Benjamin Wilson

Experience

Mergers, Acquisitions, and Affiliations

• Represented health systems in acquiring or affiliating with other health systems or providers.
• Advised health systems and universities, both public and private, in restating academic affiliations and restructuring faculty practices.
• Represented multiple national senior living enterprises in the acquisition of communities.
• Represented a national health insurance and delivery system in the sale of a minority equity investment to a private equity investor.
• Advised several human service organizations in acquisitions of businesses and properties in bankruptcy.
• Represented a nonprofit college in its acquisition of and merger with another college.
• Counseled health care providers in structuring and implementing novel joint ventures and contractual affiliations, requiring resolution of complex licensing and reimbursement issues.
• Represented a private equity sponsor in the sale of a nationwide pharmacy services company.

Value-Based Care and Managed Care Organizations

• Counseled health care providers, health plans, and health care ventures in establishing value-based payment structures and managing associated licensing and regulatory requirements.
• Represented a health center in establishing a clinically-integrated behavioral health network for participating in Medicaid value-based care models.
• Advised a consortium of behavioral health and human service organizations in establishing a clinically integrated network in anticipation of Medicaid program restructuring.
• Represented a leading academic medical center in its negotiations and disputes with payors.
• Advised a health insurer with respect to the sale of a Medicare Advantage plan.
• Represented a health insurer in a novel financing and data sharing transaction with a national research foundation.

Financing

• Represented health systems, universities, and other institutions as borrower’s counsel, handling substantially all financing matters.
• Structured and restructured obligated groups and master indentures for multiple health systems.
• Represented health systems and other nonprofit organizations in or near default in negotiating consents and workouts with lenders and bond insurers.
• Served as underwriters’ counsel for taxable and tax-exempt public offerings, and as bond counsel for public and private issuances.

Medicare and Medicaid

• Represented health care providers in appeals and administrative hearings relating to alleged Medicare and Medicaid overpayments.
• Counseled several of the nation’s leading children’s hospitals on the provider-based rules, rules relating to co-location of hospital facilities, and rules relating to sharing of hospital space.
• Advised an academic medical center with respect to compliance with federal and state rules relating to intergovernmental transfers and Medicaid supplemental funding.

Clinical Laboratories

• Regularly advised clinical laboratories with respect to licensing, certification, reimbursement, and FDA compliance.
• Advised a leading multi-state health system in evaluating and redesigning its network of laboratories for hospital, physician group, and outreach testing.
• Represented a national independent laboratory in multiple, high-stakes Medicare and Medicaid appeals, including proceedings before administrative law judges and related litigation.
• Counseled a leading research institute in establishing a clinical laboratory.