Nesko Radovic

Negotiated and drafted numerous strategic partnerships for healthcare providers entering in risk sharing arrangements with private equity backed value-based care conveners.

Negotiated and drafted numerous value-based and risk contracts between payors and health providers, ACOs and other value-based care entities.

Advised a primary care physician practice on the establishment of an office based lab for the provision of infusion therapy services.

Advised multiple physician practices in connection with risk adjustment audits, investigations and compliance matters with respect to their participation in Medicare Advantage plans.

Represented a whole person senior care in connection with an innovative risk-sharing arrangement with a large regional hospital chain.

Performed health regulatory due diligence on a provider organization specializing in care for chronically ill patients subject to risk sharing agreements with private equity backed platform.

Represented a leading national innovative behavioral healthcare organization in connection with obtaining regulatory approval (CON) to establish modernized replacement AMI hospital in Peoria, Illinois and assisting with licensing and certification.

Represented nephrology group practices in a strategic sale and long-term management agreement with Panoramic Health.

Provided strategic advice regarding demonstration programs sponsored by the Center for Medicare & Medicaid Innovation, including the Kidney Care Choices (KCC) Model and ACO Realizing Equity, Access, and Community Health (ACO REACH) Model (formerly Global and Professional Direct Contracting (GPDC) Model.

Advising clients on health regulatory, tax, real estate, and intellectual property matters related to the client’s integrated partnership of physician stakeholders engaged in value-based care arrangements with governmental and commercial payors.

Advising healthcare providers, value-based care conveners, digital health companies and others on regulatory framework specific to value-based care arrangements and their intersection with established healthcare fraud and abuse laws.

Advising executives, operators and investors in value-based care and population management companies on regulatory and critical business and policy issues facing companies in this space.

Represented private equity backed portfolio company in its acquisition of a Georgia based Hospice.

Represented public and privately-held physician management companies in the acquisition of physician groups.

Represented a private equity fund in its acquisition of a dental services organization.

Represented a behavioral healthcare organization in connection with joint venture transactions with local behavioral health providers.

Represented founder dentists in establishment of a dental practice platform, acquisitions of additional locations and negotiation of the enterprise sale to a private equity fund.

Representation of various physician practices in corporate restructuring, physician recruiting and employment matters.

Represented a multistate physician practice in its sale to a private equity firm.

Represented multiple nephrology practices in establishing dialysis facility and vascular access center joint ventures.

Represented a large health system in the disposition of its outpatient dialysis facilities.

Represented a national ASC development and management company in a series of acquisitions, dispositions and joint ventures.

Represented a private equity firm in investment in a dental services organization and related acquisitions of dental practices in multiple jurisdictions.

Counseled founder dentists in establishing a dental practice platform, acquiring additional practices, all the way through the sale of the platform to a private equity fund.

Advised physicians and other licensed professionals regarding complying with advertising and professional conduct restrictions.

Counseled providers and suppliers regarding satisfying Medicare conditions of payment, conditions of participation, conditions of coverage, and enrollment requirements.

Advised providers and suppliers regarding compliance with federal and state fraud and abuse laws.

Provided compliance advice regarding outcomes-based (and value-added) sales models for medical device manufacturers.

Developed discount and rebate programs for medical device manufacturers.

Developed code of conduct and compliance policies for a medical device manufacturer.

Advised multiple surgery center and physician clients on developing new service lines addressing state licensure, certificate of need and physician scope of practice laws to achieve strategic business plans.

Represented nursing homes in the negotiation of coordination agreements with dialysis providers.

Represented nephrologists, nephrology practices and dialysis providers in negotiations of medical director agreements.

Represented dialysis providers in transactions related to sale or purchase of dialysis facilities, including the sale or purchase of the related real estate.

Represented nephrology practices in sale of practice transactions.

Represented nephrology practices in joint venture transactions (investment and divestment) with large dialysis organizations and dialysis providers.

Advised various providers and suppliers on regulatory flexibilities available under the value-based safe harbors to the Anti-Kickback Statute for care coordination and risk-sharing models.

Represented a kidney care physician practice management company in value-based care arrangements and assisted in their market expansion.

Represented various physician practices in the establishment of value-based entities with private-equity backed value-based care providers.

Represented various nephrology practices in negotiations for their participation in CMMI’s CKCC Options of the KCE Model, a value-based care contracting model.

Represent telemedicine company in healthcare regulatory counselling in connection with domestic and international telemedicine and remote patient monitoring (RPM) arrangements.