Lisa Han focuses her practice on transactional and regulatory matters for health care and insurance clients, including complex managed care contract negotiations, value-based purchasing, and regulatory compliance issues. Her experience includes mergers, acquisitions, restructurings, and formation of insurance companies and managed care plans; payor and provider joint venture or allowance; negotiation of TPA, PBM, and other vendor agreements; insurance holding company system transactions; participation in Medicare Advantage and Medicaid managed care programs; organization of accountable care organizations (ACOs), clinically integrated networks, and other types of provider organizations; value-based payment reform and shared savings programs; and compliance with the Affordable Care Act. Lisa also regularly advises hospitals, physicians, and other providers on strategic alliances, product and network issues, prompt payment compliance, and audits and recovery.
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In Short The Development: Congress unanimously passed and before leaving office, President Trump signed into law, the Competitive Health Insurance Reform Act ("CHIRA"). CHIRA limits application of the McCarran-Ferguson Act, an exemption from the federal antitrust laws, as it relates to the (...)
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This article has been nominated for the 2020 Antitrust Writing Awards. Click here to learn more about the Antitrust Writing Awards. A Dramatic Shift in Health Care Pricing Transparency In short: The Issue: On June 24, 2019, President Trump signed an executive order, which instructed the (...)
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