Health Law Blog - Healthcare Legal Issues

Integrated Networks, Clinical Integration, Accountable Care Organizations

Our attorney have had substantial experience in the corporate, contractual and legal issues that apply to the creation of all levels of integrated delivery systems.  Our experience in this area dates back to the initial move towards integration that took place in response to health care reform proposals in the early 1990s.  Our provider integration practice has experienced a resurgence as clinically integrated provider organizations are being structured in response to health care reform.  We remain current on the legal and regulatory issues applicable to Accountable Care Organizations and provide integrated networks.

Clinical Integration AttorneyOne of our attorneys, John Fisher, has been involved in the creation of wide variety provider organizations going back as far as the early 1990s.  In the mid 1990s, John was referred to by a major business publication  i n the Tampa Bay area as one of the most knowledgeable attorneys on provider integration.  His experience in this area has only expanded since that time.   John represents clinically integrated organizations, ACOs, physician/hospital organizations,  independent practice associations, including single specialty IPAs andmulti-disciplinary IPAs.  John has also been involved in the creation of physician-hospital organizations, divisional model group practices, group practices without walls, single and multi-specialty groups.  He has also assisted hospitals and health care systems to acquire and employ physicians with the objective of creating fully integrated health care delivery systems.

Our practice in this area has required us to remain current on the various legal requirements that are applicable to provider integration.  Some areas of particular relevant to this area of our practice include state and federal antitrust laws, self-referral and anti-kickback laws, Medicare reimbursement, and tax laws affecting the status of exempt organizations.

Health care integration is once again in the forefront due to the passage of health care reform legislation and the resulting change in the reimbursement paradigm toward a shared savings model and models that require health care provider organizations to share risk.


John H. Fisher

Health Care Counsel
Ruder Ware, L.L.S.C.
500 First Street, Suite 8000
P.O. Box 8050
Wausau, WI 54402-8050

Tel 715.845.4336
Fax 715.845.2718

Ruder Ware is a member of Meritas Law Firms Worldwide

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