As the federal government has become the largest payer of health care, federal regulation has grown and private sector opportunity in government health care programs has expanded. Government business is complicated, but we can partner with you to navigate it.
- Medicare Advantage, Part D & Medicaid Managed Care—We’ve long provided legal guidance for payer and provider initiatives and operations in these government health care program growth markets.
- Prescription Drug & Health Insurance—Our health law counseling has evolved to ensure cutting edge legal support for health care financing trends and innovations for insurance, managed care, pharmacy benefit management and value-based payment.
- Antitrust, Fraud & Abuse Compliance—We have proven skill to guide health sector organizations to manage the risks antitrust and fraud and abuse laws pose to marketing and payment arrangements.
Health care regulations affect how health sector participants must operate their businesses. We’ve spent decades learning those businesses inside out so we may apply health care regulation with insight and understanding.
- Medicare Advantage, Medicare Part D & Medicaid Managed Care—We support effective management of day-to-day business operations and compliance risks arising from government program participation of payers, providers and service vendors.
- Prescription Drug & Health Insurance—Our mastery of health care regulation ranges from payment to product design, network contracting to market conduct, claims processing to member relations, and more.
- Health Care Contracting & Outsourcing—We take deals from RFP to contract with proficiency and practicality for pharmacy benefit management, third party administration, care coordination, population health, and other healthcare operations.
More than ever, the business of healthcare entails relationships. We work with payers and providers as they turn to each other and to service vendors to deliver winning services and products to their customers and consumers.
- Joint Ventures & Alliances—We bring strategic perspective to structure successful arrangements among health sector stakeholders that advance mutual business goals and manage shared risks.
- Health Care Contracting & Outsourcing—Oft using contract templates we’ve crafted, we successfully close critical service arrangements for health industry participants with a focus on effectiveness over legalese.
- Antitrust, Fraud & Abuse Compliance—We possess the regulatory know-how to discern contracting vehicles and terms that enable collaboration and partnership among healthcare actors while mitigating antitrust and fraud and abuse law risks.
Health data are no longer a byproduct of health care operations. Health data have become strategic assets to be protected, managed and optimized for business benefit.
- Health information privacy & security—Since HIPAA’s enactment, we’ve counseled on when and how HIPAA, FERPA, Part 2, CCPA and other federal and state data protection mandates apply to health sector participants.
- Joint Ventures & Alliances—We apply our long working experience with health information privacy laws to design creative and compliant affiliation and alliance structures for health information access, use and disclosure.
- Healthcare Contracting & Outsourcing—We ably find contracting solutions for health data exchange and management issues present in health care contracting and outsourcing arrangements.
