Healthcare

/Overview

We empower healthcare organizations to navigate complex legal challenges with confidence—integrating regulatory, transactional, and litigation experience to drive innovation, ensure compliance, and ultimately enhance patient care.

As the momentum toward care models that incentivize outcomes rather than volume intensifies, many providers are increasing investments in preventive care and health management. At the same time, organizations must adapt to evolving compliance responsibilities surrounding issues like data privacy and price transparency.

Our team partners with organizations and entrepreneurs across the health services ecosystem, including providers, innovators, and investors. Leveraging a dynamic, cross-functional approach, we help clients navigate the highly regulated and rapidly evolving healthcare landscape, from compliance and regulatory challenges to strategic growth initiatives.

With deep industry experience, we offer tailored counsel on critical legal issues such as:

• Structuring strategic transactions
• Data privacy
• Fraud and abuse
• Reimbursement
• Licensing
• Government investigations
• Litigation

Whether addressing emerging challenges in the applications of artificial intelligence, supporting major academic medical centers, financing facility expansion, or guiding private equity investments in healthcare services, our team delivers integrated solutions that align with your business goals and improve outcomes for patients and stakeholders alike.

/Our Focus

• Artificial Intelligence: From data integrity and privacy safeguards to concerns about bias and transparency, our team guides healthcare clients through AI-related legal issues such as complying with emerging regulations, managing risk, and implementing responsible AI practices that advance care while protecting patients and providers.
• Behavioral Health: Growing demand for behavioral health services requires sophisticated legal guidance to address the complex regulatory and operational environment. Our team advises on privacy challenges and regulatory compliance, fraud and abuse analysis, transactional matters, labor counseling and licensure issues, and AI and telehealth governance.
• Cybersecurity & Data Privacy: In the digital era, healthcare organizations must navigate complex data privacy regulations while facing increasingly sophisticated cybersecurity threats. Our team helps healthcare clients meet HIPAA, HITECH, and state requirements; implement robust security measures; respond to cyber incidents to safeguard patient information and support operational goals; and resolve conflicts favorably when litigation is unavoidable.
• Digital Health and Health Technology: Digital health continues to transform healthcare delivery, driven by innovation in telemedicine, diagnostics, and AI. We advise on data privacy and cybersecurity, AI governance, vendor due diligence, regulatory compliance, and patent licensing and litigation.
• Graduate Medical Education: Our team serves as a trusted partner throughout the accreditation lifecycle. We support healthcare providers, medical and professional schools, academic medical centers, and GME institutions and programs through ACGME accreditation and complaints, medical staffing, responses to adverse accreditor actions, GME reimbursement and licensure, NRMP disputes, and program closures or mergers.
• Healthcare Investigations: Healthcare providers must stay compliant with extensive state and federal policies involving billing practices, fraud and abuse, and privacy violations. Our attorneys have extensive experience with DOJ and HHS OIG enforcement, helping organizations navigate complex regulations and achieve favorable outcomes in civil, criminal, and administrative actions.
• Healthcare Services Private Equity: Private equity investment in healthcare remains robust, with significant activity in high-margin specialties and a focus on strategic growth opportunities. Our work includes advising on M&A, add-ons, exits, stock and asset purchases, recapitalizations, joint ventures, value-based care arrangements, and regulatory and antitrust compliance.
• Healthcare Litigation: From administrative challenges to bet-the-company litigation, our nationwide team delivers successful outcomes in contentious healthcare disputes. Leveraging deep industry experience, we deliver actionable insights and practical solutions that drive positive resolutions in arbitration, litigation, and enforcement actions.
• Intellectual Property: By combining legal, scientific, and industry insights, we turn R&D and innovation into a profit driver and a competitive advantage. Our intellectual property attorneys counsel clients in healthcare, health technology, biotechnology, and life sciences to protect and commercialize their innovations by providing prosecution and registration, litigation, and transactional capabilities across matters involving patents, trademarks, copyrights, and trade secrets.
• Long-Term Care and Home Healthcare: We guide senior, long-term care, and home healthcare providers through evolving licensure, reimbursement requirements, financing guardrails, and operational mandates. Our attorneys help clients manage the complex regulatory framework that govern their operations, navigate fraud and abuse enforcement, and meet growing obligations around data privacy, cybersecurity, and HIPAA compliance.
• Reproductive Medicine and Sexual Health: The fertility, reproductive, and sexual health market is expanding, fueled by changing societal trends and increased investment in fertility services. We provide sophisticated legal advice across a range of areas, including affiliation agreements, regulatory compliance, HIPAA and privacy concerns, employment issues, and cryobank arrangements.
• Value-Based Care: Healthcare providers and organizations must adapt to the shift toward value-based care and navigate value-based arrangement structuring, payment reforms, regulatory compliance, Stark Law compliance, participation incentives, risk sharing models, arrangements with Accountable Care Organizations, coordinated care initiatives, performance benchmarks, and data sharing. We help healthcare stakeholders focus on efficiency and improved patient outcomes while managing legal and regulatory complexities.

/Representative Experience

• Advantage Behavioral Health: Represent a behavioral health management services organization operating in eight states with more than 700 clinicians, in its recapitalization deal with Clearview Capital Fund 
• City of Hope National Medical Center: Represent a leading nonprofit research and treatment center in developing institutional AI governance policies and providing associated advice 
• Fresno Community Hospital and Medical Center dba Community Health System: Represent California’s largest Medicaid provider in a high-profile lawsuit regarding the health system’s use of more than $1 billion in Medicaid supplemental payment funds
• eMed Labs, LLC: Represent a national provider of direct-to-consumer tests that created a remote COVID-testing lab with telehealth proctoring, and affiliated treatment and prescribing, in all 50-states, and most recently, the expansion of eMed’s weight loss service line, online prescribing, dispensing of medications, as well as lab testing and marketing 
• Fellow Health: Advise a men’s health company that provides at-home laboratory testing kits for fertility solutions, on regulatory guidance as the start-up company navigates compliance issues, including the provision of services through telehealth/virtual provider platforms and provider contracting, and counsel to a remote laboratory and cryobank for sperm testing and storage, including both direct to consumer testing, and B2B partnerships
• Heritage Provider Network: Delivered solutions for one of the largest private healthcare providers in one of the largest HIPAA data breach matters in the nation potentially affecting over 3.5 million people
• Sentinel Capital Partners: Teamed up with a private equity firm specializing in mid-market investments, as corporate and healthcare regulatory counsel in multiple transactions in bariatric, dental, optometry, and nuclear medicine sectors
• Sumitomo Corporation: Supported a publicly traded Japanese corporation, and its US subsidiary, Sumitomo Corporation of Americas, as counsel in the company’s strategic move to enter the US healthcare market and continuing regulatory and transactional matters
• Providence Health System-Southern California: Represented in several matters, including the investment in, and creation of, multiple ambulatory surgery centers and associated management entities, the acquisition of Facey Medical Foundation and several large physician practices as part of Providence’s outpatient clinic expansion, and the creation of Providence Health Partners (PHP), Providence’s clinically integrated network
• Advanced therapy initiation and patient-solutions provider: Represent the client in a range of contracting and compliance matters. This work includes integrating its pharmaceutical technology products with select EHR vendors, negotiating customer agreements, conducting fraud and abuse analyses, advising on federal and state privacy requirements, and providing compliance advice to its affiliated 50-State mail order pharmacies.  We also recently represented the client in their recapitalization involving a private equity fund and its acquisition of the assets of an artificial intelligence company.
• Large healthcare system: Defend clients in multiple putative class actions in California alleging data privacy violations
• Fortune 10 company: Represent the client in dozens of arbitration proceedings involving its retail pharmacy network, including numerous cases tried to final hearing before panels of arbitrators. We also represent the company in several litigation cases challenging its business practices.

/Recognition

• Nixon Peabody has been named a Tier 1 National firm for Health Care Law in the 2026 edition of Best Law Firms® and in consecutive years prior; named “Law Firm of the Year” in Healthcare Law by Best Law Firms in 2016
• The Legal 500 United States 2025 editorial—ranked for Healthcare: Service providers, as well as in previous editions
• Recognized as a top law firm in Healthcare by the American Bar Association’s Health Law Section
• Ranked nationally as one of the largest healthcare firms by Modern Healthcare