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Mergers and acquisitions

  • Lead counsel for a joint venture investment in a national platform company offering advanced patient-at-home services, including agreements for the implementation of hospital-at-home services.
  • Lead counsel for a $500 million affiliation between a charitable 501(c)(3) nonprofit health plan and its integrated healthcare system and a university hospital system. Provided legal and strategic advice to executive leadership and the board of directors regarding the affiliation, negotiated the terms of the affiliation, and drafted transaction agreements (including a healthcare services agreement and a related long-term financial arrangement and a clinical integration model and a related care management agreement).
  • Lead counsel for a $1 billion affiliation agreement between an integrated healthcare system and a charitable 501(c)(3) nonprofit provider for the delivery of healthcare services to patients with autism. Advised regional leadership regarding the terms of a value-based financial arrangement and care delivery improvements and drafted and negotiated deal terms.
  • Lead counsel for the $30 million sale of the operating division, including the intellectual property, data assets and employees, of a 501(c)(6) nonprofit trade association otherwise dedicated to improving healthcare outcomes using information and technology. Served as bridge in-house general counsel and advised executive leadership and the board of directors regarding the auction process and deal structure, drafted acquisition documents (including acquisition, data license and transition services agreements) and negotiated deal terms.

Value-based affiliations and activities

  • Represent a multicampus health system in the development of a direct-to-employer provider network, centers of excellence and related contracting strategies, including structuring agreements with self-insured plans, third-party administrators, credentials verification organizations and independent providers.
  • Represent a national addiction treatment provider in a strategic affiliation with an academic medical center focused on treatment across the care continuum, research and community outreach.
  • Advise hospital systems in evaluating decisions concerning participation in CMS and CMMI alternative payment models and value-based programs, including participation and reporting under the CMS Quality Payment Program.
  • Assist a community hospital in the development of a CIN of providers, including evaluation of its corporate structure and regulatory issues and the preparation of governance documents, participation agreements, and CIN policies and procedures.
  • Represent a large multiemployer coalition of 50+ major private-sector corporations in data use, medical and pharmacy contracting strategies to transform and improve the purchase of healthcare through the members’ self-insured health plans representing over 7 million covered lives and $27 billion in annual healthcare spending.
  • Represent a health system in the development of ambulatory surgery center joint ventures with physicians focused on total joint replacement surgeries and value-based contracting strategies.
  • Represent a multicampus health system in physician alignment transactions and contracting, including structuring value-based compensation models incorporating quality metrics, gainsharing and shared savings.

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