J. Peter Rich has practiced almost exclusively in the health law field for more than 35 years, and routinely advises hospital systems, health plans and other health insurers, large medical groups and other providers, accountable care organizations (ACOs) and other clinically integrated networks, private equity companies and other health industry clients on a wide variety of complex mergers and acquisitions and other transactions, health regulatory compliance matters, hospital-medical staff matters, and health industry disputes. Peter has also on multiple occasions successfully contested enforcement actions by the Medical Board of California against physician practice management arrangements alleged to be in violation of California’s prohibition against the corporate practice of medicine. For more than a decade, Peter has served as outside general counsel to the board of directors of one of the nation’s largest and most successful physician-owned malpractice insurance cooperative interindemnity arrangements. He co-chairs the Firm’s Insurance/Payors Affinity Group.
Formed, restructured and advised on complex contracting arrangements and regulatory matters involving numerous types of managed care organizations, including Medicare Shared Savings Program (MSSP), Pioneer, Next Gen, and commercial accountable care organizations (ACOs), new Centers for Medicare and Medicaid Services (CMS) bundled payments and CPC+ Program contracts, other types of clinically integrated networks, and health plans such as restricted and full-service California Knox-Keene Health Care Service Plans and specialized Knox-Keene behavioral health, vision, dental and chiropractic plans
Represented a major publicly traded health care company in the 2015-16 negotiation and successful closing of highly complex $400 million acquisition of a large medical group in the Northwest, including CON exemption and other regulatory matters
Advised on numerous health care transactions across the country, including the formation and acquisition of large and small “friendly physician” management services arrangements and telemedicine ventures, and successfully defended such arrangements against regulatory enforcement actions
Represented a major publicly traded health care company in the successful negotiation of a 2016 national accountable care shared risk contract for all health care services provided to a special needs population
Represented a large Northeastern health system in the successful negotiation of a 2016 statewide tiered accountable care contract with a major private health plan
Advised major health plans regarding the preparation of state-of-the-art new comprehensive provider contracts
Advised several large health provider systems and ACOs regarding downstream provider obligations
Advised a Hawaii health plan on a wide variety of successfully implemented accountable care contract ventures
Advised on successful defense of class action brought against a major health care provider network
Advised on the licensure, sale and acquisition of general and specialized health, behavioral health, vision, and dental plans
Served as special health care counsel in several bankruptcies involving health plans, independent practice associations (IPAs) and hospitals, and in that role successfully advised on restructuring, regulatory compliance and asset sales
Advised hospitals and other affiliated providers as well as medical staffs in such legal areas as joint ventures and other transactions, medical staff bylaws and peer review matters, the corporate practice of medicine and fee-splitting, Emergency Medical Treatment and Active Labor Act (EMTALA), state licensing and CMS enforcement actions, and other health regulatory matters
Do not send any information or documents that you want to have treated as secret or confidential. Providing information to McDermott via email links on this website or other introductory email communications will not create an attorney-client relationship; will not preclude McDermott from representing any other person or firm in any matter; and will not obligate McDermott to keep confidential the information you provide. McDermott cannot enter into an attorney-client relationship with you until McDermott has determined that doing so will not create a conflict of interest and until you and McDermott have entered into a written agreement or engagement letter that sets forth the terms of our relationship.