Polsinelli’s lawyers understand that effective health care provider alignment and integration are essential to future business success. We excel at collaborating with clients to develop timely, pragmatic, workable solutions that promote business imperatives and compliance.

Our team includes professionals with diverse work experiences with hospitals, physicians and a host of other health care providers. We combine excellent legal skills and services, with experience in clinical care and quality, payor contracting, compensation, operations, and other critical success areas in all facets of the health care industry. Our clients include national, regional and local health care systems, hospitals, academic medical centers, physician groups, clinically integrated networks, accountable care organizations and a host of other provider organizations across the entire continuum of care.

We have deep experience in a host of complex alignment and integration arrangements being used today including:

  • Commercial and public sector ACO and related payment initiatives
  • Clinically integrated network development and operations
  • Statewide/Regional clinically integrated networks/accountable care organizations
  • Health care mergers and acquisitions
  • Service line management and co-management agreements
  • Population health management programs and related systems
  • Shared savings and similar payor contracting arrangements
  • Bundled payment initiatives with public and private payors
  • Pay for quality arrangements
  • Physician engagement and governance structures
  • Physician employment arrangements
  • Professional service arrangements
  • Physician and other provider compensation and incentive structures
  • Alignment involving clinical and information systems and technologies
  • Structured a clinically integrated network owned by an academic medical center and a community hospital and obtained approval to participate in the Medicare Shared Savings Program. (Pennsylvania).
  • Created a state wide clinically integrated network owned by eight large hospital systems including an academic medical center. (Wisconsin). 
  • Assisted in the design and on-going implementation of clinical integration project involving an academic medical center and two county hospitals (with high levels of indigent care) involving alignment through clinical and information systems and technologies. (California).
  • Assisting physician practices and health systems in crafting a variety of Bundled service, shared savings, pay for quality, hospital efficiency and similar incentive systems to align physician performance with health care facility quality and efficiency goals. (Michigan). 
  • Assisting a health system in the design and implementation of an “OrthoCIO” directed at orthopedic/musculoskeletal bundled service offers involving academic/FPP, hospital employed and community physicians, inpatient and outpatient hospital services and ambulatory surgical centers. Aligning the initiative with existing community resources including an existing clinically integrated network, payer strategies and other participants (on-going). (Nebraska).
  • Representing physicians/physician practices in the development and implementation of new relationships with hospitals and health systems, including addressing governance, compensation, funds flow, incentive structures and other variables. Designing models to promote physician leadership and direction as consistent with emerging initiatives directed at clinical quality, cost management and population health.