions brought by states attorneys general and a high-profile case before the US Supreme Court, and in efforts to negotiate a global settlement in bankruptcy court.
- Obtained a highly favorable settlement for EmblemHealth and its subsidiary Group Health Incorporated in a long-running putative class action lawsuit.
Nelson Mullins Riley & Scarborough LLP
The national healthcare practice at Nelson Mullins Riley & Scarborough LLP handles a broad spread of matters encompassing regulatory issues, reimbursement work, fraud and abuse claims, and transactional mandates; the group is also recommended for healthcare litigation including FCA cases. In South Carolina, Thomas Moran leads the national healthcare transactional practice, counting physicians, hospitals and medical services providers as clients. As part of the firm’s strength across the Southeast, Gabriel Imperato in Florida heads up the healthcare enforcement, compliance and litigation team, while the firm’s North Carolina office fields regulatory experts Noah H. Huffstetler III, Robert Wilson and Patricia A. Markus.
Praxisleiter:
Thomas Moran
Weitere Kernanwälte:
Gabriel Imperato; Noah H. Huffstetler III; Robert Wilson; Patricia A. Markus; Bart Daniel; Eli Poliakoff
Proskauer Rose LLP
With a strong focus on private equity-related healthcare work, Proskauer Rose LLP is well-equipped to advise on acquisitions, in addition to handling Chapter 11 bankruptcies for healthcare companies. David Manko leads the team from the New York office, and utilizes his longstanding experience to assist investors and provider networks with the full scope of transactional issues. Jason Madden is a key contact for private equity investors and providers seeking advice on fraud and abuse compliance and HIPAA mandates. In Los Angeles, Vinay Kohli is recommended for his regulatory expertise, particularly in relation to fraud and abuse on both a state and federal level.
Praxisleiter:
David Manko
Weitere Kernanwälte:
Edward Kornreich, Jason Madden, Vinay Kohli
Kernmandanten
Ascend Capital Partners
Brighton Marine
Catholic Health Services
Management Board for Puerto Rico
Guidehealth
Hospital for Special Surgery
Ilumed Parent, LLC
Lung Cancer Research Foundation
Northwell Health
Philadelphia Eagles
Prime Home Health Services
AEW Capital Management
Hines Investments
Blue Moon Capital Partners
National Health Law Program
Highlight-Mandate
- Advised Ascend Capital Partners on its acquisition of Seoul Medical Group, Inc.
- Representing Brighton Marine in the Steward Health Care’s Chapter 11 bankruptcy, prevailing in Bankruptcy Court and negotiating a favorable resolution and transitioned the services into BMI and Tufts.
- In conjunction with attorneys from Children’s Rights, Inc., Disability Rights New York, and the National Health Law Program, the firm filed a class action lawsuit against New York officials in response to the mental health crisis arising from New York’s failure to provide community based mental health services that are medically necessary to permit children with mental health issues to remain safely at home in their communities.
Williams & Connolly LLP
Williams & Connolly LLP is highly regarded for its expertise in healthcare litigation and investigations, with the firm’s recent workload highlighting its experience in drug pricing trials and other high-profile disputes. The practice is a go-to name for pharmaceutical companies and also counts medical device corporates, product distributors, pharmacy benefit managers, insurance companies and hospitals on its client roster. Enu Mainigi, who is described by clients as ‘ an excellent advocate’, who is ‘brilliant, pragmatic, and doesn’t fold under pressure’, and Jennifer Wicht, who leads the firm’s work in government investigations and FCA litigation, jointly lead the Washington DC-based department. Holly Conley and Grant Geyerman are both recommended for civil matters, with Geyerman adding further expertise in criminal cases.
Praxisleiter:
Enu Mainigi; Jennifer Wicht
Weitere Kernanwälte:
Holly Conley; Grant Geyerman
Referenzen
‘Williams & Connolly is just the best at what they do. They’re smart, intentional and masters of the art and warfare of litigation. They are incredibly strategic and several steps ahead of their closest competitor.’
‘Enu Mainigi is the best trial attorney I’ve ever worked with and I would not turn to anyone else for a bet-the-company case. She is brilliant, pragmatic, and doesn’t fold under pressure. Enu presents the risks but doesn’t jump to conclusions or use scare tactics. She is an excellent advocate and you definitely want her on your side. Her track record speaks for itself.’
Kernmandanten
Albertsons Companies
CVS Health
Cardinal Health
Epic Systems
Medtronic plc
Celgene and Bristol-Myers Squibb
United Therapeutics Corp.
Doctors Hospital
Highlight-Mandate
- Representing CVS Health in a civil antitrust action filed by the New York Attorney General related to the company’s offerings in connection with the 340B Drug Pricing Program.
- Achieved a significant victory on behalf of CVS Health and its subsidiary Caremark in long-running litigation where two drug wholesalers argue that by administering formularies and obtaining drug rebates, PBMs create incentives for manufacturers to drive up prices of certain drugs, including EpiPen.
Winston & Strawn LLP
Handling a broad spectrum of healthcare mandates, Winston & Strawn LLP‘s group is recognized for its transactional, regulatory and contentious work, acting for a varied roster of hospitals and health systems. T. Reed Stephens and Justin Levy jointly lead the group from Washington DC and New York, respectively; Stephens is a go-to name for regulatory work and pharmaceutical fraud claims, while Levy specializes in corporate work with noted expertise in representing private equity sponsors. Other key DC-based practitioners include Amandeep Sidhu, who focuses on high-profile litigation, compliance issues and government investigations; and corporate expert Eric Knickrehm. Banee Pachuca joined the firm’s Houston office in August 2024 and is a regulatory specialist. Amy Kearbey has departed the team.
Praxisleiter:
T. Reed Stephens; Justin Levy
Weitere Kernanwälte:
Amandeep Sidhu; Eric Knickrehm; Banee Pachuca; Conor Reidy
Kernmandanten
Abbott Laboratories
Allstate Corporation
Ascension
Blue Cross Blue Shield Association
Elevance Health, Inc.
Catholic Medical Center
Delta Dental Insurers
Endeavor Health (fka NorthShore University HealthSystem)
Shore Capital Partners
United Network for Organ Sharing (UNOS)
UnityPoint Health
Revelstoke Capital Partners
R1 RCM
Highlight-Mandate
- Successfully secured corrective action in a pre-award protest for Carelon Health Federal Services, Inc., enabling it to rebid on the amended solicitation for a valuable $15bn DoD contract to provide behavioral health services for US military personnel.
- Represented Court Square Capital Partners, a New York-based middle-market private equity company, in its entry into a definitive agreement to sell Advanced Diabetes Supply Group, a California-based national distributor of Durable Medical Equipment specializing in diabetes supplies, to Cardinal Health for $1.1bn.
- Represented NorthShore University HealthSystem in a long-running class action alleging that the merger of Evanston Hospital and Highland Park Hospital anticompetitively raised prices for healthcare services in violation of the Sherman Act and the Clayton Act.