Shipman & Goodwin has a comprehensive health law practice providing legal services to all sectors of the health care industry. We have a broad depth of experience advising our health care clients on all the issues that impact their operational and business objectives.
Representative Clients Include:
Hospitals and Integrated Delivery Systems. Acute, general and specialty hospitals, including long-term acute care, psychiatric and hospitals with Level One trauma centers designation. We regularly advise our hospital and health system clients in connection with system development, strategic alliances, corporate governance and regulatory issues.
Community Providers. We represent a large number of community-based organizations that provide primary care, behavioral health and substance abuse services to children and adults with special needs and disabilities.
Federally Qualified Health Centers. We provide Federally Qualified Health Centers ("FQHCs") with a full range of Section 330-specific counseling services for the development, evaluation, implementation, grants, orientation and support of effective programs. We also provide legal assistance with issues pertaining to FQHC benefits, including cost-based reimbursement, 340B program, Federal Tort Claims Act, and the National Health Service Corps.
Ambulatory Surgery Centers. We regularly advise hospital-based and freestanding ambulatory surgery center in connection with certificate of need issues, joint ventures, regulatory compliance and matters relating to reimbursement.
Physicians and Health Care Professionals. We have significant experience in representing and advising physicians and other health care professionals with respect to practice management, joint ventures, alternative care delivery models, including independent practice associations, physician hospital organizations, medical foundations, medical homes and accountable care organizations.
Long Term Care, Home Health and Hospice. We represent skilled nursing facilities, long term care providers, home health, hospice, assisted living services agencies, and continuing care retirement communities on all business and regulatory matters.
Clinical Laboratories. We represent local and national clinical laboratories, including laboratories specializing in clinical, genetic, infectious disease and microbiology testing. We have expertise in the business and regulatory issues facing laboratories.
Retail Pharmacies. We represent local and national pharmacies in business and regulatory matters, including issues involving licensure, reimbursement and electronic prescribing.
Professional Certifying Boards. We advise physician-specialty boards on professional credentialing, certification, testing, joint ventures, intellectual property and corporate governance issues.
Organ Procurement and Transplant. We represent procurement organizations and transplant hospital programs on all regulatory and business matters.
Our Health Law Practice Group has substantial experience regularly advising our health care clients in the following subject matter areas:
Mergers, Acquisitions, Strategic Alliances and Business Transactions. We advise our health care clients on all transactional matters, including mergers, acquisitions, strategic alliances, joint ventures, management, co-management and other business combinations. We can get the transaction done, obtain the necessary regulatory approvals, negotiate, document and implement the transaction in accordance with all regulatory requirements.
Health Information and Privacy. We regularly advise our clients on managing protected health information under state and federal laws, including structuring health information exchanges, implementing electronic health record systems and subsidy programs, and complying with privacy and security requirements, including breach response and state and federal enforcement actions.
Corporate Compliance and Regulatory Issues. We regularly advise our health care clients on state and federal regulatory matters and compliance issues, including designing, implementing and managing corporate compliance programs, responding and handling government payor investigations and audits, analyzing fraud and abuse, Stark, Anti-kickback and negotiating with government enforcement agencies.
Reimbursement, Audits and Investigations. We advise all providers on Medicare and Medicaid reimbursement related to business planning and compliance. We also represent them on OIG, RAC and other governmental payor audits, investigations and appeals.
Medical Staff. We advise hospitals and physicians on credentialing, privileging, peer review, professional misconduct, disciplinary action, compliance, bylaws and governance issues.
Certificate of Need. We regularly represent applicants and intervenors in certificate of need matters related to change of ownership, corporate affiliation, joint ventures, technology acquisitions and introduction and termination of services.
Clinical Research. We advise health care providers and bioscience companies on clinical and translational research issues involving conflicts of interest, research misconduct, institutional review boards (IRBs), informed consent, privacy and data issues, and sponsor and investigator agreements.
Health Care Reform. In response to the Health Care Reform Act, we have created a Health Care Reform Resource Center to keep our clients apprised of developments and shepherd providers through the regulatory developments as they prepare for new opportunities. We advise our clients on building the necessary infrastructure and developing the sytems and strategic alliances to organize medical homes, accountable care organizations and other innovative delivery of care models.