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Phone: 303.583.8204
Fax: 720.228.2285

Gerald A. Niederman

Shareholder

Gerry Niederman represents health care organizations and related nonprofit entities in Colorado and throughout the United States. His clients include facilities, practitioner groups, and related businesses, as well as trade associations and other enterprises serving the health care industry. He is a frequent author and speaker on a variety of contemporary health care issues.

Mr. Niederman offers clients a detailed understanding of legal and business variables involving the delivery and reimbursement of health care services. He has extensive experience working in the managed care field, developing integrated networks, and helping hospitals and physicians build and sustain innovative business arrangements. He is actively engaged in addressing challenges and opportunities related to health care reform initiatives.

Mr. Niederman frequently confronts complex regulatory and related business issues including antitrust, exempt organization, Medicare/Medicaid fraud and abuse, and Stark Law self-referral considerations. In addition, his representation of acute care and ambulatory health care facilities, as well as ancillary service providers, involves numerous third-party reimbursement, insurance law, licensure, contracting and related matters on an ongoing basis.

Memberships and Affiliations

  • Colorado Bar Association
  • Ambulatory Surgery Center Association
  • American Health Lawyers Association
  • American Society of Medical Association Counsel
  • Medical Group Management Association

Distinctions

  • Selected for inclusion in The Best Lawyers in America® 2006-2012, Health Care Law
  • Selected for inclusion in Colorado Super Lawyers, Health Care, 2006–2012
  • Best Health Care Lawyer, Law Week Colorado, 2009
  • Best of the Bar Award for Health Care, Denver Business Journal
  • Ally Award, Women's Vision Foundation

Experience

  • Service as counsel for the Medical Group Management Association
  • Service as counsel for the Colorado Hospital Association
  • Service as counsel for the Colorado Ambulatory Surgery Center Association
  • Representation of other national and regional health care trade associations
  • Developing numerous single and multi-specialty ambulatory surgical centers, including physician-hospital joint ventures and providing ongoing compliance and operational counsel for various ASCs
  • Representation of several provider networks and related organizations, including counsel on financial and clinical integration and related antitrust and other compliance issues
  • Developing integrated delivery systems and other contemporary physician-hospital organizations
  • The successful defense of a state antitrust investigation of a physician group
  • Obtaining a favorable FTC Advisory Opinion on antitrust compliance and provider information exchanges
  • Negotiation of various managed care contracts involving hospitals, physician groups and other providers, and providing counsel related to out-of-network contracting strategies
  • Responding to numerous state and federal regulatory inquiries to health care providers
  • Representation of several single and multi-specialty physician groups
  • Establishment of provider-owned community health plans
  • Establishment of a physician-owned acute care hospital
  • Development of several provider-owned and entrepreneurial management services organizations

Publications & Presentations

2011
2011
2011
2011 Health Care Regulatory Update
2010
2010
Colorado Ambulatory Surgery Center Association, Spring Conference
2010
2010
2010
Child Health Corporation of America, Strategic Planning and Business Development Forum
2010
Integrated Delivery Round Table
2010
Colorado Hospital Association Health Care Regulatory Update
2009
Colorado Ambulatory Surgery Center Association, Spring Conference
2008
ASC Association, 2008 Annual Meeting
2008
2007
2006
2006
Medical Group Management Association Annual Conference
2006
BONES Society, Inc., 37th Annual Conference
2006
Federated Ambulatory Surgery Association 2006 Annual Conference
2006
Federated Ambulatory Surgery Association 2006 Legislative and Compliance Seminar
2005
Denver Business Journal
2005
Medical Group Management Association Annual Conference
2005
Colorado Ambulatory Surgery Center Association
2003
2003
BONES 2003 Conference
2003
60th Anniversary Meeting of the American Academy of Allergy, Asthma & Immunology
2003
2003
2002
The Privacy Work Group of The Colorado Health and Hospital Association
2001
Association of Community Radiation Recovery Centers
2001
Medical Group Management Association Annual Meeting
2001
Montana Medical Group Practice Association Annual Conference
2001
Financial Management Society and Managed Care Assembly of the Medical Group Management Association
2001
Performance and Practices of Successful Medical Groups Survey Report (MGMA)
2000; 2001
2000
An Assessment Manual for Medical Groups (4th Ed.)
2000
Medical Group Management Association Annual Conference