Kinal Mahesh Patel advises health care, life sciences, and insurance companies on complex transactional, alternative payment model and risk contracting, and regulatory compliance matters. Combining both regulatory and transactional experiences, he delivers legal advice with practical solutions to support clients’ short and long-term goals as they navigate regulatory reforms and industry trends.
Transactional Counsel
Kinal delivers pragmatic deal advice and risk mitigation-oriented solutions to help guide health care providers, plans, and other companies through mergers and acquisitions, joint ventures, and strategic alliances. He has experience with hospital, provider, pharmacy, and health plan acquisitions. He also leads the implementation of partnerships among health care companies and physician and non-physician provider alignment strategies.
Alternative Payment Models and Risk Contracting
Kinal routinely advises clients on alternative payment models and shared-risk arrangements; and on provider network structures, like CINs, ACOs, IPAs, and PHOs, related to compliance with federal and state health care, insurance, and general business laws. He is a sharp negotiator counseling health care providers on managed care and other risk contracting; and provider networks on risk-bearing entity activities, participation agreement design, payor contracting structures, and provider relationship. He supports clients on a variety of payment and service delivery models from CMMI and CMS, including MSSP, BPCI-A, PCF, DCE, GPDC, GUIDE, and other non-governmental risk adjustment models.
Regulatory Compliance
Kinal provides regulatory compliance counsel on regulatory, compliance, licensing, and managed care arrangements. He helps clients navigate pending and suspected compliance issues and government enforcement actions, government payor program enrollment and participation requirements, and licensing and accrediting support. He also has experience handling Medicare and Medicaid billing and reimbursement issues for a variety of providers and suppliers.
Kinal is a member of the firm’s Health Care Practice Group; and co-chair of the Health Care & Life Sciences Sector’s Payor Provider Convergence Area of Focus.
More Legal and Business Bylines From Kinal M. Patel
- CMS Proposes New All-Payor, Total-Cost-of-Care Model (AHEAD Model), Funding Opportunity for States - (Posted On Monday, October 02, 2023)
- CMS’ Latest Innovation Model – The Making Care Primary (MCP) Model Includes Focus on Social Determinants of Health - (Posted On Friday, June 23, 2023)
- Antitrust: DOJ Scuttles ACO Guidance, Unsettles Ground Under Provider Joint Contracting Models - (Posted On Monday, March 20, 2023)
- Physician Practice Transactions: NY’s Proposed Review and Monitoring Increases Visibility and Adds Deal Risk - (Posted On Wednesday, February 22, 2023)
- Enhancing Oncology Model - Successor to Oncology Care Model: What’s New - (Posted On Monday, July 25, 2022)
- Medicare Advantage: OIG Report Finds Improper Denials - (Posted On Wednesday, May 25, 2022)
- Value-Based Programs: CMS Redesigns Global and Professional Direct Contracting Model and Renames it “ACO REACH” - (Posted On Thursday, March 10, 2022)
- CMS Vaccine Mandate and Home Care Providers – Investor Takeaways - (Posted On Tuesday, March 01, 2022)