Health Care
Ranked among the largest health care firms in the United States by Modern Healthcare.
WHY LOCKE LORD
We represent health industry businesses in regulatory matters, transactions and litigation. Our lawyers have extensive experience in multistate and federal regulatory compliance, deal work, including private equity investment, M&A, joint ventures and other strategic alliances, government relations, enforcement matters and litigation. Our clients range from health care providers and facilities, health insurers and managed care organizations, health industry intermediaries and health information technology companies to investors and strategic buyers.
We regularly assist our clients in structuring their strategic initiatives, whether they are mergers, investments or joint ventures or are designed to achieve revenue cycle management, value-based care models, physician or dental practice management, population health or chronic care management.
Our clients include:
- For-profit and nonprofit hospitals and health systems
- Managed care organizations (MCOs) and national, regional and state-based health insurers offering ACA Marketplace plans, other commercial HMO and PPO plans, Medicare Advantage plans, Medicaid managed care plans and administrative services only plans
- Physician practices and practice management companies
- Dental practices and practice management companies
- Accountable Care Organizations
- Integrated delivery systems and other risk-bearing intermediaries
- Long-term care and senior living facilities
- Home health agencies and hospices
- Laboratories
- Pharmacies
- Ambulatory surgery centers
- Population health management (PHM) and chronic care management companies
- Health and wellness companies
- Health information exchanges
- Health information technology companies
- Durable medical equipment providers
- PBMs, TPAs and other health industry intermediaries
- Private equity firms investing in health care related companies
Key Capabilities:
- Licensure and scope of practice; accreditation and certification
- Managed care and health insurance regulation
- Change of ownership or control submissions and regulatory proceedings
- Fraud and abuse (including federal and state anti-kickback, self-referral and false claims)
- Corporate practice of medicine in “friendly” physician models
- HIPAA and state privacy, security and data breach
- Telemedicine and telehealth
- Health information technology
- Protection of intellectual property (e.g., patent, trademark and copyright) assets integral to our health care clients’ operations
- Medicaid and Medicare reimbursement
- Managed Medicaid program compliance
- Medicare Advantage program compliance
- Payor and provider contract development and alignment strategies
- Nonprofit, tax-exempt issues
- Patient safety
- Government audits and investigations
- Litigation and government enforcement actions
- Corporate matters
- Mergers and acquisitions
- Strategic joint ventures
- Vendor contracting and outsourcing
- Enterprise risk management
- Government relations