Cases
Representative Matters: Assisted health system in establishing enterprise-
community-based health information exchange/organization designed for the sharing
disclosure of patient information between
among patients, their physicians
other providers.
Managed numerous data breach responses under HIPAA
state law requirements, including breaches involving individuals in 50 states
foreign countries
supervised responses to agency investigations.
Negotiated on behalf of providers with numerous electronic health records (EHR)
other HIT vendors including those providing population health infrastructure for ACOs
other value-based purchasing arrangements.
Advised health systems on the development of Medicare provider-based on-
off-campus sites
regulatory compliance including extensive negotiations with state licensure agencies
the Centers for Medicare
Medicaid Services (CMS)
working with numerous hospitals on provider-based issues under changing laws.
Oversaw nursing home system response to state licensure investigation
negotiations to avoid loss of licensure
Medicare program exclusion.
Represented over thirty hospitals in group appeals before Medicaid agency concerning repayment of millions of dollars of excess disproportionate share payments.
Represented multi-site health system
other healthcare providers in the development of
contracting related to hospital-physician networking organization
value based purchasing arrangements with large payors
employers.
Obtained settlement in a complex litigation on behalf of HAP with the Commonwealth of Pennsylvania, in which the Commonwealth agreed to repay or credit to hospitals
physicians $200 million in overpayments of state-m
ated assessments intended to finance the Medical Care Availability
Reduction of Error (MCARE) Fund for professional liability claims.
Routinely assists providers with peer review, credentialing, medical staff bylaws
patient safety programs
matters.