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Bryan G. Looney

Partner

Bryan represents all types of healthcare businesses and providers.

Bryan’s healthcare practice is an approximate equal mix of transactions and fraud and abuse, regulatory and operational matters. With respect to transactions, Bryan has experience with joint venture arrangements of all types (including provider-based joint ventures), as well as the more traditional hospital, post-acute provider and other provider acquisitions and dispositions and physician integration transactions. Bryan also has extensive experience in alternative payment models (BPCI, BPCIA and CJR arrangements), as well as clinically integrated networks and accountable care organizations. In addition to his transactional experience, Bryan also has a great deal of experience structuring and analyzing physician compensation arrangements, performing fraud and abuse analyses of various arrangements, and drafting and negotiating various service arrangements among healthcare providers.
Areas of Practice
  • Transactional Matters (including joint venture arrangements)
  • Alternative Payment Models (e.g., bundled payment models, accountable care organizations, value-based payment models)
  • Regulatory Matters (e.g., anti-kickback, self-referral, beneficiary inducement, provider-based issues)
  • Reimbursement Matters
  • Operational and compliance matters
  • Privacy matters

Transactional and Joint Venture Matters
  • Representation of health systems in various physician practice acquisitions in various specialties (cardiology, urology, orthopedics, primary care, pediatric medicine, etc.)
  • Representation of health system clients in various affiliations with tertiary hospitals (e.g., management agreements, lease and operational control agreements, and various other affiliations)
  • Representation of publicly traded post-acute care company in acquisition of 74 home health agency locations and 8 hospice agencies
  • Representation of physician-owned hospital client in change of ownership transaction with publicly traded hospital company
  • Representation of purchaser and seller in connection with hospital, surgery center and imaging center acquisitions
  • Transaction counsel and health system counsel for structuring of multiple hospital-physician joint ventures to own and operate ambulatory surgery centers, endoscopy centers, diagnostic imaging centers, radiation therapy centers, sleep labs, cardiovascular services facilities, whole and specialty hospitals and other clinical providers
  • Transaction counsel and health system counsel for structuring of provider-based joint ventures for operation of radiation therapy, cardiac and imaging services
  • Representation of nonprofit tax-exempt health system client in joint venture with another nonprofit tax-exempt hospital for provision of provider-based infusion center
  • Representation of health system in joint venture arrangement with national physician services organization for the delivery of physician services in various specialties (e.g., emergency medicine, hospitalist services, surgicalist services)
  • Representation of health system in conversion and contribution of its hospital outpatient department to an existing ambulatory surgery center in return for equity interests in the surgery center 
  • Representation of a nonprofit, tax exempt long-term acute care hospital company in an asset sale of long-term acute care hospitals located in Louisiana, Arkansas and Texas to a for-profit, publicly traded healthcare company
Alternative Payment Models, Clinically Integrated Networks, and Accountable Care Organizations 
  • Representation of privately-held national physician services organization in various alternative payment model arrangements (including value-based care arrangements, BPCIA arrangements and various other arrangements) and in various other transactions
  • Representation of health system-related clinically integrated networks and accountable care organization arrangements
Regulatory, Operational and Compliance Matters
  • Drafting and negotiation of various arrangements between hospitals and physicians (e.g., professional service agreements, employment agreements, recruitment agreements, call coverage arrangements, time-share leasing arrangements, etc.).
  • Analysis of various fraud and abuse issues, self-referral issues, Medicare and Medicaid reimbursement issues (including provider-based regulation issues) and tax and tax exempt organization issues
  • Various compliance matters, including development and implementation of compliance programs and assisting providers in internal investigations of billing and coding matters, self-referral issues, anti-kickback issues, privacy 

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