ACO, health plan, & managed care law | McDermott lawyers

Managed Care

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Overview

The [Health & Life Sciences] team at [the firm] is top-notch. Their attorneys are practical, concise, and take the time to understand business strategy and imperatives as they deliver their advice.
Legal 500 US, Healthcare: Health Insurers

Healthcare innovation and new payment and reimbursement models are top priorities in managed care law, with partnerships and consolidation taking center stage to provide – and get paid for – better health outcomes. Those who want to grow and innovate within this evolving healthcare environment face complex regulatory requirements and significant scrutiny around transactions. To thrive despite these challenges, you must be willing to take calculated business risks and adapt to a shifting landscape.

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Results
  • CVS Health as health regulatory counsel in two strategic acquisitions of leading companies in the healthcare sector: (a) the closing of its $10.6 billion acquisition of Oak Street Health, a leading multi-payor, value-based primary care company, and (b) its $8 billion definitive agreement to acquire Signify Health, Inc., a leader in health risk assessments, value-based care and provider enablement
  • Prime Therapeutics, a pharmacy benefits manager, in its strategic expansion and first ever M&A deal through a $1.35 billion carve-out acquisition of Magellan RX Management, a leading pharmacy benefit management company, from Centene Corp., a diversified healthcare enterprise. We also represented Prime Therapeutics in its software licensing and equity investment in Capital Rx, a pharmacy benefits administration platform that provides innovative solutions for drug pricing and benefits design.
  • Premera Blue Cross, and Providence Health Plan and Providence Health & Services–Washington, with the creation of an alliance to provide a Medicare Advantage Plan for certain counties in the state of Washington

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Insights
Events
News
Key contacts

Jeremy Earl

Partner

Washington, DC

Kate McDonald

Partner

Washington, DC

Additional capabilities

Ambulatory Surgery Centers & Physician Practice Management

Digital Health & Health Tech

Health Antitrust

Health & Life Sciences

Health Regulatory & Compliance

Health Transactions & Strategic Growth

Hospitals & Health Systems

Outpatient Services