David T.Morris

Partner

San Francisco + 1.415.875.5719

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David Morris has a deep understanding of the dynamics that propel and shape value-based care transactions. David advises clients in connection with the development of direct contracting relationships between self-funded employers and health care provider organizations; the formation of clinically integrated networks (CINs) and accountable care organizations (ACOs); and the structuring and negotiation of value-based and risk-based payment arrangements (e.g., shared risk, bundled payment, capitation, and percent of premium arrangements).

David assists clients with the formation of joint ventures and other complex arrangements that are driven by evolving expectations with respect to value-based reimbursement and care delivery; assists health care providers, digital health, direct-to-consumer and telehealth companies, and other industry participants navigate state and federal regulatory requirements, including compliance with California's Knox-Keene Act and other state insurance laws; and counsels plan sponsors regarding administrative service arrangements with third-party administrators and pharmacy benefits managers (PBMs).

Before joining Jones Day, David represented health care providers at another internationally recognized law firm, and later served as in-house counsel for one of California's largest health plans. In 2010, David advised the plan in connection with the development of one of the country's first ACO-like programs serving 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).

Experience

  • Stanford Health Care enters into "accountable care organization" agreement with self-funded employerJones 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 networkJones 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 PartnersJones 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 ventureJones 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" arrangementJones 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 HealthcareJones 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 programJones 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 AssociationJones 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 networkJones 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 systemJones 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 ACOJones 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.
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    August 2021 Newsletters

    Vital Signs: Digital Health Law Update | Summer 2021

    April 2021 Newsletters

    Vital Signs: Digital Health Law Update Spring 2021

    January 2021 Newsletters

    Vital Signs Digital Health Law Update Winter 2021

    December 2020 Commentaries

    HHS Finalizes New AKS Safe Harbors for Patient Engagement and CMS-Sponsored Arrangements

    December 2020 Commentaries

    New Stark Law, Anti-Kickback Statute Exceptions and Safe Harbors for Value-Based Arrangements

    October 2020 Newsletters

    Vital Signs: Digital Health Law Update | Fall 2020

    July 2020 Newsletters

    Vital Signs: Digital Health Law Update | Summer 2020

    July 2020 Commentaries

    Strategies for Successful Post-COVID-19 Telehealth Payer Contract Negotiations

    May 2020 White Paper

    Health Care on the Other Side: Changing Payer-Provider Relationships in a Post-COVID-19 Landscape

    April 2020 Newsletters

    Vital Signs: Digital Health Law Update | Spring 2020
    View All

    Speaking Engagements

    • June 11, 2020
      Healthcare on the Other Side: Payer-Provider Relationship Will Dictate the Post-COVID-19 Landscape
    • February 28, 2019
      American Bar Association Joint Committee on Employee Benefits: Health Plan Savings with Direct Contracting with Health Care Providers – How to Structure and Avoid Compliance Pitfalls
    • July 31, 2015
      American Health Lawyers Association, Accountable Care Organizations Task Force: The New MSSP Final Rule; What's Next for the Future of ACOs?
    • September 29, 2012
      Healthcare Payment Reform: PPCA and Beyond, St. Alphonsus Health System Board and Physician Retreat

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