Charlie is a health care transactional and regulatory attorney who has focused on the full spectrum of issues facing healthcare providers for over 32 years. Charlie’s experience in the healthcare industry as both outside and in-house counsel provides him with a unique and practical perspective on the evolving issues facing health care industry clients. Prior to becoming a lawyer, Charlie was a Medicare Part B provider representative for Blue Cross and Blue Shield of Massachusetts and a federal budget policy analyst for the Congressional Research Service of the Library of Congress.
His practice concentrates on all aspects of state and federal health care law, with a particular focus on regulatory and reimbursement matters for all types of healthcare providers and provider organizations. Charlie has represented and counseled clients ranging from publicly traded and private equity backed companies, hospitals, nursing homes, home health providers, provider organizations, physicians, management service organizations (MSO), and other providers in a variety of complex transactions and contracting issues. Such representation included hospital affiliations and disaffiliations, mergers, reorganizations, acquisitions and matters involving related regulatory, reimbursement, financing, compliance and corporate governance issues. He also focuses on a variety of specialized health care areas, including certificate of need (CON), change of effective control (CEC), MSO/provider arrangements, hospital conversions, Medicare and Medicaid reimbursement and coverage issues, third party and governmental audits and investigations, Stark and fraud and abuse analysis, medical records and information issues, and compliance program and board governance guidance.
Recent representative matters include representation of health system in closure of 295 bed community hospital, including regulatory and licensure approval and court approvals of charitable asset dispositions; MSO formation, governance and contracting matters in a variety of provider specialties; general counsel representation of 400+ physician Integrated Delivery Network (IDN/PHO/ACO) with particular focus on third party payor and participating provider value based and bundled arrangement contracts; Massachusetts Health Policy Commission and Federal regulatory review of proposed affiliation of 325-bed community hospital member with large academic health system; representation of a Boston teaching hospital Clinically Integrated Organization (CIO) for payer and participating provider contracting including the development and negotiation of bundled episode of care risk contracts for total hip and total knee replacement services; and sell-side and buy-side representation of numerous sales and acquisition transactions.