Areas of Special Expertise
The Firm is proactive in its representation, thereby helping our clients respond more effectively to rapidly changing health care environments. We pride ourselves on attending to the particular needs of our clients, including scheduling telephone conferences and meetings at times that best meet their schedules. The following areas are representative of the specific matters in which the Firm regularly practices:
Structuring Value Based Payment Contracts, Including Bundling of Physician and Facility ServicesThe Firm is at the forefront in the development and operation of consolidated health care delivery programs that contemplate reimbursement to the participating providers (physicians and facilities) on global fee and/or episode of care bases.
Formation, Consolidation and Reorganization of Medical Groups and IPAsThe Firm is skilled in resolving conflicts and problems that would otherwise prevent medical practices from combining into a single, clinically and economically integrated organization.
Physician/Hospital Affiliation StrategiesThe Firm is actively involved in the development of alternative affiliation vehicles, including bundling, medical foundations, outpatient departments, and accountable care organizations, through which physicians and hospitals can integrate clinically and financially to deliver a wide array of primary care and specialty medical services.
Compensation and Buy-Sell StrategiesThe Firm advises our clients regarding compensation methodologies that attempt to align the needs of both the medical organizations and their constituent physician owners/employees, and regarding ownership admission and exit strategies, equity redemption formulas and non-competition restrictions.
Peer Review MattersThe Firm is well-known for its representation of medical staffs, physicians, IPAs and medical groups in peer review disciplinary matters, beginning at the investigation stage and, if necessary, through the completion of hearings and appeals.
Ancillary Service Product LinesThe Firm advises our clients regarding the development and operation of in office ancillary services, including diagnostic imaging, clinical laboratory, physical therapy and ambulatory surgery centers, to better treat their patients.
Hospital-Based Provider ArrangementsThe Firm is very experienced in advising hospital-based physician groups on exclusive contracting, group organization and operation matters.
Third Party Payer ContractingThe Firm provides advice and counsel to our clients in connection with their negotiations of capitation, sub-capitator, fee-for-service reimbursement arrangements with health maintenance organizations, preferred provider organizations and other managed care payers.
General Health Care Regulatory LawThe Firm advises our clients on the rules and regulations imposed by governmental and quasi-public agencies and organizations affecting their practices, including the prohibitions on self-referrals and anti-kickbacks, and the privacy and security requirements applicable to medical information.
1875 Century Park East, Suite 1600 Los Angeles, CA 90067
Voice: 310-277-8445 Fax: 310-551-2672
Copyright 2020 Schiff and Bernstein, APC