Health Care Practice


With the rapid pace of change in health care, it is essential to have legal counsel who can effectively and creatively navigate the maze of laws and regulations applicable to this complex sector. Our attorneys have served health care providers for over 30 years. We counsel clients on the full range of matters that raise legal questions from day-to-day operational issues, such as patients’ rights to refuse treatment or access to patient records, to broad strategic matters, such as whether and how to partner with or acquire another provider. Our advice is informed by in-depth knowledge of the New Hampshire health care system and its players, and our service is enhanced by our experience with both state and federal regulators.

Practice Focus

  • Medical staff and practitioner professional licensing and credentialing for hospitals, clinics, Managed Care Organizations and insurers
  • Licensure, Medicare/Medicaid certification, HMO qualification, and private accreditation-   (JCAHO)
  • Corporate governance
  • Tax exempt status and state charitable trust guidance
  • Tax-exempt bond financing
  • Mergers, acquisitions, divestitures and joint ventures
  • Medicare and Medicaid payment and participation
  • Fraud and abuse, including the Stark and Anti-Kickback statutes
  • Compliance plan implementation and operation
  • HIPAA and state confidentiality laws
  • Health information technology
  • Quality assurance and risk management
  • Defense of medical negligence claims
  • Medical ethics, including patient consent and competency
  • Anti-dumping statute (EMTALA)
  • Employment
  • Immigration
  • Antitrust counseling
  • Provider-payor contracting
  • Government and community relations

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Representative Matters

  • Guided health care clients through challenging requirements and opportunities, such as corporate compliance plans, electronic medical records and HIPAA implementation
  • Helped organize cooperative joint ventures among different providers, including to share expensive mobile and fixed technologies, to offer managed behavioral health care and to establish a northern New England initiative designed to improve the health of mothers and newborns
  • Assisted clients seeking approvals for innovative approaches to health care delivery by representing them before state facility and professional licensing agencies and the Certificate of Need Board
  • Regularly participated in all aspects of facility construction, including the real estate, regulatory, financing and contracting processes
  • Responded, on a daily basis, to the myriad questions that arise in health care operations such as patient confidentiality and consent

Industries Represented

  • Assisted living and nursing homes
  • Health care
  • Hospitals
  • Pharmacy
  • Physicians
  • Residential care facilities
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Clients. Colleagues. Community.

Since 1946, Orr & Reno has strived to provide our clients with high-quality, ethical and valued legal services; foster a collegial work environment; support professional and personal balance; and invest in our community.

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