Regulatory

• Represent digital health companies, hospital systems, and home health and palliative care providers in maintaining compliance with multistate regulatory requirements applicable to telehealth activates of physicians and other health care professionals including licensing, establishing patient relationships, provider-to-provider consulting, supervision and delegation among providers, and prescribing and treatment standards.
• Providing on-going strategic corporate, regulatory, and privacy advice and counsel to innovative membership-based clinics, hybrid, and telehealth only platforms providing primary, behavioral, and specialty health care.
• Provide on-going counsel to health systems, physician groups, and other providers in connection with federal and state physician self-referral statutes including structuring arrangements, assessing compensation models, and making necessary self-disclosures.
• Developed and implemented comprehensive compliance and data privacy programs for health care entities including digital health companies, hospitals, and post-acute care organizations.
• Advised digital health companies and hospital systems in the establishment and operation of international telehealth programs.
• Counseled an institutional pharmacy in its internal reorganization of its pharmacy services delivery system.

Investigations/Enforcement

• Successfully represented a hospital system in resolving two novel federal and California qui tam False Claims Act matters involving the federal and California Department of Justice, Office of Inspector General of the Department of Health and Human Services, and California Department of Health Care Services alleging improper arrangements with Medicaid managed health care plans. 
• Obtained favorable outcomes for digital health companies and their affiliated physician groups in responding to state medical board investigations regarding the provisions of clinical services including certain laboratory tests and prescription drug orders.
• Represented a durable medical equipment company in connection with a federal and California qui tam False Claims Act lawsuit alleging violation of state best price requirements.
• Successfully negotiated on behalf of a hospital system a favorable settlement of a national False Claims Act investigation involving implantable cardiac devices.
• Obtained reversals of a Medicare contractor post-payment review overpayment determinations against physicians and post-acute care providers utilizing a creative administrate appeal/litigation strategy.
• Represented an Arizona hospital in a False Claims Act investigation of Medicare claims submitted in connection with a clinical research trial.
• Obtained successful dismissal of federal lawsuits filed against several hospitals and skilled nursing facilities alleging violation of the Medicare Secondary Payer provisions.

Transactional

• Conducted health care regulatory due diligence on behalf of digital health companies, genetic testing laboratories, and post-acute care providers in connection with financing transactions.
• Advised private equity companies in their acquisition of health care entities including strategic advice, regulatory due diligence, purchase agreement negotiations, and post-acquisition compliance activities.  
• Advised a leading genetic testing laboratory in a sale to a newly formed international joint venture in a transaction exceeding $1.0 billion.