Health Care Business Transactions

Focus

The pace and diversity of health care business transactions since the passage of health reform and the end of the recession is phenomenal. Building upon their integrated delivery systems, health care providers are adding ambulatory care facilities and services, specialized surgical services, new and complex technology and equipment and electronic health records systems. Hospitals are again purchasing medical practices and addressing other alignment strategies such as co-management and joint ventures. The Law Office of Lewis A. Lefko can provide legal services that structure, negotiate and document the health care business transaction.

Lew’s extensive experience with formation and implementation of IPAs, PHOs, certified nonprofit health corporations, practice management companies and specialty service centers has provided him with in-depth knowledge of physician compensation and incentives, financial and clinical integration issues, physician, hospital and ancillary provider participation agreements and governance options.

Lew has drafted, analyzed, negotiated and implemented a myriad of physician arrangements including accounts receivable purchases, space and equipment leases, intellectual property licenses, clinical trial agreements, practice management agreements, billing and collection agreements, marketing contracts, consulting agreements, professional services agreements, employment contracts, on-call arrangements and joint hospital/physician group recruitment packages.

Advice & Counsel

Lew Lefko’s health care business transaction services include:

• Close interaction with the company’s executives to ensure relevant issues have been addressed and the client appropriately advised and protected by restrictive covenants, indemnification, limitation of liability and other risk reduction strategies
• Due diligence in acquisitions, mergers, divestitures and joint ventures
• Analysis of applicable federal and Texas laws affecting choice of entity, transaction option, provider enrollment and coverage, coding, payment and fraud and abuse issues
• Drafting of letters of intent/term sheets, sale and purchase agreements, mergers, joint venture agreements, assignments, transition services agreements, affiliations, corporate formation documents and other transaction documents
• Use of the Texas series limited liability company for clinics, imaging centers, and other healthcare businesses.