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Overview

Peter concentrates his practice in the areas of health care and insurance law, including state and federal regulatory compliance, certificate of need, licensure, fraud and abuse, and litigation. He also advises clients on issues involving state procurement law and employee benefits.

Career Highlights

Representative Cases and Achievements

  • Advised various types of health care providers, including physician practices, acute care hospitals, ambulatory care centers, ambulatory surgical centers, comprehensive physical rehabilitation hospitals, home health agencies, megavoltage radiation service providers, psychiatric residential treatment facilities and special health clinics, on Kentucky certificate of need and licensure issues 
  • Represented health care providers in various administrative proceedings on certificate of need applications and before the Kentucky Boards of Dentistry and Pharmacy 
  • Drafted legal memoranda regarding, and advised various types of health care providers on, fraud and abuse, Stark law, Medicare/Medicaid reimbursement and HIPAA issues, as well as other federal and state regulatory issues 
  • Developed compliance plans for health care providers 
  • Advised physician practices on general corporate law issues 
  • Negotiated and drafted various types of agreements for health care providers, including employment agreements, recruitment agreements, medical director agreements, lease agreements and operating agreements 
  • Negotiated and drafted transactional documents for and conducted due diligence review in connection with the acquisition and sale of physician practices and sponsors of Medicare Advantage and Part D plans 
  • Member of the firm’s Health Care Reform Task Force and wrote and presented speeches on delivery and payment system reforms, elder care issues, and medical loss ratios under federal health care reform  
  • Represented health insurance company in procurement litigation involving the award of a contract to serve as the third party administrator for the state employees health plan 
  • Represented clients in numerous actions concerning provider agreements in both civil actions and arbitrations, including arbitrations under the Federal Arbitration Act 
  • Advised clients on the application of Any Willing Provider laws to provider agreements and preemption of those laws in certain situations 
  • Advised clients on, and represented clients in litigation involving, preemption of state law under the Medicare Modernization Act, ERISA, FEHBA and TRICARE 
  • Advised clients on, and represented clients in litigation involving, the interpretation and application of the Medicare Advantage and Part D Programs rules and regulations, including the Medicare Marketing Guidelines and provider participation requirements 
  • Advised health insurance company on numerous state and federal regulatory issues, including agent relations, network management and operations, and non-health insurance products, and drafted responses to agency inquiries and complaints 
  • Advised clients, including agents, brokers, insureds and insurers, on general insurance law issues 
  • Advised employers on the establishment and operation of on-site medical clinics for their employees 
  • Advised clients on Kentucky Model Procurement Code and federal procurement issues 
  • Advised clients on issues involving health savings accounts, wellness programs and cafeteria plans

Awards

  • Selected for inclusion in The Best Lawyers in America®, 2018, in the field of Health Care Law
  • Named one of Louisville Business First's 20 People to Know in Law, 2017
  • Named to Louisville Magazine “Top Lawyers” List in the areas of Healthcare Law and Insurance Law, 2016
  • Recognized as one of the "Kentucky Rising Stars" in the Kentucky Super Lawyers® list, 2013-2017
  • Business First Partners in Health Care Honoree, 2011-2013
  • Named to Louisville Magazine “Top Lawyers” List in the area of Health Care Law, 2012 
  • Louis D. Brandeis School of Law, James E. Faye Scholarship Recipient
  • Brandeis Law Journal
  • Health Law Moot Court Team Fall 2003
  • Brandeis Society
  • Phi Beta Kappa Honor Society
  • Phi Kappa Phi Honor Society

Affiliations

Professional Affiliations

  • Brandeis Inn of Court
  • Louisville Employee Benefits Council
  • Kentucky Bar Association
  • American Bar Association, Health Law Section 
  • Louisville Bar Association, Health Law Section
  • American Health Lawyers Association

Community Involvement

Professional Leadership

  • 2010 Louisville Bar Association Leadership Academy

Civic and Charitable Involvement

  • Neighborhood House, Board of Directors
  • The Heuser Hearing Institute and Heuser Hearing & Language Academy, Board of Directors and Development Committee
  • Saint Margaret Mary Catholic School, Soccer Coach

Media

Contributions & Published Works

  • Contributor to "How to Destroy Documents Without Destroying Your Defense: Document Retention and Destruction Policies in the Wake of The Arthur Andersen Decision," Medicare Compliance Alert, November 2005
  • "Understanding Medicare Part D: What is Medicare Part D? How Will Medicare Part D Impact Your Organization? What is Horan Doing for Their Clients?" October 27, 2005

News

Events

Presentations

  • "Your First Contract, Contract Analysis and Contract Negotiation," 2013 Residents in Business Program, University of Louisville School of Medicine, June 7 - 9, 2013
  • "Intro to Health Law: What Every Attorney Needs to Know - Patients' Rights and Quality of Care Related Issues," National Business Institute, November 16, 2010
  • Co-Presenter, "Developments in Medical Loss Ratio Regulation," Payors, Plans and Managed Care Practice Group of the American Health Lawyers Association's Health Plan Affinity Group (HP AG) Brown Bag Presentation, October 15, 2010
  • "Making Health Care Reform Work For Your Organization:  Elder Care Provisions and the CLASS Act," Greenebaum Doll & McDonald PLLC Breakfast Briefing Series, July 29, 2010
  • "Making Health Care Reform Work For Your Organization:  Health Care Delivery System Reform & Provider Payment Opportunities," Greenebaum Doll & McDonald PLLC Breakfast Briefing Series, July 15, 2010
  • Co-Presenter, "HSAs:  Slaying 'Health-zilla' and a Culture of Healthcare Over-Consumption," LEBC H&W Plans Subcouncil, Louisville, KY, October 23, 2007

Services

Industries

Denison University, B.A., summa cum laude, 2000
University of Louisville, Louis D. Brandeis School of Law, J.D., magna cum laude, 2005

  • Kentucky, 2005
    U.S. District Court, Western District of Kentucky, 2007
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