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J. Peter Rich is a partner in the law firm of McDermott Will & Emery LLP based in the Firm's Los Angeles office. He is a member of the Health Department and co-chairs the Firm's national Managed Care Affinity Group. He recently was recognized as one of the leading health care lawyers in the United States in The Expert Guide to the Leading U.S. Healthcare Lawyers (2006).
For over 28 years, Peter has practiced almost exclusively in the health law field, and routinely advises hospitals, health plans, medical groups, health insurers, and PPOs and similar organizations such as medical discount programs, as well as other health industry clients, in negotiating and structuring managed care and other health industry transactions and related disputes, including major Medicare and Medicaid Demonstration Projects. In addition, he routinely advises these clients on regulatory compliance matters under federal and state managed care laws and state insurance laws, the Medicare Fraud and Abuse laws and the Stark Law, as well as other federal and state regulatory requirements. He also assists hospitals and other providers in such legal areas as joint ventures and other transactions, medical staff bylaws and medical staff disciplinary matters, hospital-based physician contracting, the corporate practice of medicine and fee-splitting, and other corporate and regulatory law matters. Peter has also served as special health care counsel in several bankruptcies involving health plans and managed care providers, and in that role has successfully represented the debtors in restructuring and selling assets. Peter serves as outside general counsel to one of the nation's largest and most successful physician-owned malpractice insurance interindemnity arrangements, and has provided legal assistance in connection with the creation of risk-retention groups and other physician-owned captive professional liability insurance companies.
Peter speaks and writes frequently in the field; his most recent publications include "What Rates are Health Plans Legally Obligated to Pay Non-Contracted Providers?" for the ABA Health Care Litigation Newsletter (2006), "State Regulation of Medical Discount Programs: A New Frontier" (2005), "Tiered Benefit HMO Plans: The Next Generation of Managed Care Plans?" (2004), "Recent Significant Federal and State Court Decisions and Statutes That Affect Managed Care Provider Contracting" (2003), and "Have 'Evergreen' Provider Contracts Lost Their Bloom?" (2003), which were published in Managed Care Quarterly. He is the lead writer of the chapter "Insurance Payment for Healthcare" in the American Health Lawyers Association's (AHLA's") Health Law Practice Guide (2006), and has also co-written and co-edited the third and fourth editions, respectively, of the AHLA's Managed Care Contracting Handbook: A Guide for Payors and Providers.
McDermott Will & Emery's health law practice has been ranked the most prestigious in the country in recent independent surveys, and Peter has received the highest rating of "AV" for legal ability and ethics from the independent Martindale-Hubbell attorney rating system.
Education
Harvard Law School, J.D., 1977
University of California-Los Angeles, A.B. (summa cum laude), 1974 | 