Lauren's practice focuses on advising clients through complex health care transactions and regulatory matters. She has served as health care counsel on numerous private equity and strategic transactions, including mergers and acquisitions, joint ventures, affiliations, and investments involving pharmacies, PBMs, physician practices, long-term care facilities, third party payors, value-based contracting entities, nurse staffing companies, and health care technology firms.
Lauren’s deal work is complimented by her regulatory practice, which primarily focuses on advising pharmacies, PBMs, managed care organizations and other clients in the payor space. Drawing from her experience working for the Federal Coordinated Health Care Office (the “Duals Office”) within the Centers for Medicare & Medicaid Services (“CMS”), she is able to provide practical advice to clients on regulatory and compliance issues relating to Medicare Advantage, Medicare Part D and Medicaid. She has advised clients on Medicare Advantage and Medicare Part D applications, audit appeals, contract negotiations, Medicaid managed care RFPs, and payment issues.
Lauren’s regulatory practice also focuses on compliance with the anti-kickback statute, corporate practice of medicine and fee-splitting prohibitions, telemedicine, and prescribing and licensing requirements (including change of ownership requirements).
Prior to her tenure with CMS, she was a research consultant with a health care consulting company in the DC area, working primarily with state Medicaid agencies and Medicaid managed care plans.
Experience
- Counseled private equity sponsors on health care acquisitions, including fraud and abuse issues, licensure, change of ownership, and payor matters.
- Served as health care regulatory counsel to several banks and lenders in debt financing transactions, including advising on the impact of corporate practice of medicine and other health care regulatory matters on the credit agreement and accompanying deal documents.
- Provided health care regulatory counsel to Cornell Capital in its acquisitions of truestaff and CardioSolution, as well as the acquisitions of various nurse staffing companies by Ingenovis Health.
- Advised national pharmacy chain in multiple specialty pharmacy and long-term care pharmacy acquisitions.
- Advised venture capital and private equity firms on Series C and minority investments in various health care technology firms and value-based contracting entities.
- Represented Sanford Health, a non-profit integrated health delivery system, in its affiliation with The Evangelical Lutheran Good Samaritan Society (the “Society”), a non-profit long-term care provider. Our representation primarily focused on assisting Sanford in navigating the change of ownership filings for the Society’s licenses and Medicare and Medicaid filings.
- Conducted the due diligence and provided state and federal regulatory research and analysis in connection with TPG’s acquisition of Convey Health Solutions, a specialized health care technology company that provides health plan administration, supplemental benefits administration, and consulting services to health plans.
- Advised a global health care company on a variety of issues in connection with its acquisition of several health plans and provider groups, including health care regulatory due diligence, health care regulatory advice regarding transaction structure and strategy, and preparation of regulatory notices and other filings.
- Served as regulatory counsel to a consortium of investors led by TPG Capital and Welsh, Carson, Anderson & Stowe in their $4.1 billion acquisition of Kindred Healthcare, Inc. (NYSE:KND). The transaction was recognized by The Deal as the 2018 Private Equity Deal of the Year.
- Advised a consortium of investors led by TPG Capital and Welsh, Carson, Anderson & Stowe in their $1.4 billion acquisition of Curo Health Services.
viewpoints
The OIG Identifies “Significant Vulnerabilities” in the Medicare Hospice Program: What This Might Mean for Hospice Providers?
August 9, 2018 | Blog | By Lauren Moldawer
The Hazards of Prescription Auto-Refill Programs
June 6, 2018 | Blog | By Lauren Moldawer
Proposed Medicare Advantage and Part D Regulations for CY 2019 - CMS Tries to Clarify Any Willing Pharmacy Rules
November 29, 2017 | Blog | By Lauren Moldawer, Tara E. Dwyer
Health Care Weekly Preview from ML Strategies – Week of October 23, 2017
October 24, 2017 | Blog | By Lauren Moldawer
ML Strategies Explores the Evolution of “Repeal and Replace”
September 28, 2017 | Blog | By Lauren Moldawer
Massachusetts Moves Forward with Efforts to Shore up MassHealth
August 24, 2017 | Blog | By Lauren Moldawer
Mintz’s Employment Matters Blog Analyzes Efforts to Shore up MassHealth
May 30, 2017 | Blog | By Lauren Moldawer
Join us for our Upcoming Webinar: Patient Assistance Programs & Government Enforcement: What You Need to Know
April 27, 2017 | Blog | By Lauren Moldawer
Join Mintz and ML Strategies for the 2nd Annual Pharmacy Summit
April 3, 2017 | Blog | By Lauren Moldawer
Pharmaceutical Manufacturers and Healthcare Leaders cite Fraud and Abuse Laws as Obstacle to Value-Based Arrangements
March 15, 2017 | Blog | By Theresa Carnegie, Lauren Moldawer
News & Press
Top 10 Column - HHS Restructuring: What It May Mean for Medicare Advantage and Part D Plans and Health Care Providers
April 18, 2025
The American Bar Association published an article co-authored by Member Lauren Moldawer and Associate Jeannie Mancheno, examining how the recent restructuring and Reduction in Force (RIF) of the Department of Health and Human Services (HHS) could impact the health sector.
Member Lauren Moldawer recently connected with AIS Health about a Florida pharmacy benefit manager (PBM) law, the Prescription Drug Reform Act (PDRA). The Act aims to lower drug costs by requiring PBMs to forward all manufacturer rebates to plan sponsors and prohibiting mandatory mail-order pharmacy use for enrollees, among other reforms.
Pharmacies, PBMs at Odds over Proposed Change to Part D Contracting Rule
February 28, 2025
Member Lauren Moldawer was quoted by Healthcare Brew on how pharmacy benefit managers (PBMs) are reacting to a proposed change to the Medicare Part D Program. This change would allow pharmacies to terminate contracts without cause and without permission from the PBM, which Lauren said could create uncertainty for PBMs.
CMS Reiterates Drug Negotiation Guidance Ahead of Participation Deadline
February 27, 2025
Member Lauren Moldawer spoke with Endpoints News about how the Trump administration might approach Medicare drug price negotiations under the Inflation Reduction Act (IRA) going forward.
Mintz Advises TPG in Strategic Partnership with Surescripts
October 04, 2024
Mintz advised global alternative asset management firm TPG in a strategic partnership with Surescripts®, the nation’s leading health information network. The partnership includes an investment in Surescripts through TPG Capital, the firm’s U.S. and European private equity platform.
The Best Lawyers in America 2025 Recognizes 184 Mintz Attorneys across 56 Practice Areas
August 15, 2024
187 Mintz attorneys have been recognized by Best Lawyers® in the 2025 edition of The Best Lawyers in America©. Notably, three Mintz attorneys received 2025 “Lawyer of the Year” awards, and 64 firm attorneys were included in the 2025 edition of Best Lawyers: Ones to Watch.
Mintz Facilitates $3.7 Billion Deal For The Cigna Group
January 31, 2024
The Cigna Health Group signed a deal selling its Medicare businesses to Health Care Service Corporation (HCSC) for $3.7 billion. A Mintz team led by Tara Dwyer and Lauren Moldawer acted as regulatory counsel to The Cigna Group on the sale. In the deal, which is expected to close in the first quarter of 2025, HCSC will acquire Cigna’s Medicare lines including Medicare Advantage, Medicare supplement, and Medicare drug plans, as well as CareAllies, a unit that works with physician groups and other healthcare providers.
Mintz Announces Record Member Growth in 2023
December 22, 2023
Mintz proudly announced the election of 13 attorneys to Members and the addition of a record-setting 22 new lateral Members in 2023, with 11 Partners in the newly opened Toronto office. This diverse group strengthens Mintz’s core areas, spanning Commercial and IP Litigation, Life Sciences, Tech, Private Equity, and Energy & Sustainability. The elevated Members and new lateral additions bring invaluable expertise to help clients navigate complex legal landscapes.
4 Pharma Industry Arguments Against CMS Drug Pricing Plan
September 29, 2023
Theresa Carnegie, Lauren Moldawer, and Hassan Shaikh co-authored an article published by Law360 on the Inflation Reduction Act's Medicare drug pricing negotiation program.
Mintz is pleased to announce that 120 firm attorneys have been recognized as leaders by Best Lawyers® in the 2024 edition of The Best Lawyers in America©.
Mintz Advises Kindred at Home in $5.7 Billion Sale to Humana
August 23, 2021
podcasts
Health Law Diagnosed — Mintz Health Law Team: Reflecting on What We Are Grateful For
February 5, 2024 | Podcast | By Bridgette Keller
As the Mintz Health Law team welcomes the beginning of 2024, many of its members take a moment to reflect on the exciting growth of the Health Law Practice, opportunities to partner with clients on complex legal issues, and the celebration of numerous milestones.
Health Law Diagnosed: Transactions Part 2: Health Regulatory Diligence and How to Prepare for a Sell-Side Transaction
March 24, 2022 | Podcast | By Tara E. Dwyer, Xavier Hardy, Bridgette Keller, Lauren Moldawer, Cassandra Paolillo, Kate Stewart
Health regulatory diligence has the ability to make or break a deal. Listen to hear about our team’s firsthand experience in the importance of conducting health regulatory diligence and best practices in preparing for a sell-side transaction.
Health Law Diagnosed — Transactions Part 1: Regulatory Trends in Recent Health Care Transactions
March 3, 2022 | Podcast | By Xavier Hardy, Bridgette Keller, Lauren Moldawer, Cassandra Paolillo, Kate Stewart
Events & Speaking
Legal, Regulatory and Contractual Issues When Structuring Value-Based Agreements
14th Association for Value-Based Cancer Care Summit
New York, NY
Recognition & Awards
Best Lawyers in America: Ones to Watch - Health Care Law (2024, 2025)
Recent Insights
Deregulatory Push by Trump Administration Picks Up Speed
April 25, 2025| Blog|
The American Bar Association published an article co-authored by Member Lauren Moldawer and Associate Jeannie Mancheno, examining how the recent restructuring and Reduction in Force (RIF) of the Department of Health and Human Services (HHS) could impact the health sector.
