Spotlight

Barron represented three separate national healthcare systems having a total of 67 hospitals in the settlement of over 21 separate PRRB group appeals of the rural floor budget neutrality issue with the DOJ and CMS OGC for over $50 million in Medicare reimbursement

• Represented a children’s specialty hospital in the creation and structuring of its 5.01a Texas Certified Nonprofit Healthcare Organization and the purchase of over 30 multi-physician group practices valued over millions of dollars in the aggregate and the employment of over 120 pediatricians.
• Represented a Texas Hospital District in the sale of its acute care hospital and related facilities to a national for-profit hospital company with requirements for the company to build the community a new state-of-the-art hospital facility and provide on-going indigent care at specified levels.

Over the course of his career, Barron has handled the following representative list of projects for health industry clients, demonstrating the depth and breadth of his health law practice:

Mergers and Acquisitions

• Represented a Texas Hospital District in the sale of its acute care hospital and related facilities to a national for-profit hospital company with requirements for the company to build the community a new state-of-the-art hospital facility and provide on-going indigent care at specified levels.
• Represented a for-profit company in purchasing a rural acute care hospital from a bankrupt owner/operator, and assisted new owner in CHOW, Medicare certification and accreditation, and operational matters.
• Represented a non-profit hospital system in the acquisition of an acute care hospital from a national for-profit hospital company and later merged the acquired hospital into the non-profit hospital company’s original hospital subsidiary.
• Represented a children’s specialty hospital in the creation and structuring of its 5.01a Texas Certified Nonprofit Healthcare Organization and the purchase of over 30 multi-physician group practices valued over millions of dollars in the aggregate and the employment of over 120 pediatricians.
• Represented a Texas non-profit healthcare system in the creation and structuring of its 5.01a Texas Certified Nonprofit Healthcare Organization for primary care and the purchase of at least eight physician practices and the employment of over 30 physicians.
• Represented a national for-profit hospital company in its acquisition of two west Texas physical therapy practices.
• Represented a national for-profit home health company in selling two of its Texas home health agencies.
• Represented a children’s specialty hospital in the acquisition of a home health company’s assets and operations.
• Represented a large physician owned medical group in the $21,000,000 sale of its for-profit management company to a national for-profit physician management company, involving stock transfers, stock options, convertible debt, securitization of debt, the employment of key executives, and administrative services agreements between the management company and the physician clinics.
• Represented single specialty physician groups in rollup transactions involving the sale of medical material assets to another physician practice group and investment in a related management services organization.
• Represented a Dallas ophthalmologist in the sale of his ambulatory surgery center.
• Represented a Texas health maintenance organization in the sale of its assets and assignment of its provider, beneficiary, and Medicare/Medicaid contracts to a national insurance company.
• Represented a Texas dentist in the purchase of a dental practice from a retiring dentist.

5.01a Texas Certified Non-Profit Healthcare Organizations

• Represented a consortium of several Texas non-profit hospitals and certified non-profit healthcare organizations in making comments to the Texas State Board of Medical Examiners (now the Texas Medical Board) as the Board promulgated its most recent rules regarding the initial and ongoing certification of non-profit healthcare organizations under the Texas Medical Act.
• Represented at least eight different 5.01a Texas Certified Non-Profit Healthcare Organizations in their structuring, obtaining 5.01a certification from the Texas State Board of Medical Examiners (now the Texas Medical Board), obtaining tax-exempt status, transferring funds to and from their non-profit corporate member, purchasing physician practices valued in the millions of dollars, and employing hundreds of physicians.

Healthcare Real Estate

• Represented a Texas hospital authority in a medical office building monetization project soliciting public bids for the long-term lease and management of its current medical office buildings and the construction of a new medical office tower on the campus.
• Represented a national for-profit hospital company in its medical office building development agreements, master leases, and physician leases and sub-leases for three of its Houston hospitals.
• Represented a national for-profit hospital company in its development and construction agreements with a real estate development company for the construction of a two-story medical office facility and its subsequent lease to a large physician clinic.
• Represented a Texas non-profit specialty hospital in the acquisition of over 40 acres via purchase and gift for the development of the hospital’s new west Houston hospital campus.
• Represented a for-profit hospital company in the long term master lease of its entire hospital facility to a non-profit hospital system for operation of the hospital.
• Represented a non-profit specialty hospital in its development and build-to-suit construction agreements with for-profit developers and contractors for the development of several of its satellite health centers for sub-specialty medical services.
• Represented a large multi-specialty physician clinic in negotiating an early termination of its lease of its significant medical office space with a non-profit hospital’s affiliate and negotiation of a new medical office building lease with a for-profit hospital’s medical office building affiliate.

Tax-Exempt Bond Financings

• Represented various hospital districts, hospital authorities, non-profit hospital systems, and non-profit hospitals across the country as bond counsel, underwriter’s counsel, and borrower’s counsel in the issuance of over $750,000,000 aggregate in tax-exempt bonds.

Public Law Matters

• Represented Texas hospital districts and hospital authorities in various public law issues involving Texas open meetings laws, Texas open records laws, seeking Texas Attorney General Opinions, Federal Freedom of Information Act (FOIA) requests, competitive bid projects, etc.

Joint Ventures

• Represented a national for-profit hospital company in its initial limited partnership offering for one of its medical centers and a subsequent follow-up offering.
• Represented a group of five orthopedic surgeons in their investment in an orthopedic ambulatory surgery center.
• Represented a group of over ten pediatric orthopedic surgeons in their investment in an ambulatory surgery center for orthopedic matters.
• Represented a for-profit company in structuring its joint ventures for radiation therapy centers in Texas and other states providing IMRT services for physician group practices, development of the purchased services and management services agreements, and drafting of the appropriate private placement memorandums and other offering documents.
• Represented a public hospital company in unwinding several physician joint ventures that owned and operated major medical equipment.
• Represented a for-profit company in negotiating a joint development agreement with a specialty cancer hospital for the production of radioisotopes and research regarding same.
• Represented a national for-profit hospital company in its initial limited partnership offering for development of a birth center at its Houston women’s hospital.
• Represented an oncologist in purchasing a limited liability company interest in an Arlington cancer center venture.
• Represented an affiliate of a Houston specialty cancer center that provides cancer center management and therapeutic services in a joint venture with another Ft. Worth cancer center.

Provider Reimbursement Review Board (PRRB) Medicare Appeals

• Represented three separate national healthcare systems having a total of 67 hospitals in the settlement of over 21 separate PRRB group appeals of the rural floor budget neutrality issue with the DOJ and CMS OGC for over $50 million.
• Represented a Texas hospital district in the settlement of its PRRB regarding DSH reimbursement.
• Represented a national for-profit hospital company in settling a group appeal for six of its hospitals for acquisition interest expense before the PRRB for over $10,000,000 aggregate Medicare reimbursement.
• Represented a national for-profit hospital company in a successful appeal for one of its hospitals before the PRRB and CMS Administrator of several Medicare reimbursement issues recovering over $2,000,000 Medicare reimbursement.
• Represented a California hospital system in a successful PRRB appeal and CMS Administrator Decision for reimbursement under an improperly denied SNF exemption with a reimbursement effect of several hundred thousand dollars for each of several cost reporting periods.
• Represented a Michigan hospital system in the favorable settlement of numerous PRRB appeal reimbursement issues with a cumulative favorable reimbursement effect of several million dollars.
• Represented a national for-profit hospital company in the favorable settlement of numerous PRRB appeal reimbursement issues with a cumulative favorable reimbursement effect of several million dollars.
• Represented a Texas hospital district in its Medicare appeals before the PRRB and Federal District Court regarding changing the useful lives of two of its hospital facilities.

Organization and Reorganization of Physician Practices

• Represented a large anesthesiology group in restructuring its professional limited liability company and buy-sell agreements, adding new members, and satisfactorily resolving issues with a departing member.
• Represented a large radiology group practice in restructuring its limited liability partnership and buy-sell agreements, adding new partners, and developing its new independent contractor agreements.
• Represented numerous physicians and oral surgeons in joining and buying into various medical practices.

Hospital Contracts

• Represented a non-profit hospital in the development of its entire integrated delivery system.
• Represented various non-profit and for-profit hospitals, as well as physician groups, in contracts involving provider-based physicians (e.g., radiologists, pathologists, ER physicians), medical directors, physician recruitment, teaching physician duties, etc.
• Represented a children’s hospital in development its coverage agreements with a medical school for specialist and sub-specialist services at its provider based suburban health centers.
• Represented various non-profit, for-profit, and public hospitals and other healthcare providers in sale, lease, financing, and maintenance transactions involving complex medical equipment.
• Represented a public hospital in its contract for development and operation of a wound care center.
• Represented a for-profit company operating a proton therapy center in its coverage and transfer agreements with a specialty cancer hospital.

Physician Employment and Recruitment

• Represented innumerable healthcare providers as well as individual physicians, dentists, oral surgeons on both the employer’s and employee’s side in employment, retention, coverage, and independent contractor agreements.
• Represented various hospitals, medical groups, and physicians from each perspective in numerous physician relocation and recruitment arrangements.

Compliance and Self-Reporting

• Represented a non-profit hospital in settling an appeal involving a HCFA TIPPS review with HCFA (now CMS) and the Medicare fiscal intermediary that saved the Hospital over $1,000,000.
• Represented a teaching hospital in making a self-disclosure to the OIG regarding certain issues involving its teaching physicians and their supervision of residents as well as negotiated a settlement of same without fines or the need for a corporate integrity agreement.
• Represented a non-profit hospital system in making a self-disclosure to the OIG regarding certain arrangements with a medical group that employed a physician who was an excluded provider, and negotiated a settlement of same without fines or the need for a corporate integrity agreement.
• Represented a medical school in self reporting certain issues involving grants and resolving same with the OIG and National Institute of Health.
• Represented various hospitals and physician groups in internal audits and investigations to identify and resolve billing errors and other compliance issues, and self-reporting such errors to the appropriate Medicare fiscal intermediary and Medicaid carrier, and repayment of amounts in error without penalties.
• Represented hospitals in drafting their corporate compliance plans.
• Performed internal investigations and legal audits for various healthcare providers.

Academic Medical Centers and Teaching Hospitals

• Represented medical schools in Texas and Michigan regarding various issues involving direct graduate medical educations (GME) reimbursement and indirect graduate medical educations (IME) reimbursement.
• Represented various medical schools in issues involving teaching physicians, supervision, and moonlighting residents.
• Represented a north Texas teaching hospital in negotiating its affiliation agreement with the medical school supplying teaching physicians and interns, residents, and fellows.

Telemedicine

• Represented a medical school in developing a services agreement to provide telemedicine services to a maritime company’s ships overseas.
• Represented a physician organization, whose physicians provide medical services around the globe, particularly in remote locations, utilizing telemedicine technologies.

• Chambers USA: America’s Leading Lawyers for Business, Ranked for Healthcare – Texas, 2019-2024
• The Best Lawyers in America (Woodward/White Inc.), Health Care Law, 2006-2025
• Texas Super Lawyer, Super Lawyers by Thomson Reuters, 2022-2024
• “Top Lawyer” in Best of Houstonia, Houstonia Magazine, 2018
• AV Preeminent, Martindale-Hubbell
• Corporate Counsel, February 2012
• College of the State Bar of Texas

Barron has authored articles and e-Alerts on various health law topics and is a frequent lecturer including presentations for the Texas Association for Healthcare Financial Administration, the Texas Hospital Association, the State Bar of Texas Health Law Section, Baylor College of Medicine/Rice University Executive Education Program, Texas Society of CPAs, the University of Houston Law Center’s Health Law Institute, and the Harris County Medical Society.

• College of the State Bar of Texas
• State Bar of Texas – Health Law, Corporate, and Real Estate Sections
  • Health Law Section, Outreach Committee
• American Health Lawyers Association
• Healthcare Financial Management Association
• Healthcare Compliance Association
• Houston Bar Association, Past President
• Houston Bar Association, Health Law Section, Former Council Member
• The Immunization Partnership, Board of Directors
• San José Clinic, Chair-Elect

More Client Results

September 17, 2024
Attorney News

Jackson Walker Congratulates Its “Texas Super Lawyers” of 2024

Jackson Walker proudly announces the selection of 71 attorneys to Thomson Reuters’ 2024 “Texas Super Lawyers” list.

Each year, less than 5% of attorneys in Texas are named to the list. Selection is based off of peer nominations that are then reviewed by a research team. Each nominee is evaluated on his or her professional accomplishments, peer recognition, and community involvement.

August 15, 2024
Attorney News

‘The Best Lawyers in America’ Features 306 Jackson Walker Attorneys in 2025 Edition, Including 9 “Lawyers of the Year” and 75 “Ones to Watch”

The Best Lawyers in America has recognized 306 Jackson Walker attorneys across 81 specialty practice areas in its 2025 edition, including 9 Lawyers of the Year and 75 Ones to Watch. In this year’s guide, Jackson Walker saw the largest number of attorneys in the areas of Commercial Litigation (75 attorneys) and Real Estate Law (55 attorneys) and the addition of 27 attorneys as Best Lawyers.

June 6, 2024
Spotlight

Chambers and Partners Releases 2024 USA Guide Featuring 67 Jackson Walker Attorneys and 23 Ranked Departments

Jackson Walker is pleased to announce that Chambers and Partners has selected 67 attorneys and 23 departments for inclusion in the 2024 edition of the Global and USA guides. Attorneys were ranked across 27 departments, with 3 attorneys listed among multiple areas, 8 ranked nationwide in their respective areas, and 15 recognized for the first time.

September 19, 2023
Attorney News

Jackson Walker Congratulates Its “Texas Super Lawyers” of 2023

Each year, less than 5% of attorneys in Texas are named to the list. Selection is based off of peer nominations that are then reviewed by a research team. Each nominee is evaluated on his or her professional accomplishments, peer recognition, and community involvement.

August 17, 2023
Attorney News

‘The Best Lawyers in America’ Honors 287 Jackson Walker Attorneys in 2024 Edition, Including 12 “Lawyers of the Year” and 80 “Ones to Watch”

The Best Lawyers in America has recognized 287 Jackson Walker attorneys across 5 offices and 82 specialty practice areas in its 2024 edition, including 12 Lawyers of the Year and 80 Ones to Watch. In this year’s guide, Jackson Walker saw the largest number of attorneys in the areas of Commercial Litigation (66 attorneys) and Real Estate Law (60 attorneys) and the addition of 35 attorneys as Best Lawyers.

June 1, 2023
Spotlight

Chambers and Partners Recognizes Jackson Walker Attorneys and Practices in 2023 USA and Global Guides

Jackson Walker is pleased to announce that Chambers and Partners has selected 51 attorneys and 17 departments for inclusion in the 2023 edition of the Global and USA guides. Attorneys recognized in the guides were ranked in 19 practice areas, with 4 attorneys listed among multiple areas and 6 named among the top attorneys nationwide in their respective areas.

September 21, 2022
Attorney News

Jackson Walker Congratulates Its 64 “Texas Super Lawyers” of 2022

Each year, less than 5% of attorneys in Texas are named to the list. Selection is based off of peer nominations that are then reviewed by a research team. Each nominee is evaluated on his or her professional accomplishments, peer recognition, and community involvement.

August 18, 2022
Attorney News

‘The Best Lawyers in America’ Honors 214 Jackson Walker Attorneys in 2023 Edition, Including 11 “Lawyers of the Year” and 41 “Ones to Watch”

The Best Lawyers in America has recognized 214 Jackson Walker attorneys across 6 offices and 79 specialty practice areas in its 2023 edition, including 11 Lawyers of the Year and 41 Ones to Watch. Best Lawyers listings are based on an exhaustive peer review survey of thousands of attorneys who vote on the legal abilities of others in their practice areas.

June 1, 2022
Spotlight

Chambers and Partners Recognizes Jackson Walker Attorneys and Practices in 2022 USA and Global Guides

Jackson Walker is pleased to announce that Chambers and Partners has selected 48 attorneys and 16 departments for inclusion in the 2022 edition of the Global and USA guides.

August 19, 2021
Attorney News

‘The Best Lawyers in America’ Honors 178 Jackson Walker Attorneys in 2022 Edition, Including 8 “Lawyers of the Year” and 31 “Ones to Watch”

The Best Lawyers in America has recognized 178 Jackson Walker attorneys across 6 offices and 67 specialty practice areas in its 2022 edition, including 8 Lawyers of the Year and 31 Ones to Watch. Best Lawyers listings are based on an exhaustive peer review survey of thousands of attorneys who vote on the legal abilities of others in their practice areas.

More Attorney News

• National for-profit healthcare systems
• A non-profit hospital system with facilities in several states
• Individual for-profit and non-profit acute care hospitals (both urban and rural)
• Texas hospital authorities and hospital districts
• One of the largest children’s specialty hospitals in the nation
• State-sponsored medical schools, academic medical centers, and teaching hospitals
• Numerous certified non-profit healthcare organizations (a/k/a 5.01a corporations)
• Healthcare Management Companies
• Physician practice management companies (MSOs)
• Healthcare billing and collection companies
• Home healthcare agencies
• Rural health clinics
• Imaging centers
• Ambulatory surgery centers
• An endoscopy center
• Cancer treatment facilities, a proton therapy center, and IMRT radiation therapy facilities
• Clinics and large physician single and multi-specialty groups, including internists, family practitioners, pediatricians, orthopedists, OB/Gyns, anesthesiologists, cardiologists, ER physicians, hospitalists, radiologists, pathologists, rheumatologists, oral surgeons, ophthalmologists, and other sub-specialists
• Individual physicians and dentists
• Biotechnology companies
• Telemedicine providers
• Pharmacies, compounding and retail