J. Peter Rich is a partner in the law firm of McDermott Will & Emery LLP and is based in the Firm’s Los Angeles office. He co-chairs the Firm’s Insurance / Payers Affinity Group. For over 30 years, Peter has practiced almost exclusively in the health law field, and routinely advises hospitals, health plans, medical groups, health insurers, and PPOs and similar organizations, as well as other health industry clients, in negotiating and structuring managed care and other health industry transactions, including major Medicare Demonstration Projects.
He has formed and restructured many types of managed care organizations, including Accountable Care Organizations (ACOs), other types of physician-hospital organizations and similar integrated health care delivery systems, as well as health maintenance organizations (HMOs) and other types of health plans. In addition, he routinely advises these and other health industry clients on regulatory compliance matters and related disputes under federal and state managed care/insurance laws, the Medicare Antikickback, Stark, and CMP laws, the Medicare Advantage program, the laws governing tax-exempt organizations, and a wide variety of other managed care regulatory requirements. He also advises 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, EMTALA, state licensing and CMS enforcement actions, and other health regulatory matters.
Articles in the National Law Review database by J. Peter Rich