Our healthcare attorneys have depth and breadth of experience that is rooted in traditional healthcare issues and regulatory matters such as licensing, Medicare, Medicaid and commercial reimbursement issues, while continuing to grow our expertise as new innovations develop. The healthcare industry is undergoing fast-paced and dramatic change. Clients turn to Pierce Atwood as a trusted advisor during these disruptive times. We provide comprehensive legal and strategic advice to a wide range of sectors including hospitals, health systems, and medical groups; health technology companies; insurance companies; pharmaceutical companies; and post-acute care providers. Our team of trusted healthcare experts combined with our broad and deep experience in laws and regulations concerning corporate organization, mergers and acquisitions, finance, insurance, information technology, antitrust, and employment, among other areas, enables us to provide a full range of comprehensive services to assist clients in meeting the challenges of the current healthcare environment.
As new models of healthcare delivery evolve beyond the traditional in-person encounters, we provide counsel to clients on issues pertaining to health information technology, telemedicine, mobile health, and big data, as well as federal and state privacy and security laws including HIPAA.
As the marketplace continues to consolidate, we provide strategic and regulatory advice in conjunction with mergers and acquisitions. We have represented clients in hospital and medical practice transactions, guiding them through federal and state regulatory issues. Our regulatory expertise ensures clients’ needs are met in numerous areas such as federal and state fraud, waste, and abuse laws including anti-kickback, self-referral laws, and False Claims Act matters, licensing issues, reimbursement guidance, privacy and security matters under HIPAA and state law, Affordable Care Act and healthcare reform matters including the shift to value-based reimbursement, bond financing, and tax issues facing for-profit and not-for-profit healthcare companies.
We provide ongoing advice and counsel, including service as outside general counsel, to accountable care organizations participating in the Medicare Shared Savings Program, the Next Generation Accountable Care Organization model, and Medicaid and commercial accountable care arrangements. We draft and negotiate risk based contracts, and provide guidance on data use agreements for integrating clinical and claims data and strategizing population health initiatives. We provide counsel on network design and development and associated regulatory and compliance issues, and data privacy and security. We help clients navigate the regulatory hurdles that lurk in structuring new models of healthcare delivery.
We guide on alignment of managed care and value based reimbursement strategies, including Medicare Advantage, to enable providers to understand and navigate MACRA and commercial reimbursement strategies. Alternative payment models and the structural and operational changes traditional healthcare providers face require depth and breadth of legal expertise to navigate legal and strategic implications.
Pierce Atwood’s Healthcare Law Group can assist clients in understanding, complying with, and launching initiatives under the Patient Protection and Affordable Care Act of 2010 (ACA). The ACA imposes a myriad of requirements on states, hospitals, other healthcare providers, insurers, employers and individuals. It also creates initiatives to address healthcare effectiveness and costs, including the operation of accountable care organizations (ACOs) and health insurance exchanges.