Mr. Lee’s practice includes providing legal representation and advice in all aspects of healthcare transactional and regulatory matters, including, without limitation, the following areas:

• Knox-Keene, DHCS, CMS and MRMIB licensing and regulatory issues.
• Fraud and abuse issues, including the application of the anti-kickback safe harbors, Stark II, Spier and the applicable regulations.
• Corporate practice of medicine.
• Antitrust issues -- e.g., analysis of antitrust safety zones in connection with group purchasing organizations, and integration issues in connection with physician contracting.
• Medicare and Medi-Cal reimbursement issues.
• Inurement and private benefit issues, including analysis of intermediate sanctions rules, etc.
• Managed care contracting issues.
• Hospital licensure issues involving CHOW applications, successor liability issues, etc.

Examples of transactional and regulatory matters for which Mr. Lee has provided legal representation include the following:

• Representation of Medi-Cal and D-SNP health plans, including Local Initiative and County Organized Health System (COHS) plans. Representation included negotiating Two-Plan model contract with the California Department of Health Care Services, obtaining Knox Keene licensure, and negotiating key provider and administrative services contracts.
• Representation of specialized health plans, including behavioral health and dental plans.
• Acting as corporate and regulatory counsel in connection with health plan acquisitions, including commercial, Medicare, Medi-Cal and Medi-Cal dental, and Healthy Families lines of business.
• Representation of a public entity Medi-Cal managed care health plan in connection with claims disputes with out-of-plan providers, reimbursement disputes with State Department of Health Services, and litigation involving the application of the State’s Two-Plan Model rules.
• Representation of a privately-held health plan in its sale of certain assets comprising multiple lines of business to purchasing health plan.
• Obtaining health care service plan licensure from the Department of Managed Health Care in connection with the implementation of the quality improvement fee (“QIF”) legislation.
• Representation of a congregate living health facility in connection with licensing and various regulatory issues involving the Department of Health Care Services and the Department of Social Services.
• Negotiation of the master services agreement with the State Department of Health Services on behalf of the statewide coalition of local initiative managed care plans.
• Representation of a multi-hospital system in connection with the formation of an outpatient-based integrated healthcare delivery system and the acquisition of medical practice assets of various physician groups.
• Representation of a general acute care hospital in connection with the formation of a management services organization to manage a mental health professional group providing professional services in a managed care setting.
• Representation of a general acute care hospital in connection with the restructuring of a cardiac catheterization laboratory.
• Organization of “captive” professional corporations and financing arrangements between network of surgery center physicians and a physician practice management company.
• Representation of a general acute care hospital in connection with its consolidation of clinical laboratory operations.
• Representation of a general acute care hospital in connection with its participation in a California-statewide hospital facility contracting network.
• Representation of various physician groups in connection with the formation of IPAs and integrated medical practice groups.
• Formation of technology joint venture based in Arizona between two hospital systems.
• Representation of a master limited partnership in connection with the permanent financing of a medical office building comprising over 60,000 square feet located in Glendale, California.
• Corporate restructuring of a public company hospital operator to spin off real estate assets into a REIT.
• Development of internet application service provider agreements and related documentation for medical practice management applications.
• Representation of purchasers and sellers of hospitals in connection with
  hospital licensure and real estate issues.
  
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