Leonard Lipsky is a partner in the Corporate Practice Group in the Healthcare Team in the firm's New York office.
Leonard provides strategic and practical guidance to healthcare providers, population health management companies, and investors navigating the dynamic healthcare industry.
Healthcare Transactions
- Advises healthcare providers and their C-Suite executives on planning, structuring, and negotiating healthcare transactions (mergers, acquisitions, sales, and joint ventures), business arrangements, and strategic partnerships, including transactions involving physician practices, health systems, IPAs, ACOs, CINs, MSOs, care coordination and population health management companies, ambulatory surgery centers (ASCs), hospitals, long-term care facilities and agencies (e.g., nursing homes and home health companies), and venture capital and private equity investors.
- Counsels for-profit and not-for-profit Boards on strategy, governance, best practices, risk management, and fiduciary duties.
- Provides guidance to companies and shareholders/investors on partnership agreements, shareholder agreements, and operating agreements, and counsels clients on resolving business disputes among investors and management.
Global Risk and Value-Based Care Contracting
- Provides sophisticated insight and strategies for forming global risk bearing entities, clinically integrated networks (CINs), and contracting under innovative risk sharing payment models, including accountable care organizations (ACOs), management service organizations (MSOs), independent practice associations (IPAs), and care coordination and population health management companies.
- Strategic advisor to healthcare providers on transitioning from a traditional fee-for-service (FFS) reimbursement model to professional shared savings (with medical loss ratio (MLR)/medical expense ratio (MER) targets), total cost of care shared savings, and global risk models (including percent of premium and full capitation), including for Medicare Advantage, managed Medicaid, commercial, and employer-sponsored payor arrangements.
- Advises healthcare providers and MSOs on utilization review/management delegation, claims payment delegation, and delegated credentialing to support healthcare providers and provider networks contracting with payors seeking to improve quality and economics.
- Keeps management well-informed on current industry trends in population health management, payor/provider alignment, and the transformation to value-based and global risk-based reimbursement models.
Regulatory Compliance and Risk Mitigation
- Advises investors in healthcare businesses on compliance with the corporate practice of medicine (CPOM), including strategies for structuring such businesses in a compliant manner.
- Regularly provides healthcare regulatory and compliance assistance and due diligence support in many of today's largest transactions, including developing and implementing remediation strategies for non-compliant or high risk activities discovered through the diligence process.
- Counsels clients on health regulatory compliance matters, including self-referral (Stark Law), Anti-Kickback, fee-splitting, and licensing.
Leonard is a frequent speaker and author on legal issues facing stakeholders in the healthcare industry. In his spare time, Leonard enjoys spending time with his family, reading, and playing golf.