A partner at Faegre & Benson, Gerry represents health care organizations and related nonprofit entities in Colorado and throughout the United States. His clients include facilities, practitioner groups, and related businesses, as well as trade associations and other enterprises serving the health care industry. He is a frequent author and speaker on a variety of contemporary health care issues.
Gerry offers clients a detailed understanding of legal and business variables involving the delivery and reimbursement of health care services. He has extensive experience working in the managed care field, developing integrated networks, and helping hospitals and physicians build and sustain innovative business arrangements. He is actively engaged in addressing challenges and opportunities related to health care reform initiatives.
Gerry's practice includes transactional and regulatory work on behalf of numerous traditional and emerging clients in the health care arena. Key projects include the following matters:
- Service as counsel for the Medical Group Management Association
- Service as counsel for the Colorado Hospital Association
- Service as counsel for the Colorado Ambulatory Surgery Center Association
- Representation of other national and regional health care trade associations
- Developing numerous single and multi-specialty ambulatory surgical centers, including physician-hospital joint ventures and providing ongoing compliance and operational counsel for various ASCs
- Representation of several provider networks and related organizations, including counsel on financial and clinical integration and related antitrust and other compliance issues
- Developing integrated delivery systems and other contemporary physician-hospital organizations
- The successful defense of a state antitrust investigation of a physician group
- Obtaining a favorable FTC Advisory Opinion on antitrust compliance and provider information exchanges
- Negotiation of various managed care contracts involving hospitals, physician groups and other providers, and providing counsel related to out-of-network contracting strategies
- Responding to numerous state and federal regulatory inquiries to health care providers
- Representation of several single and multi-specialty physician groups
- Establishment of provider-owned community health plans
- Establishment of a physician-owned acute care hospital
- Development of several provider-owned and entrepreneurial management services organizations
Gerry frequently confronts complex regulatory and related business issues including antitrust, exempt organization, Medicare/Medicaid fraud and abuse, and Stark Law self-referral considerations. In addition, his representation of acute care and ambulatory health care facilities, as well as ancillary service providers, involves numerous third-party reimbursement, insurance law, licensure, contracting and related matters on an ongoing basis.