David T.Morris

Partner

San Francisco + 1.415.875.5719

David Morris draws on his experience as outside counsel to health care providers and as in-house counsel to a health plan to assists clients with complex business arrangements driven by the evolution of value-based reimbursement and care delivery.

David advises health care providers, digital health and telehealth companies, and employers on a variety of transactional matters, including the development of direct contracting arrangements between self-insured health benefit plans and health care provider organizations; the structuring and negotiation of value-based and risk-based payment arrangements (e.g., shared risk, bundled payment, capitation, and percent of premium arrangements); the formation of clinically integrated networks (CINs) and accountable care organizations (ACOs); and the negotiation of administrative services agreements with third-party administrators (TPAs) and pharmacy benefits managers (PBMs). He also advises on compliance with state and federal laws impacting risk-bearing organizations, such as California's Knox-Keene Act and other state insurance laws.

Before joining Jones Day, David provided transactional and regulatory counsel to health care providers at another internationally recognized law firm. He later served as in-house counsel for one of California's largest health plans, where, in 2010, he advised the plan on the development of one of the country's first "accountable care" programs serving commercial plan members. David's unique and deep experience enables 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).

Expérience

  • 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.
  • Interventions

    • 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