Nelson Hardiman - HealthCare Lawyers

Lara Compton

Lara Compton
Lara Compton
Partner

T: 310.728.1757
F: 310.203.2727

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Admissions

State Bar of California

Affiliations

American Health Lawyers Association

California Society for Healthcare Attorneys

LACBA-LACMA Committee on Biomedical Ethics

Education

University of the Pacific, J.D., with distinction

University of the Pacific, B.A., cum laude

In her role as outside general counsel for healthcare and life sciences clients, Lara Compton draws on her experience serving as in-house counsel for two nonprofit health systems, Sutter Health in Northern California and Community Medical Centers in Central California, and her experience at two global law firms, DLA Piper and King & Spalding. Her experiences working on a wide variety of matters instilled such deep versatility that colleagues describe Lara as the “Swiss Army Knife” when it comes to solving healthcare problems.

“Swiss Army Knife” Versatility for Healthcare Solutions

Her versatility extends to advising clients on business planning and structuring, contract negotiations, and the broadest range of reimbursement and regulatory compliance and strategy. Lara has advised some of the largest technology companies in the world on HIPAA and other health data security and privacy matters. She has led HIPAA breach investigations and counseled on reporting requirements. She also has advised extensively on Anti-Kickback, Stark (self-referral), and other federal and state fraud and abuse issues. Lara combines familiarity with Medicare and Medicaid rules and regulations with parallel state laws, as well as licensing and operational requirements. She has overseen complex transactional matters, including mergers and acquisition and joint ventures. She regularly counsels clients in day-to-day operational risk and cost control management as well as creating, evaluating and implementing internal policies, compliance programs, and marketing and training initiatives.

Focused on Broad Spectrum of Traditional and Emerging Healthcare Issues

Lara has represented traditional healthcare service providers (including physician organizations and IPAs, medical foundations and clinics, hospitals, behavioral healthcare, and long-term care providers), health plans, as well as health information technology and telehealth companies. Her life sciences experience includes work for medical device and pharmaceutical companies.

At Nelson Hardiman, Lara plays a leadership role in the firm’s regulatory practice, guiding clients not only on risk avoidance but also on essential challenges of growth, including the transition to value-based care arrangements and the development of new health technology and digital health-related products and services.

Life Outside the Firm

Pro bono service is an important priority for Lara. In 2014, the American Health Lawyers recognized her as a Pro Bono Champion. Outside the office, Lara and her husband train as triathletes and are members of the LA Tri Club. Lara runs several triathlons a year and continues to compete in the 70.3-mile Half Ironman.

Complex Business Planning and Negotiation

    • Represented California hospitals in evaluating, negotiating, and drafting physician agreements, including professional services agreements, administrative services agreements, call coverage, and hospital-based agreements.
    • Structured health technology business models to comply with healthcare laws and regulations.
    • Re-structured management services agreements to comply with California corporate practice of medicine prohibitions.

Disciplinary Action Defense

    • Negotiated settlement of disciplinary action with the California Board of Pharmacy for a medical device wholesaler.
    • Represented several telehealth and management company clients in responding to California Medical Board information requests and investigations.

Hospital Litigation and Operations

    • Successfully defended a hospital in a million dollar dispute with the State of California over an incentive it had earned for being an early adopter of electronic health records (EHR). After a routine audit, the State alleged that our client had counted patients wrongly and should only have received $3.27million of the $4.21 million it had been paid. The discrepancy turned on complex definitions about what constituted a patient day. Specifically, the State alleged that psychiatric bed days were not eligible to be counted in the total bed days for EHR purposes. Nelson Hardiman, led by Rob Fuller and Lara Compton, argued that the billing and cost report reporting of the psychiatric bed days for our client were countable under the State’s program. The administrative law judge agreed with our position and cut the refund request down to approximately $192,000.
    • Developed a toolkit to assist hospital client in managing patients who are refusing discharge or are otherwise difficult to place in an appropriate level of care.
    • Developed business associate toolkit to assist hospital client in managing business associate relationships.

Marketing Campaign Compliance

    • Evaluated medical device and biotechnology company marketing campaigns for compliance with the federal Anti-Kickback Statute and other fraud and abuse laws.
    • Evaluated proposed marketing materials for stem cell products.

 Mergers and Acquisitions

    • Developed 50 state post-acquisition regulatory filing plan for large diagnostics company.
    • Managed due diligence and pre-and post-acquisition notices for venture capital purchase of multiple ambulatory surgery centers and pain clinics.
    • Performed regulatory due diligence for a large healthcare distribution company’s purchase of a healthcare technology company.
    • Managed regulatory due diligence in connection with the proposed sale of a telehealth provider.

Program Development/HIPAA/Privacy and Information Security

    • Counseled providers, clinical trials companies, ancillary providers, technology start-ups, HMOs, insurance companies and others on HIPAA and state health information privacy laws and the development of privacy compliance programs.
    • Structured joint patient assistance program to address health information privacy and security requirements.

Regulatory Compliance

    • Provides ongoing healthcare regulatory advice to an electronic health records company.
    • Investigated healthcare compliance implementation deficiencies for a hospital system and provided recommendations for improving compliance program.

Telemedicine and Healthcare Technology

    • Advises telemedicine and other healthcare technology clients on business plan development, providing expertise on telemedicine, corporate practice of medicine, the scope of practice, fee splitting, anti-kickback, and other healthcare regulatory issues.
    • Advises human tissue product (e.g. stem cells) clients on FDA regulatory requirements and compliance.
    • Successfully negotiated a software development agreement with a large health care system for a software start-up client.

Hospital Bankruptcy & Sale

    • Lead regulatory counsel to a large health system in its Chapter 11 bankruptcy case, the largest hospital bankruptcy in U.S. history. The matter has involved corporate and regulatory support for the system’s day-to-day operations as well as extensive regulatory work on the sale of the system’s six hospitals, including counsel regarding California attorney general conditions and approval process.
    • Nelson Hardiman served as lead regulatory counsel for the $235 million sale of two Verity Health System hospitals – O’Connor Hospital and Saint Louise Regional Hospital – to Santa Clara County.

HEADLINES

Client Alert: Certain “Just-in-Time” Inventory Practices Overruled for General Acute Hospitals; Hospitals Required to Maintain Stockpile of Personal Protective Equipment under AB 2537

January 11, 2021

Nelson Hardiman Successfully Represents a multi-physician practice in its affiliation with a hospital system foundation model

December 8, 2020

Stark and Anti-Kickback Rules Finalized

December 6, 2020

Modern Counsel: Lara Compton Has Attained Off-Script Success

October 21, 2020

HIPAA Security Alert

September 25, 2020

Nelson Hardiman Successfully Represents Large Medical Group Partnership with National Medical Practice Group & Practice Management Company

September 14, 2020

Expiration of COVID-19 Board of Pharmacy Waivers

August 20, 2020

Beware Fraudulent Postcards Disguised as “OCR Communications” Concerning HIPAA

August 10, 2020

FDA Extends Enforcement Discretion Policy for Certain Regenerative Medicine Products

July 22, 2020

CMS Waives Additional Requirements for Healthcare Professionals During COVID-19 Pandemic

April 20, 2020

OCR Suspends Penalties for Business Associate Disclosures for Public Health and Health Oversight Activities Not Permitted by Business Associate Agreements

April 8, 2020

Beware Fraudulent “OCR Investigators”

April 7, 2020

COVID-19 Public Health Emergency Prompts Relaxed Enforcement of HIPAA Requirements Relating to Telehealth

March 24, 2020

HHS Final Rules For Improved Patient Direct Access To Health Data – New COP Issued For Hospitals

March 11, 2020

Top-ranked Healthcare Law Firm Nelson Hardiman Elevates Lara Compton to Partner

January 16, 2020

Client Alert: OCR’s Request for Information on Adapting HIPAA Privacy Rules

January 3, 2019

FDA Commissioner Warns of Stem Cell Crackdown at Annual Food and Drug Law Institute Conference

December 19, 2018

Client Alert: California Enacts New Hospital Discharge Process Requirements for Homeless Patients

October 15, 2018

Lara Compton was appointed to the LACBA-LACMA Committee on Biomedical Ethics

July 18, 2018

Nelson Hardiman Successfully Challenges Million Dollar Claim By State of California Against Hospital

March 5, 2018

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PUBLICATIONS

Client Alert: Certain “Just-in-Time” Inventory Practices Overruled for General Acute Hospitals; Hospitals Required to Maintain Stockpile of Personal Protective Equipment under AB 2537

NH Healthcare Perspectives

January 11, 2021

Stark and Anti-Kickback Rules Finalized

NH Healthcare Perspectives

December 6, 2020

Modern Counsel: Lara Compton Has Attained Off-Script Success

Modern Counsel

October 21, 2020

HIPAA Security Alert

NH Healthcare Perspectives

September 25, 2020

Expiration of COVID-19 Board of Pharmacy Waivers

NH Healthcare Perspectives

August 20, 2020

Beware Fraudulent Postcards Disguised as “OCR Communications” Concerning HIPAA

NH Healthcare Perspectives

August 10, 2020

FDA Extends Enforcement Discretion Policy for Certain Regenerative Medicine Products

NH Healthcare Perspectives

July 22, 2020

CMS Waives Additional Requirements for Healthcare Professionals During COVID-19 Pandemic

NH Healthcare Perspectives

April 20, 2020

OCR Suspends Penalties for Business Associate Disclosures for Public Health and Health Oversight Activities Not Permitted by Business Associate Agreements

NH Healthcare Perspectives

April 8, 2020

Beware Fraudulent “OCR Investigators”

NH Healthcare Perspectives

April 7, 2020

COVID-19 Public Health Emergency Prompts Relaxed Enforcement of HIPAA Requirements Relating to Telehealth

NH Healthcare Perspectives

March 24, 2020

HHS Final Rules For Improved Patient Direct Access To Health Data – New COP Issued For Hospitals

NH Healthcare Perspectives

March 11, 2020

FDA Commissioner Warns of Stem Cell Crackdown at Annual Food and Drug Law Institute Conference

NH Healthcare Law Perspectives

December 19, 2018

Client Alert: California Enacts New Hospital Discharge Process Requirements for Homeless Patients

NH Healthcare Law Perspectives

October 15, 2018

2018 Changes to the Federal Physician Self-Referral Law (Stark Law)

NH Healthcare Law Perspectives

March 20, 2018

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SPEAKING ENGAGEMENTS

Recent HIPAA Settlements and Enforcement Actions

OCBA Health Care Law Section Webinar

Oct 21, 2020

Overview on State-Based Rules and Regulations Affecting the Medical Spa and Esthetic Industry

American Academy of Facial Esthetics - Medspa Business Academy (MBA)

Nov 02, 2019

Regulatory Sprint to Coordinated Care

Regulatory Sprint to Coordinated Care

Jan 17, 2019

What are the Top 5 Telehealth Regulatory Issues in 2019?

Telehealth Secrets - New Revenue Models, Happy Doctors

Oct 02, 2018

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