Physician-Hospital Ventures

Nelson Hardiman has advised and assisted on numerous physician-hospital ventures, including multispecialty and orthopedic ambulatory surgery centers, cardiac catheterization, cardiovascular CT imaging, vascular services, and many other ventures. The firm represents specialty hospitals, including orthopedic, heart, spine, neuro-spine, and surgical hospitals in a wide range of business, regulatory, and strategic challenges, including:

  • Business Transactions
    • Formation of entities and business structure for hospital-physician ventures
    • Knox-Keene and Department of Managed Health Care (DMHC) license application requirements
    • Management Service Organization (MSO) relationships
    • Clinical ventures between hospitals and affiliated physicians
    • Service line ventures
  • Regulatory Defense
    • Peer review and medical staff
    • Reimbursement audits and investigations by governmental payors, including Medicare and Medi-Cal
  • Compliance
    • Medical staff bylaws, rules and regulations, and policies
    • HIPAA and state patient data privacy and security requirements
  • Litigation
    • Peer review disputes
    • Reimbursement disputes
    • Business litigation, including partnership, shareholder, and joint venture disputes