ACOs, Clinically Integrated Networks, and Super CINs: Must Know Emerging Legal and Regulatory Developments for Nonprofit, For Profit, and Private Equity Backed Participants

Mr. Daniel practices exclusively in the healthcare transactional and regulatory areas. He devotes his efforts to physician transactions, joint ventures, mergers and acquisitions, contracting and regulatory matters, and healthcare providers of all types. In connection with these matters, Mr. Daniel routinely provides advice on issues related to tax-exempt status, including private inurement, private benefit, and intermediate sanctions, tax-exempt financing, antitrust compliance and fraud and abuse. Since 2010, Mr. Daniel dedicates his time and efforts counseling clients in strategy development under evolving patient payment models, including the planning and development of medical homes, accountable care organizations, direct contracting entities, and clinically integrated networks. He is a frequent speaker and facilitator on healthcare strategy and physician alignment issues. Mr. Daniel advises long term care facilities, home health agencies, hospices, durable medical equipment companies and other providers on legal and regulatory matters.

Ms. Ferrari is a member of Hancock Daniel’s corporate healthcare group, where she focuses on issues related to transactional and enterprise compensation planning, governance and review, particularly issues related to fair market value and commercial reasonableness. Although her past experience encompasses a multitude of regulatory, transactional, governance and investigation matters, Ms. Ferrari is known especially for her work in recruitment and retention of highly compensated thought leader physicians and executives; and incentive payment distributions through ACOs and clinically integrated networks to advance value-based care initiatives. She has worked extensively with clients navigating the intersection of regulatory and financial considerations in clinical research, including agreements for funding and support services and the related issues of contracting and compliance; transactional due diligence for compensation compliance; and navigating the intersection of compensation and antitrust issues. Ms. Ferrari's expertise also includes recruitment, compensation and procurement governance for “essential” hospitals such as public, rural, academic and pediatric hospitals.