Robert B. Ramsey, III is a shareholder in Buchanan Ingersoll & Rooney’s Health Care Section and represents health care providers in a variety of regulatory, transactional and reimbursement matters. In the transactional area, Bob has represented clients in an array of innovative projects, including the formation of accountable care organizations (ACOs) and the structuring of bundled payment arrangements that qualify for payment under various CMS demonstration projects.
He also has represented clients in the formation and operation of numerous joint ventures. In addition, Bob counsels clients regarding regulatory and compliance matters, including issues related to the Stark law, the Anti-Kickback Statue and the False Claims Act. His clients include health care systems, hospitals, post-acute providers, dialysis facilities and specialty pharmacies.
In the transactional arena, he has represented clients in various integration projects, including mergers and acquisitions, joint venture formation and creation of integrated delivery systems. In recent times, he has devoted considerable time to representing clients in the development and operation of ACOs and similar coordinated care arrangements. A partial list of his transactional experience includes the following:
- Created an ACO qualified to participate in the Medicare Shared Savings Program.
- Represented numerous clients in the development of arrangements designed to allow for participation in CMS’ Model 2 and 3 Bundled Payment Care Initiatives.
- Counseled several hospitals in the creation and operation of ambulatory surgical center joint ventures with physicians.
- Counseled a number of health care systems regarding compliance and regulatory due diligence related to potential mergers and acquisitions.
In the regulatory and compliance arena, Bob advises clients on a host of federal and state issues, including the Stark law, the Medicare Civil Monetary Penalties law, the Anti-Kickback Statute and the False Claims Act. A representative sample of his work in this area includes:
- Prepared, submitted and resolved matters under the Stark self-disclosure protocol.
- Represented various hospitals and long-term care facilities in the settlement of qui tam cases brought under the False Claims Act.
- Obtained a dismissal without financial payment of a health system from an investigation regarding hospital outlier payments.
- Designed and implemented a corporate compliance program for a long-term care chain.
Bob is also an adjunct professor at the University of Pittsburgh School of Law, where he teaches a course in health care fraud and abuse.
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