Payor-Provider Joint Ventures: Advanced Seminar

Gary Scott Davis, PA, advises clients on issues concerning managed care, including emerging health benefit plans, strategic restructurings and reorganizations, dispositions, mergers, joint ventures and contractual matters. The Florida Bar Board of Legal Specialization and Education recognizes Gary as a Board Certified Health Law Attorney.

Gary is a nationally recognized speaker on organizational and reimbursement transactions relating to managed health care, health care contracting and joint ventures. He is also a published author of numerous writings on managed care.

Gary has served as an adjunct lecturer of health care law for the Graduate School of Business Administration (MBA Programs for Executives), University of Miami and on the Advisory Board and faculty of the Nova Southeastern University Institute of Continuing Education for Health Care Professionals.

Advises on managed care regulation across commercial, Medicare Advantage, Part D, and Medicaid programs

Represents companies across the drug supply chain to negotiate complex and innovative commercial partnerships

Structures joint ventures and value-based reimbursement arrangements between health plans and providers

Leads managed care M&A and secures regulatory approvals from CMS and state agencies

Represents clients in risk adjustment investigations, qui tam actions, and coverage litigation

Kate McDonald represents clients across the healthcare industry on complex regulatory matters and high-stakes mergers and acquisitions, affiliations and other investments. She delivers strategic advice on federal and state laws applicable to health insurers and HMOs, including the downstream implications for their provider organizations and vendors, as well as the reimbursement landscape of federal healthcare programs.

Kate’s clients rely on her extensive experience navigating the Medicare Advantage, Medicare Part D and Medicaid managed care programs. She partners with health plans, provider organizations, technology start-ups, private equity funds and retailers to benchmark risks, solve regulatory challenges and structure transactions, particularly those that involve federal and state healthcare programs. As payors and providers continue to realign in today’s market, Kate offers nuanced insights into the unique obstacles and opportunities facing companies at the intersection of these two worlds. She helps innovative companies navigate state risk-bearing regulations, drafts and negotiates agreements with complex reimbursement structures and regulatory implications, and advises healthcare companies and private equity funds on investments in highly regulated segments of the healthcare market.

Kate’s healthcare regulatory experience also includes deep insights into DC certificate of need (CON) laws. She helps providers obtain CON approval for the introduction and expansion of healthcare services, changes in ownership, capital expenditures, and closure of healthcare services or facilities in Washington, DC.

Kate is a contributing author to Regulation of Medicare Part D Plans (Thomson Reuters, 2019 edition) and Thomson Reuters Health Law Handbook (2017 edition). She speaks regularly at healthcare industry events, including the Wall Street Journal Health Forum, American Health Lawyers Association Institute for Health Plan Counsel, Blue Cross Blue Shield National Summit, Health Care Compliance Association Managed Care Compliance Conference, and Medicaid Managed Care Congress. Kate was the first recipient of the McDermott Will & Emery Client Service Award (2019).