David Morris is a health care attorney focusing on complex transactions driven by health care payment reform. David advises clients regarding the development of clinically integrated networks (CINs) and accountable care organizations (ACOs); the negotiation of value-based payment and risk-based payment arrangements (e.g., shared savings, shared risk, pay-for-performance, bundled payment, capitation, and percent of premium arrangements); and participation in Centers for Medicare and Medicaid Innovation (CMMI) demonstration programs (e.g., MSSP, BPCI, etc.). He also advises clients with respect to mergers, acquisitions, joint ventures, and other complex transactions and arrangements and routinely counsels clients on compliance with California's Knox-Keene Act and other state insurance laws and state and federal anti-kickback and physician self-referral (e.g., "Stark") laws.
Before joining Jones Day, David represented health care providers at another internationally recognized law firm and later served as associate general counsel for one of California's largest health plans. In 2010 he advised the plan in connection with the development of one of the country's first ACO-like programs to serve commercial members. David's experience on both the provider and payer sides of the table enable him to bring a distinctive, multidimensional perspective to every client engagement.
David is past editor-in-chief of the American Journal of Law & Medicine and a member of the American Health Lawyers Association (AHLA) and the California Society for Healthcare Attorneys (CSHA). He serves as a mentor to law students through the Leadership Council on Legal Diversity (LCLD) Success in Law School Mentoring Program and the CSHA Mentor Program.
Stanford Health Care enters into "accountable care organization" agreement with self-funded employer
Jones Day advised Stanford Health Care ("SHC") in connection with the negotiation of an "accountable care organization" arrangement with a well-known Silicon Valley technology company, pursuant to which SHC will coordinate and manage the provision of health care services furnished to enrollees of the company's self-funded health benefit plans and will assume financial accountability for the cost and quality of services furnished to the company's enrollees.
Loma Linda University Medical Center forms clinically integrated network
Jones Day advised Loma Linda University Medical Center, an academic medical and research center that operates some of the largest clinical programs in the United States, in connection with the development of University Preferred Health Partners (UPHP), a clinically integrated network serving the Inland Empire region of Southern California.
Centura Health forms population health joint venture with DaVita HealthCare Partners
Jones Day advised Centura Health Corporation in connection with the development and negotiation of a joint venture arrangement with DaVita HealthCare Partners through which the parties intend to provide population health management services supporting a clinically integrated network of providers serving patients throughout the State of Colorado and Western Kansas.
Centura Health forms emergency and urgent care joint venture
Jones Day advised Centura Health Corporation in connection with the negotiation and formation of Avon Emergency and Urgent Care Center, LLC, a joint venture formed to provide emergency and urgent care services to residents of Eagle and Garfield Counties, Colorado.
Stanford Health Care and Silicon Valley employer enter into unique "accountable care organization" arrangement
Jones Day advised Stanford Health Care ("SHC") in connection with the negotiation of a unique "accountable care organization" arrangement with a prominent Silicon Valley technology company, pursuant to which SHC will coordinate and manage the provision of health care services furnished to enrollees of the company's self-funded health benefit plans by health care providers (including SHC) participating in a custom-designed narrow network and will assume financial accountability for the cost and quality of services furnished to the company's enrollees.
Redwood Regional Medical Group merges with St. Joseph Heritage Healthcare
Jones Day represented Redwood Regional Medical Group ("Redwood"), a multi-specialty physician group practice specializing in medical and radiation oncology diagnostic and interventional radiology, and breast and vascular surgery, in connection with its sale to St. Jude Hospital Yorba Linda, dba St. Joseph Heritage Healthcare.
Bon Secours St. Mary's Hospital accepted to participate in Medicare Bundled Payments for Care Improvement program
Jones Day assisted Bon Secours St. Mary's Hospital in connection with the development of a bundled payment program for lower extremity joint replacements (knee and hip revisions) and the hospital's successful application for participation in Model 2 of the Medicare Bundled Payments for Care Improvement program.
Hawai'i Pacific Health develops accountable care arrangement with Hawai'i Medical Service Association
Jones Day represented Hawai'i Pacific Health in the development and negotiation of a commercial "accountable care arrangement" with Hawai'i Medical Service Association (Blue Cross Blue Shield of Hawai'i).
Phoenix Children's Hospital forms clinically integrated pediatric provider network
Jones Day advised Phoenix Children's Hospital, one of the 10 largest children's hospitals in the nation, and Arizona's only dedicated pediatric hospital, in connection with the formation of Phoenix Children's Care Network ("PCCN"), a clinically integrated network of pediatric specialists, subspecialists and institutional providers in Maricopa County and surrounding areas of Arizona.
Hoag Memorial Hospital forms regional health system
Jones Day assisted Hoag Memorial Hospital Presbyterian in its affiliation with St. Joseph Health to form an integrated regional health system.
John Muir Health forms John Muir Health Medicare ACO
Jones Day advised John Muir Health with respect to the formation and development of John Muir Health Medicare ACO, an organization comprised of approximately 200 primary care and specialty physicians serving Medicare beneficiaries in Contra Costs County, California.
CMS Makes Changes to the Stark Law: Addressing Payment Reform, Reducing Burden, and Facilitating Compliance
CMS and OIG Issue Final Fraud and Abuse Waivers in Connection with the Medicare Shared Savings Program
- Spring 2015SRR Journal, Spring 2015, Accountable Care Innovation: Expanded Opportunities for Collaboration
- January 21, 2015Health Care: The New Frontier - Legal Considerations in a Digital and Post-ObamaCare World
- November 17, 2014Maximizing ACO Effectiveness -Regulatory Flexibility Under The ACO Waivers, Jones Day Webinar
- September 29, 2012Healthcare Payment Reform: PPCA and Beyond, St. Alphonsus Health System Board and Physician Retreat
- Boston University (J.D. with a concentration in Health Care Law 1995); University of California, Berkeley (B.S. in Rhetoric and Political Science 1990)
- Recommended by The Legal 500 United States as "highly regarded" in the area of health care: health insurers (2016-2017)