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HEALTH LAW

The challenges for the health care industry have never been greater, with increasing regulation, government uncertainty, squeezed bottom lines and multiple technological innovations. At the same time, major opportunities are available for innovative practitioners and emerging businesses. 

 

With our professionals having more than 60 years of experience in the health care business world, Bradford, Gerardi & Associates knows how to help clients meet the challenges and take advantage of the opportunities. Allen Bradford served as a legal executive in a Fortune 200 health insurance company and acted as general counsel to multiple growing companies. Darlene Gerardi is herself a licensed, experienced clinician as well as an attorney. We have advised practitioners, insurers, managed care plans, facilities, health IT companies, and a variety of health service companies. Our knowledge of and experience in the legal, operational and clinical aspects of the industry enables us to provide guidance that is both strategic and practical.

General Business Matters ​
Contract Drafting And Negotiation

  • Service and risk based contracts between providers, payers and/or intermediate businesses

  • Complex risk sharing arrangements

  • Negotiation and drafting of employment and service contracts with and among professionals

  • IT and Software development and licensing

  • Integrated delivery system/Accountable Care Organization arrangements

  • Joint venture, co-marketing and co-development arrangements

  • Litigation risk review

  • Subcontractors and vendor agreements

  • Delegation agreements consistent with regulatory and accreditation standards

  • General business formation and maintenance

  • Strategic legal and business planning

  • Advice in Alternative Delivery Systems

  • Employment of health care professionals and support staff

  • Engaging independent contractors

  • "Corporate Practice of Medicine" issues

  • For more, see our Business Law page

 

Support for Professionals

  • Licensing matters

  • Health plan contract drafting and negotiations

  • Billing and reimbursement

  • Employment and service contract support

  • Disputes among partners

  • Establishing practices

  • Oversight and practice protocols

 

 

 

Health Care Billing And Reimbursement

  • Regulatory requirements

  • Claim payment issues and dispute resolution

  • Best practices consistent with applicable law

  • Nonpayment, overpayment and underpayment recoveries

  • Medicare and commercial payor issues

Intellectual Property Issues

  • IP Strategy Development

  • Protecting intellectual property

  • Trademark Search and Prosecution

  • Patent Portfolio Management

  • IP Aspects of Transactions

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