Overview
Corporations, trade organizations, government agencies, and other participants in the healthcare industry need insight and analysis of the trends and forces in economics and public policy that shape the world in which they operate. Bates White professionals have deep experience and understanding of market structures, business situations, regulatory issues, and public policy institutions that influence key trends. We are experts in assessing healthcare pricing and reimbursement issues, quantifying and analyzing the economic impact of regulatory policies, and evaluating a wide range of business challenges as they relate to legislative and regulatory concerns. Our team combines in-depth industry expertise with regulatory and case law knowledge to deliver reports and publish papers used for internal decision making, discussions with key stakeholders, high-level policy makers, and thought leaders, as well as a basis for communications to the general public. We have provided reports to various clients and have presented and written on such topics as the Affordable Care Act, Medicaid reform, and government healthcare programs and policy priorities for both domestic and international markets.
Selected Work
- On behalf of the defendant and the intervenor, provided written and oral testimony in 21st Century Oncology v. State of Florida and Dr. Michael Katin. The suit concerned a challenge to the constitutionality of a 2019 state law disallowing, for a period of three years, physician non-compete agreements or restrictive covenants where a single entity employs or contracts with all physicians of a given specialty in any county.
- Testified before the US Senate Subcommittee on Antitrust, Competition Policy, and Consumer Rights in the hearing “Your Doctor/Pharmacist/Insurer Will See You Now: Competitive Implications of Vertical Consolidation in the Healthcare Industry.”
- Working on behalf of the Federal Trade Commission, analyzed the competitive effects of a Texas Medical Board rule requiring that physicians meet face to face with patients before offering certain services, such as prescribing medication over the telephone.
- Retained on behalf of Highmark Health to provide analysis to the Pennsylvania Insurance Department (PID) requesting modifications of certain conditions in the PID’s 2013 order, which was put in place following the creation of the Allegheny Health Network via Highmark’s affiliation with the then-failing West Penn Allegheny Health System.
- Served as the consulting expert to the Massachusetts Health Policy Commission, an agency created in 2012 to increase value and access in the delivery of healthcare.