Health Law

At Waldheger • Coyne, we are committed to creative solutions for physicians in response to the rapidly evolving healthcare landscape. We are advocates for physicians collaborating with other healthcare providers, facilities and systems to develop high-quality and cost-effective patient care models. We believe that these new models are vitally important to the health care system and will provide solutions to many of the challenges present in the healthcare delivery system.

We are at the forefront of designing and implementing collaborative models whereby physicians can cooperate and integrate with health systems and insurers while maintaining clinical and practice control. These involve models incorporating risk-shifting, bundled payments, electronic medical records (EMR), gain-sharing, point of service, RVU models, and bonus structures for cost savings.

Even with the recent consolidations, the healthcare industry is still the home of thousands of small businesses. We represent primary care and specialist physicians in private practice with their concerns regarding contracts amongst themselves, buy-in and buy-out provisions, non-competition, fraud and abuse, the Stark laws, Medicare payment issues, and contracting issues with health plans and insurers. The intricacies of health law statutes and regulations require physicians and health care providers to consider legal matters beyond what other similarly sized businesses would typically encounter. Our health law practice focuses on a full representation of physician and health care providers, including:

  • Accountable Care Organizations (ACOs)
  • Patient-centered Medical Homes
  • Third party payor contract negotiations
  • Ambulatory surgery centers
  • Ancillary service centers – imaging, laboratory and physical therapy
  • Physician-hospital joint ventures
  • Physician compensation arrangements and employment contracts
  • Physician practice transitions and employment negotiations
  • Malpractice insurance and alternatives
  • Disputes with Medicare, Medicaid and third party payors
  • Stark law and Anti-Kickback Law analysis and compliance
  • Physicians networks and antitrust law compliance – IPC, IPG, IPA and PO
  • Physician group practice development and representation
  • Facility accreditation and compliance – CORF, CLIA, CAP and JCAHO
  • Physician practice management companies – IPSO and PPM
  • Research contracts

Our firm also heads the health reform group of the Legal Advisory Board of the Small Business Council of America (SBCA), a national organization which actively communicates with Congress concerning tax, healthcare, and other legislative issues facing physicians and other personal service businesses.

Call Waldheger • Coyne at 440.835.0600 to arrange your consultation.