Kate Morgan is special counsel in the Business Law Department at Foley & Lardner LLP. Kate is based in the firm’s San Francisco office where she is a member of the Insurance and Health Care Practices.
Kate focuses her practice on complex multistate health insurance, and health care regulatory challenges. She has more than 10 years’ experience at both in-house and top-tier international law firms. She is experienced in managing the intricacies of the Affordable Care Act (ACA), state health insurance and managed care laws, and the relationship between the two.
Kate has advised numerous health insurance and managed care clients on a broad range of regulatory issues, including state and federal mandated benefits; state and national health care reform; group health laws (e.g., extra-territorial applicability, withdrawal from group business); joint ventures; HIPAA and state conversion and continuation of coverage provisions; state privacy laws; utilization review requirements; company licensing; broker and agent issues; and applicability and interpretation of other relevant statutes and regulations.
Kate also provides regulatory advice regarding nontraditional healthcare models to third party administrators, consulting companies, and financial institutions, including negotiating with state insurance regulators to obtain insurance license exemptions for such models. Kate’s vast experience also includes handling provider contracting issues, including Accountable Care Organizations (ACOs) and other complex risk and pay-for-performance (P4P) financial reimbursement models. She has negotiated and drafted contracts between insurers/HMOs and provider organizations, including large hospital physician systems, Physician Organizations (POs), and Independent Practice Associations (IPAs) and has advised on a variety of payment structures, including fee-for-service, capitation, and global budgeted fee-for-service, among others. She has also advised on related issues, including joint ventures, provider-owned payors, recoveries, provider data requests, risk mitigation, performance measurement, and variety of multiparty agreements.
Prior to joining Foley, Kate worked at a large multinational law firm in San Francisco and was Assistant General Counsel for a leading insurance company in Massachusetts.
Community Involvement and Pro Bono
Kate is president and an active member of her local public school parent board, dedicated to educational enrichment and strengthening the home/school connection. Additionally, her pro bono work has focused on immigration cases, including on behalf of a Mexican-born client a citizenship appeal before the Ninth Circuit Court of Appeals as well as a successful asylum application on behalf of a Nepali activist.
Articles in the National Law Review database by Katherine Anne Sullivan Morgan