Alexis S.Gilroy

Partner

(T) + 1.202.879.5552

Alexis Gilroy, a national leader in the digital health industry, advises on complex transactional and health regulatory issues with an emphasis on virtual health methods, such as telemedicine, telehealth, and mobile health.

Focused on transactions in the digital health and HIT sectors for more than a decade, Alexis pairs practical experience with a keen understanding of often novel federal and state regulatory requirements. Hospitals, health systems and other health providers, virtual health companies, technology organizations, e-commerce, pharmacy and retail leaders, life science businesses, and investors from across the U.S. seek her legal counsel on various e-health topics, including multijurisdictional business strategy and implementation, state-specific telehealth regulation, corporate practice of medicine, reimbursement, international second opinion and telehealth programs, online prescribing, patient consent, credentialing by proxy, remote supervision, and fraud & abuse considerations. She frequently develops and negotiates telehealth specific services and affiliation contracts and manages health regulatory matters for M&A and equity transactions with both investor/buy-side and company/target-side experience.

Alexis speaks and writes extensively on matters involving digital health, including testimony before legislative and regulatory bodies. She serves on the board of directors of the American Telemedicine Association (ATA) and as co-chair of the ClearHealth Quality Institute Telemedicine Accreditation Standards Committee. She was an appointee to the Maryland governor's Telemedicine Task Force, member of the Federation of State Medical Boards' workgroup on telehealth, leader of the American Bar Association's Science & Technology Practice Group, and leader of the American Health Lawyer Association's (AHLA) E-Health and Telemedicine Affinity Group.

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Experience

  • Large health system advised on regulatory and reimbursement matters for telehealth and telemedicine activitiesJones Day is providing ongoing advice to a large hospital/health system related to telehealth and telemedicine reimbursement and regulatory matters.
  • Curavi acquires TripleCareJones Day advised University of Pittsburgh Medical Center ("UPMC) and Curavi, in the acquisition by subsidiary Curavi of TripleCare, a Long Island City, New York-based provider of telemedicine solutions for the post-acute, long-term care industry, including skilled nursing facilities.
  • Emerging digital health company launches multi-state telehealth platformJones Day advised an emerging digital health company in launching its telehealth operations in multiple states throughout the U.S., with additional expansion to come.
  • Large digital health company grows operations across U.S.Jones Day advised a large digital health company in expanding operations throughout multiple states in the U.S. and in responding to several state regulator inquiries regarding its operations.
  • Kleiner Perkins seeks digital health care regulatory counsel in telemedicine service investmentJones Day is advising Kleiner, Perkins, Caufield & Byers LLC and providing digital health care regulatory counseling regarding an investment in multi-state women’s health telemedicine service.
  • Emerging digital health company expands operations to new telehealth servicesJones Day advised an emerging digital health company in expanding its telehealth product offerings to patients across the United States and in responding to several state regulator inquiries regarding its operations.
  • Maven Clinic closes $10.8 million Series A roundJones Day provided health regulatory counseling and transactional support to Maven Clinic Co., an emerging virtual health company, in a Series A financing.
  • Analyte Health partners with Teladoc for lab diagnostic deliveryJones Day represents Analyte Health in its collaboration with Teladoc to integrate lab testing with telemedicine-delivered patient services.
  • Specialists On Call acquires NeuroCallJones Day advised Specialists on Call in its acquisition of NeuroCall Inc., a provider of teleneurology services to acute care hospitals.
  • TouchCare obtains multi-jurisdictional health care regulatory counseling relating to digital health spin-offJones Day advised TouchCare, LLC with respect to multi-jurisdictional health care regulatory counseling and structure to stand-up digital health spin-off supported by PE.
  • Saint Luke's Health System collaborates with MDLiveJones Day assisted Saint Luke's Health System with negotiating all aspects of a telemedicine collaboration arrangement with MDLive Inc. and its affiliated physician entities.
  • Riverside invests in SootheJones Day advised The Riverside Company in connection with its investment and acquisition of Soothe, Inc., an online and mobile app that connects people who want to book same-day in-home massages with hand-picked massage therapists.
  • One Equity Partners acquires All Metro Health CareJones Day represented One Equity Partners LLC in connection with its acquisition of All Metro Health Care, a provider of in home care services.
  • Capital One provides $55 million term loan facility for acquisition of four senior housing facilitiesJones Day represented Capital One Bank, N.A. in connection with a $55 million term loan facility used to finance the acquisition of four senior housing facilities located in Delaware, Georgia, and New Jersey.
  • Capital One provides $136.2 million term loan facility for acquisition of six senior housing facilitiesJones Day represented Capital One Bank, N.A., as lender and administrative agent, in connection with a $136.2 million term loan facility used to finance the acquisition of six senior housing facilities located in California, Michigan, Pennsylvania, and Washington D.C.
  • Health IT company divests lab services businessJones Day represented a health information technology company in the sale of its laboratory services business line to a private equity-sponsored group.
  • Riverside invests in SootheJones Day advised The Riverside Company in connection with its investment in Soothe, Inc., an online and mobile app that connects people who want to book same-day in-home massages with hand-picked massage therapists.
  • Private equity fund invests in national telehealth companyJones Day assisted a private equity firm, specializing in technology investments in the healthcare and human capital management markets, with its more than $50 million investment in a telehealth solutions provider operating throughout the United States.
  • Riverside acquires Health & Safety InstituteJones Day represented The Riverside Company in connection with the acquisition, recapitalization, and related financing of Health & Safety Institute, a leading provider of healthcare and workplace safety training and compliance services.
  • Specialists on Call raises $23 million, undergoes change in controlJones Day represented Specialists on Call, Inc., a provider of specialty physician care delivered via telemedicine, in connection with a $23 million series of equity transactions that resulted in a change in control of the company.
  • The following represents experience prior to joining Jones Day.

    Developed national regulatory strategy and complete corporate structure as it relates to federal and state telemedicine and corporate practice rules, patient consent, and other regulatory matters for a leading national doctor to doctor telemedicine business (for teleneurology, telepsychiatry, and telecritical care) operating throughout the United States.

    Designed documentation for strategic partnerships between multiple national telemedicine companies and academic medical centers (AMCs) and other hospital systems across the United States.

    Developed national regulatory strategy and related documentation for a tele-ophthalmology business model to be deployed in multiple states and handled communications with state medical board to discuss unique legal aspects of telehealth business model.

    Developed national regulatory strategy and related documentation for an international online health care information and second opinion service for consumers provided by leading specialists from across the nation.

    Developed national regulatory strategy as it relates to state telemedicine and corporate practice rules and related documentation for a national online lab requisition and strategic pharma marketing and data company.

    Designed hospital customer documentation for a national cloud storage company of health care data.

    Developed corporate documentation and web site disclosures and terms and provided advice on business structure for various e-health start-ups, including a mobile physician portal, a photo image calibration service, a long-term care physician communications portal, and a remote physical therapy platform, among others.

    Additional Publications

    • Forthcoming
      Legal and Regulatory Issues with Telemedicine Practice in the ICU. In Telemedicine in the Intensive Care Unit. Springer
    • November 2018
      Emergency Telemedicine: Achieving and Maintaining Compliance with the Emergency Medical Treatment and Labor Act. Telemed J E Health. 2018 Nov;24(11):934-937
    • August 2015
      Data Protection Challenges for Telemedicine in the EU and US
    • August 2015
      eHealth Law & Policy Data protection challenges for telemedicine in the EU and US, eHealth Law & Policy
    • August 2015
      Data protection challenges for telemedicine in the EU and US, eHealth law&policy
    • September 22, 2014
      American Telemedicine Association Releases Reports Grading States on Telehealth Policy, AHLA HIT PG
    • September 2014
      Medicare Compliance & Reimbursement, Eli Healthcare
    • July 13, 2014
      More Signs Of Telemedicine Moving Into The Mainstream, Law360
    • June 20, 2014
      AMA Adopts New Recommendations on Telemedicine, Signaling Further Comfort with Telehealth
    • May 2014
      E-Patient: The Doctor May "See" You Now -- A Look at Various Regulatory Considerations Impacting Digital Health and Telehealth, coauthor
    • May 15, 2014
      Telemedicine and the Standard of Care: Review of Current State Practices and the New Federation of State Medical Boards Policy
    • 2013
      Unique Considerations for Health Care Mergers and Acquisitions, Navigating Healthcare M&A Transactions, Inside the Minds, Aspatore
    • November 2012
      Telemedicine Legal Hurdles - An Overview of Lesser Known Challenges, HIT News

    Speaking Engagements

    • July 31-August 1, 2019
      11th Annual mHealth and TeleHealth World Summit― Direct-to-Consumer Telemedicine: Lessons Learned and Strategies for Advancing Policy
    • July 15-17, 2019
      InTouch Health Annual Innovation Forum: A View From the Hill
    • May 29-31, 2019
      Boston Bar Association Health Care Conference - Digital Health
    • April 15, 2019
      ATA19: The Ethics and Regulations of Al
    • April 14, 2019
      ATA19: Global Telehealth Trailblazers - Experiences, Lessons & Key Considerations
    • April 4, 2019
      CCI Inc. Healthcare Chief Legal Officer Roundtable - TeleHealth
    • October 8-9, 2018
      SPS: Telemedicine & TeleHealth Service Provider Summit: Changes in CMS Rules and Federal Law and How They Affect You
    • October 8-9, 2018
      SPS: Telemedicine & Telehealth Service Provider Summit: Why Do Industry Leaders Join Forces?
    • October 2018
      McGee Event: BridgingGAPs (Global Access to Providers) A Look at New Models and Technology Enabling Remote Specialty Healthcare Services: Legal, Regulatory, and Policy Considerations
    • September 27, 2018
      ATA EDGE - Using Al and Other Tools to Cut Through Marketing Clutter
    • September 20, 2018
      Boston Bar Association Life Sciences Conference - Big Data & Artificial Intelligence
    • May 2018
      The Future of Healthcare, HLTH
    • April 2018
      Jones Day 2018 Health Care and Life Science Forum "Digital Health and Investors: Changing Delivery of Health Care, One Device at a Time"
    • February 2018
      Physicians/Hospitals Conference, AHLA
    • November 15, 2017
      Telemedicine Accreditation: Why One Size Doesn't Fit All
    • November 7, 2017
      "Digital Health and Telemedicine" - Emerging Tech Breakfast Series, JD Dallas
    • October 2017
      Telemedicine & Telehealth Service Provider Showcase - Advancing Telehealth Partnerships, SPS
    • October 2017
      Telemedicine Services at Hospitals and Nursing Facilities, Webinar, AHLA
    • May 2017
      Medical Informatics World Event - Impact & Opportunity-Evolution of Laws and Policy in the Business of Telehealth, Cambridge Healthtech Institute
    • May 2017
      Annual Meeting - Telemedicine, American Urological Association
    • April 6, 2017
      "Key Legal Considerations in Physician and Hospital Relationships" - Texas Medical Center Innovation Institute
    • February 2017
      HIMSS 17: Opportunity in Telehealth - Strategies for Understanding & Managing Multi-Jurisdictional Laws to Achieve Scale
    • November 17, 2016
      2016 Health Care Labor & Employment Symposium - Post Election Conference: What's Next?
    • November 2, 2016
      Bar Association of Baltimore City: Development in Telemedicine
    • September 1, 2016
      Telemedicine Series 2016: Supervision and Non-Physician Practitioner Issues, Webinar
    • September 1, 2016
      Telehealth: What you Need to Know Before you Get Involved, Association of Otolaryngology Administrators Annual Meeting
    • September 1, 2016
      General Counsel Roundtable - Critical Legal Considerations in Telemedicine, The Healthcare Roundtable
    • September 1, 2016
      Special Panel "Outsiders at the Gate - What Will Disrupt Healthcare and What Should You Do About It?", ATA Fall Forum
    • June 2016
      2016 Telemedicine & Telehealth Service Provider Showcase, University of Arizona
    • June 2016
      Hot Topics in Telemedicine 2016: Payment Policy, Prescribing, and Practice Standards AHLA Annual Meeting
    • May 2016
      Introduction to Telemedicine Legal & Regulatory Issues; How to Build an Online Primary and Urgent Care Service; Teledermatology Panel Discussion; Material Transactions in the Telemedicine Industry; ATA Practice Guidelines: How Can They Be Used Effectively? American Telemedicine Association
    • March 2016
      Legal Issues Affecting Academic Medical Centers and Other Teaching Institutions: Telemedicine Programs, AHLA
    • February 2016
      Telemedicine - Michigan Chapter, American College of Healthcare Executives
    • November 2015
      CISO Executive Network: Digital Health--Trends & Opportunities
    • October 2015
      ATA: TeleDerm & Unique Legal Issues
    • October 2015
      Lessons on Telemedicine - Opportunities and Unique Diligence and Payment Considerations, AHLA Health Plan Counsel Institute
    • August 2015
      Cambridge Healthtech Institute: Next General Dx Summit - Impact & Opportunity-Evolution of Laws and Policy in the Business of Telehealth
    • July 2015
      MATTER Workshop: Digital Health Law - An Overview and Practical Perspectives
    • June 2015
      The Foundry Cup: Digital Health Law
    • June 2015
      University of Maryland: CHIDS-Maryland Health Leaders Network Program - Telehealth Regulatory Update
    • June 2015
      Telemedicine Transactions-Highlights and Updates of Applicable Health Regulatory Topics with Experienced Insights on Appropriate Diligence and Transactional Documentation, AHLA In-House Counsel Program at Annual Meeting
    • May 4, 2015
      ATA Telemedicine Investor and Strategic Summit
    • May 4, 2015
      Telehealth Partnering in US and Abroad: A Look at Viable Strategies and Legal Considerations, American Telemedicine Association Annual Meeting
    • May 2015
      Legal Issues in Teleneurology Practice, American Academy of Neurology Teleneurology and Technologies Program
    • May 2015
      Telemedicine, Telediagnostics and Mobile Health, PLI Health Care IT Conference
    • May 2015
      ATA Annual Meeting: Direct to Consumer Legal and Regulatory Course
    • April 2015
      ATA: The Business of Telemedicine - Part IV: Show Me the Money - Information on the Increasing Reimbursement and Payment Options Available for Telemedicine
    • March 2015
      Opportunity in a Fragmented Regulatory Environment - An Overview of Notable Telehealth Regulations and Requirements, Colorado Health Law Symposium
    • January 16, 2015
      Legal Perspectives Essential to Reimbursement, American Telemedicine Association
    • December 10, 2014
      mHealth Summit 2014
    • November 23, 2014
      Legal issues related to connected health, Memorial Sloan Kettering Telehealth Conference
    • November 13, 2014
      Envisioning The Future Of Dermatology Through The Lens Of Medical Informatics: Navigating the Regulations - An Overview of Notable Federal and State Regulations Impacting Digital Health, Memorial Sloan Kettering Cancer Center
    • November 13, 2014
      Patient Privacy in the Mobile and Cloud Computing Era
    • October 6-7, 2014
      Policy, Legal and Regulatory Issues; and Finding a Best-of-breed Telehealth Service Provider: A Practical Guide to Doing Due Diligence, Telemedicine Service Provider Conference
    • September 24, 2014
      Legal issues related to connected health, Mt. Sinai Connected Health Day
    • September 7-8, 2014
      Building a Chronic Care Management Program - Perspectives on State-Specific Legal Considerations, American Telemedicine Association Fall Forum Conference
    • June 16-17, 2014
      Exploring Legal Challenges to Fulfilling the Potential of mHealth in a Safe and Responsible Environment
    • May 18, 2014
      ATA Telemedicine Venture Summit 2014
    • May 6, 2014
      Executive Roundtable Series: New Frontiers in Health Care and Life Sciences; A Look at the Legal Implication
    • May 6, 2014
      Telehealth & Lesser Known Challenges, American Health Lawyers Association Practice Group
    • April 29, 2014
      Telemedicine and the Law: Keys to Avoiding Legal Liability
    • April 1, 2014
      2014 Annual Summit: Adding Value through Sustainable Telehealth
    • April 1, 2014
      Developing a Sustainable ROI Using Reimbursement & Cash Pay Options - Show Me the Money, American Health Lawyers Association Practice Group
    • February 23, 2014
      HIMSS 2014 Annual Conference, SciTech Law Track
    • February 20, 2014
      Legal and Policy Considerations in Implementation of Digital Health
    • February 20, 2014
      The Digital Health Revolution: How Law is Shaping the Next Frontier in Health Care Delivery, Health Law and Justice Society
    • December 10, 2013
      Telehealth Bootcamp Series: A Look at Legal and Regulatory Matters Specific to Telehealth, Telemedicine, and mHealth: Area II, Part I, American Health Lawyers Association
    • December 10, 2013
      Practice of Medicine in a Virtual World: Rethinking Health Regulatory Basics, American Health Lawyers Association Practice Group
    • December 8-11, 2013
      2013 mHealth Summit
    • October 26, 2013
      Digital Health Winners: Which Companies will Best Serve Customers and Investors?, 2013 Wharton Alumni Conference, University of Pennsylvania
    • October 8, 2013
      Where We've Been in Telehealth: Has the Industry's Time Arrived? American Health Lawyers Association Practice Group
    • May 5, 2013
      An Overview of Key Legal Topics lmpacting Telehealth Programs & Businesses - Fundamentals of Credentialing 'By-Proxy', AHLA & ATA Pre-Meeting Short Course
    • May 5, 2013
      Getting Your Documentation in Order - Legal and Regulatory Considerations for your Telehealth Startup, Business and Finance SIG Pre-Meeting Short Course
    • May 1, 2013
      Getting Your Documentation in Order - Legal and Regulatory Considerations for your mHealtb Enterprise, American Conference Institute's Legal and Business Guide to mHealth and Wireless Medical Technology Post-Conference Working Group
    • February 6, 2013
      Telehealth & Telemedicine State of Industry & Opportunities, HIMSS
    • January 16-17, 2013
      State Medical Licensure and Discipline: Advocacy and Opportunities in 2013 and Beyond
    • November 16, 2012
      Technologies to Improve Health & Wellness, 2nd Annual Healthcare Conference
    • September 21, 2012
      TeleHealth: Update on Market Activities & Legal Matters, HealthTech Net
    • August 4, 2012
      Telemedicine: An Overview of the Legal Hurdles, 2012 ABA Annual Meeting
    • June 27, 2012
      Telemedicine & Corporate Practice of Medicine, Business & Finance SIG Meeting
    • April 30, 2012
      Telemedicine & Corporate Practice of Medicine, 2012 ATA Annual Meeting
    • August 8, 2011
      New Opportunities & Hurdles: A Review of the New CMS Rule on Telemedicine Credentialing and Privileging, ATA Business & Finance
    • June 7, 2011
      New CMS Rule on Telemedicine Credentialing and Privileging, American Health Lawyers Association
    • August 3, 2010
      Show Me the Money...Show Us the Jobs, SAE - Southeastern Bioenergy Conference
    • April 28, 2010
      Telemedicine Opportunities & Hurdles, ASG (May 26, 2010) and Health IT Conference
    • September 2015
      New York Telemedicine Parity Laws, Mt. Sinai Connected Health Symposium

     

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