Lisa G.Han

Partner

(T) + 1.614.281.3641

Lisa Han focuses her practice on transactional and regulatory matters for health care and insurance clients, including complex managed care contract negotiations, value-based purchasing, and regulatory compliance issues. Her experience includes mergers, acquisitions, restructurings, and formation of insurance companies and managed care plans; payor and provider joint venture or allowance; negotiation of TPA, PBM, and other vendor agreements; insurance holding company system transactions; participation in Medicare Advantage and Medicaid managed care programs; organization of accountable care organizations (ACOs), clinically integrated networks, and other types of provider organizations; value-based payment reform and shared savings programs; and compliance with the Affordable Care Act. Lisa also regularly advises hospitals, physicians, and other providers on strategic alliances, product and network issues, prompt payment compliance, and audits and recovery.

In addition, Lisa advises U.S. health systems' international activities, such as joint ventures in hospitals in China, international consulting, hospital management services, and other international medical tourism activities.

Lisa is a member of numerous professional organizations, including the American Health Lawyers Association and the Society of Ohio Healthcare Attorneys. She also is a member of the Health Law and International Law Sections of the American Bar Association and the Health Care Law Committees of the Columbus Bar Association and the Ohio State Bar Association.

Lisa has been a frequent speaker and author on health insurance and health care topics at numerous industry conferences and publications.

Experience

  • Aetna attempts acquisition of HumanaJones Day represented Aetna Inc. as antitrust counsel in its attempted $37 billion acquisition of fellow health insurer Humana Inc.
  • Spirit AeroSystems enters into "accountable care" arrangement with clinically integrated networkJones Day advised Spirit Aerosystems Holdings Inc. ("Spirit") in connection with the development and negotiation of an "accountable care" arrangement pursuant to which Via Christi Health Alliance in Accountable Care, Inc., a clinically integrated network of hospitals, multi-specialty physician groups, and other health care providers will manage and coordinate the delivery of health care services to employees enrolled in Spirit's self-funded health benefit plans and assume financial accountability for managing the cost and quality of health care services furnished to its employees and their dependents.
  • Henry Ford Health System and Health Alliance Plan of Michigan sell Medicaid business in multiple Michigan countiesJones Day represented Henry Ford Health System and Health Alliance Plan of Michigan in the sale to Molina Healthcare of Michigan of certain assets of HAP Midwest Health Plan related to the Medicaid and MIChild business in five Michigan counties.
  • The following represents experience acquired prior to joining Jones Day.

    Represented Inova Health System in negotiating a joint venture transaction with Aetna, a publicly traded insurer, for purposes of setting up jointly owned regional managed care plans and a clinically integrated delivery network.

    Represented major health systems in establishing provider-owned health plans for self-funded and fully insured market, including applying for a Certificate of Authority and insurance license.

    Represented health insurance clients on offering qualified health plans for health insurance exchange.

    Advised employers and employer organizations on implications of employee health plan under Affordable Care Act, essential health benefits, employer mandate, and compliance strategies.

    Advised clients on a variety of issues under health care reform including formation of patient centered medical homes and Accountable Care Organizations (ACO), regulatory concerns arising from these new models, and impact of exchange on providers and health plans.

    Provided counsel on formation and operation of integrated delivery systems consisting of multiple hospitals, major physician groups, and other health care providers.

    Represented provider-owned or affiliated health plans on a wide variety of corporate, operational, and regulatory issues, ranging from structuring financing arrangements among providers and affiliated payers (e.g., revolving loan), establishing management services and other shared services organizations, to advising on Anti-Kickback, Stark, and antitrust issues.

    Provided counsel in the acquisition, sale, restructuring, and expansion of managed care plans and approvals from federal and state regulatory authorities.

    Provided counsel on formation and operation of life and health, property and casualty insurance companies, and various types of managed care plans such as PPOs, HMOs, and rental and fronting arrangements.

    Provided legislative support and expert witness testimony on a variety of provider/payer issues including mandated benefits, credentialing, rental network, and most-favored nation provisions.

    Advised clients on programs with federal and state governments such as Medicare Advantage/Prescription Drug Programs, Medicaid managed care plans, and federal employee health care programs.

    Provided counsel in negotiating major reimbursement agreements between providers and payers and in the successful resolution of disputes over audits and recovery.

    Provided counsel on the formation of health insurance purchasing groups including health insurance alliances and co-ops.

    Speaking Engagements

    • December 4, 2018
      Jones Day CLE Academy: Year-End Review: The Latest Trends and Issues in Health Care
    • December 5, 2017
      ABA Health Law Summit - Understanding Alternative Payment Models and Related Regulatory Issues
    • September 25-28, 2016
      Medical Tourism & Global Healthcare Congress - A Look at the Recent Health Care Reform Policies in China and Impact on Foreign Direct Investment in China Health Care Sector
    • July 28, 2016
      Northeast Ohio Healthcare Financial Management Association - Payer, Provider Relations Payer Provider Convergence; Understanding Trends and Transaction Structures
    • June 28-30, 2016
      Promotion of Hainan Medical Tourism - Comparison With US Health Care System -- World Medical Tourism Congress 2016
    • June 22, 2016
      Overview of Wellness Programs and the New EEOC Rules
    • April 20, 2016
      Opportunities in China's Emerging Healthcare Market Webcast
    • March 15, 2016
      2016 Congress on Healthcare Leadership How to Put Clinically Integrated Networks to Work in an Era of Value Based Reimbursement
    • November 11, 2015
      AICPA Healthcare Industry Conference Payor Provider Joint Ventures -- Understanding Structure and Valuation Issues
    • October 16, 2015
      ASA HSIG Conference Healthcare Reimbursement in an Era of Reform
    • September 25, 2015
      Provider/Health Plan Arrangements & Contracting Based Upon Clinically Integrated Networks and ACOs
    • July 30, 2015
      Payor & Provider: Convergence: Emerging Trends in Healthcare - Jones Day CLE Seminar
    • June 27-July 1, 2015
      Clinically Integrated Networks and New Managed Care Strategies AHLA Annual Meeting
    • May 20, 2015
      Opportunities and Legal Issues in Health Care Investment in China and US
    • May 14, 2015
      An Overview of International Health Care Market - Opportunities and Strategic Growth in China, Telemedicine and Medical Tourism
    • March 9, 2015
      Clinically Integrated Networks and Bundled Payments: Strategies for Public Hospitals and Health Systems
    • March 5, 2015
      Carolinas Healthcare System Office of General Counsel Legal Summit
    • December 9, 2014
      Key Health Law Issues for Non-Healthcare Lawyers, Jones Day CLE Academy
    • August 21, 2014
      Legal Considerations in Benefit Design, Wellness Program, and Employee Population Health
    • August 12, 2014
      Greater Cincinnati Association of Health Underwriters Narrow Provider Networks
    • May 13, 2014
      PPACA's Narrow Provider Networks
    • November 3-6, 2013
      Making Sense of the New Employer Insurance Market
    • December 5-7, 2011
      AHLA Payors, Providers and Managed Care Program Reimbursement Models
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