Mark L Mattioli

June 30, 2023 | The Legal Intelligencer

Dobbs raises a multitude of new and thorny legal issues outside of the constitutional context.

By Mark L. Mattioli and Jaskirat K. Strandquest

11 minute read

May 01, 2016 | The Legal Intelligencer

In the push to coordinate health care, many hospitals and providers are seeking to enter into affiliation agreements with other providers whereby they utilize their resources for a central economic purpose. In some cases, the entities are unable to consummate a corporate merger due to, for instance, the religious affiliation of one of the entities. Under these affiliation agreements, the providers remain separate corporate entities, but centralize all other functions to operate as one entity. This type of affiliation is usually accomplished through a joint operating agreement centralizing contracting and budgeting in one entity. The U.S. Supreme Court in American Needle v. National Football League, 560 U. S. 183 (2010), looked to how the entities operated to determine whether they are capable of conspiring under Section 1 of the Sherman Antitrust Act.

By Mark L. Mattioli

6 minute read

March 19, 2013 | The Legal Intelligencer

Compliance and quality are often viewed as two distinct functions. Typically, compliance deals with the rules and proper procedures for billing Medicare and other third-party payers. Conversely, quality functions do not usually concern themselves with reimbursement.

By Mark L. Mattioli and Stephanie M. Barr

7 minute read

March 19, 2013 | The Legal Intelligencer

The last two years have brought with them radical changes to the way we think about the delivery of health care services. The Affordable Care Act was a catalyst to the development of the accountable care organization (ACO).

By Mark L. Mattioli and Stephanie M. Barr

7 minute read