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Spearheaded ongoing initiative to establish collaborative relationships between metro-Detroit health systems and FQHCs to reduce cost, maximize revenues and increase quality while reducing avoidable ER use
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Developed and drafted state of the art educational materials and documents related to web commerce, telemedicine, and “I” health commerce and educated management through in-person, teleconferencing, web enhanced and video conferencing presentations
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Worked with municipal law specialists in the privatization of numerous Michigan municipal hospitals and in the creation of a new 3-party health care payment initiative called Healthy Choice for low-income individuals in Wayne County, Michigan
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Led legal team in the acquisition, divestiture, merger, renovation, replacement, new service line development, supply chain procurement, Cerner EMR development and IT support for all types of health care facilities, providers, suppliers
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Developed numerous hospital physician alignment structures, including 37 relationship models that were recognized by the Trinity Health corporate board as achieving key strategic planning objectives and complying with Stark, Anti-Kickback Statute
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Represented hospitals, health systems and physician groups in connection with equity and contractual joint ventures, mergers, acquisitions, divestitures, reorganizations, long term leases and financing
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Significant participant in initiative to address legislative changes in business corporations act and professional services corporations act with the Michigan Department of Community Health, Michigan Attorney General’s Office, trade associations
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Appealed payor denials for a wide range of provider and supplier categories at redetermination and reconsideration levels of appeals and assisted in preparation of administrative law judge appeals
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Represented Michigan Health and Hospital Association in negotiating and drafting the first master participating hospital agreement with BCBSM which is still in use to this day and which has been expanded to form the model for all other provider class
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Advised municipal boards and agencies on matters pertaining to state and federal Medicare funding, waivers, contract negotiations and reconciliations
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Initiated and accomplished numerous client HIPAA/HITECH initiatives and coordinated responses to security breaches
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Participated with the Michigan Health and Hospital Association and member hospitals in Keystone collaborative focused on improving organization culture using change principles and behavioral science to create and support a “harm free” patient care culture
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Former senior member of 27 lawyer in-house counsel department for major national health system practicing in the areas of corporate, real estate, regulatory, intellectual property, international, health care finance and delivery systems, and contracts
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Worked with pharmaceutical and device manufacturers and distributors on numerous matters involving regulatory agencies and compliance, entrance into new markets, pricing strategies and other regulated topics
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Represented large managed care company in the development and implementation of PPO, TPA and POS product lines
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Initiated and conducted the inventory and management of several billion dollars of owned and leased real estate and worked with Canon lawyers, Congregations, Bishops and Vatican City in transferring canonical responsibility for stable patrimony
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Chaired and lead initiative developing the first corporate and enterprise compliance program for the 3rd largest Catholic health system in the United States
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Worked with management and external auditors from the Internal Revenue Service on a Coordinated Provider Entity audit for 3 years from commencement to conclusion
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Worked on health care clients on projects and services in Mexico, Bangladesh, Nigeria, Germany, the Netherlands, the Marshall Islands, Vatican City and the World Bank
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