Mark combines deep in-house experience with a government background in public health to advise clients on their most pressing and sensitive concerns.
Mark’s unique background as a line manager in charge of regulatory compliance, as well as his experience with the Commonwealth of Massachusetts’ Executive Office of Health and Human Services, has shaped the practical approach he takes to his clients’ legal challenges. He is able to assess healthcare regulatory compliance programs and procedures quickly and efficiently and helps clients build on strengths and address shortcomings.
His regulatory skill extends into commercial contracting, where he routinely drafts, reviews, revises, and negotiates complex contracts to ensure compliance with federal and state regulatory requirements governing state and federal health programs. He has also advised on current and proposed federal and state law as they pertain to Medicare, Medicaid, CHIP, and QHP offerors; Stark Law and Anti-Kickback compliance related to provider and clinic billing practices, shareholder and director investments, and corporate acquisitions. He has performed regulatory due diligence in the mergers and acquisitions setting and advised on the risks associated with business combinations, strategic alliances, and new commercial relationships.
Prior to entering private practice, Mark served as the Manager of Regulatory Compliance for one of the largest dental health organizations in the United States, where he provided oversight of the implementation of new statutory and regulatory requirements in connection with government health programs at both the state and federal level, including state payor laws regarding pricing and network transparency, as well as CMS Interoperability and payment transparency. He also developed protocols, trainings, and white papers for internal and external clients to ensure ongoing compliance with all state and federal policy guidance, including HIPAA, HITECH, TCPA, and IRB; managed investigation and response procedures for potential HIPAA breaches and other privacy and security incidents; and provided day-to-day guidance to corporate leadership regarding risk management.