Drew M. Clary
Drew represents a range of health care clients, for-profit and nonprofit, including hospitals and academic medical centers, physician practices, clinically and financially integrated networks (e.g., independent practice associations (IPAs) and accountable care organizations (ACOs)), managed care plans, community-based providers of behavioral and mental health and social services, universities, schools of medicine, captive and reciprocal risk retention plans and medical device companies.
Drew advises clients in regulatory, transactional and enforcement matters, including:
- developing and operationalizing IPAs, ACOs and other clinically or financially integrated networks in compliance with evolving federal and state regulatory requirements, laying the groundwork for providers to manage care, assume risk and capitalize on government value-based payment initiatives;
- structuring and negotiating managed care and IPA/provider contracts;
- managed care organization reorganizations and mergers;
- compliance with federal and state reimbursement rules;
- nonprofit compliance and governance, including audit, related party transaction and conflict of interest rules;
- defending state and federal subpoenas, audits and informal inquiries;
- structuring and negotiating hospital and medical school affiliations;
- navigating federal and state fraud and abuse restrictions, including the Stark physician self-referral, anti-kickback, fee-splitting and corporate practice of medicine requirements;
- discharging repayment and disclosure obligations emanating from overpayments and improper referral arrangements; and
- developing Corporate Integrity Agreement and other compliance programs.
- Speaker, “Healthcare Provider and Payer Perspectives on Alternative Capital and Liquidity,” Hannover Re Experience 2018 Conference
- JD, University of Michigan Law School, 2009
- BA, Duke University, 2004