• vcard
D 816.360.4202
F 816.753.1536
  • Education
    • LL.M. - Health Care, Loyola University-Chicago, 1994, Annals of Health Law, Research Fellowship Staff
    • J.D., Washburn University School of Law, 1993, Dean's Honors; Washburn Law Journal, Staff
    • B.A., University of Kansas, 1990
Jay is honored to have dedicated his entire legal career to representing health care clients, regularly serving in an outside general counsel role to collaborate with and support in-house colleagues. Drawing upon his Masters of Law in Health Care, Jay focuses his efforts on general health care issues and corporate transactions arising out of the representation of hospitals, physician groups, practice plans, laboratories, ambulatory surgery centers, group purchasing organizations, home health, hospice, and long term care providers. Jay enjoys extensive experience providing day-to-day legal counsel to components of the academic medical center (the “AMC”) provider, including the teaching hospital, faculty practice plan, and schools of medicine in their day to day mission driven activities.

Jay makes the effort to understand our clients’ short and long-term business objectives, and works to anticipate the implications of changes in the law for our clients. He is known for being passionate about offering timely, responsive, and cost-effective legal advice, solutions, and real world answers. His goal is to develop mutually rewarding, long-term relationships with each client who trusts him with an assignment. Jay provides services in a wide range of legal matters including:
  • Strategic outreach and contractual management and affiliation agreements between AMCs and community hospitals, including clinically-integrated networks.
  • Operations including license, accreditation, GME institution and programs, compliance, physician service line relationships, business joint ventures, and affiliation and management agreements.
  • Strategic business contracts, including PSAs, medical directors, support agreements, recruitment, management, joint venture, and payor arrangements.
  • Regulatory due diligence expertise with corporate transactions, including hospital affiliations, and physician hospital alignment models.
  • Complex fraud and abuse counseling, including Stark, Anti-Kickback, False Claim, and Qui Tam issue resolution.
  • Supply chain and group purchasing legal issues.
  • Medical staff and peer review matters.
  • Reimbursement including conducting internal investigations, addressing overpayment and self-disclosure issues, and defending against audits.
  • Risk management, including EMTALA and defense of state and federal agency enforcement activities.

 

 

  • Service as day to day outside general counsel to multiple major AMCs to provide support as requested.
  • Resolve resident moonlighting issue in compliance with applicable guidance.
  • Create Residency Program Participation Agreements with Consortium.
  • Worked with major academic medical center on issues related to Level 1 Trauma Designation.
  • Secured OIG Advisory Opinion approving funds flow between components of AMC.
  • Represented large tertiary care facility to establish patient-centered medical home and alternative payment delivery mechanism with payor.
  • Represented government hospital to acquire large op cancer clinic and medical/radiation oncology practice to create main IP and OP cancer program recognized by National Cancer Institute (NCI) designation.
  • Represented AMC in integration of faculty practice plan to align hospitals and physician clinical operations, including affiliation agreement with School of Medicine partner.
  • Represented large hospital system to design, complete regulatory analysis, and implement clinically integrated network with major healthcare payor to achieve shared savings arrangement.
  • Represented large and small physician practice to negotiate practice separation.
  • Represented hospital medical staffs in all aspects of peer review including bylaw drafting, investigations, informal and formal corrective actions, and any required reporting obligations.
  • Represented major AMC Teaching Hospital to resolve dispute related to alleged breach of management agreement governing operation of joint venture diagnostic cath lab.
  • Represented publicly traded pharmacy to successfully resolve state Medicaid program alleged overpayment arising out of provision of high cost drugs.
  • Represent large regional group purchasing organization created by hospital owners in corporate formation, outsourcing contract, regulatory compliance, antitrust, and tax-exempt guidance.