Comprehensive business transaction insight for healthcare entities

John Hintz advises clients on a variety of healthcare business transactions, including forming and administering clinically integrated networks, negotiating managed care contracts (including risk and other value-based reimbursement arrangements) and establishing and maintaining legal compliance (including antitrust, insurance and data sharing). He supports a range of clients such as:

• Healthcare providers, including vertically integrated systems, clinically integrated networks, accountable care organizations, physician-hospital organizations, hospitals and hospital systems, large and small physician groups, individual practice associations and ancillary providers
• Payers, including indemnity insurers, HMOs, self-funded employers, reinsurers and Taft-Hartley Trust Funds
• Third-party administrators
• PPOs
• Billers

A clinical physiologist before becoming an attorney, John began his legal career as in-house counsel with Blue Cross & Blue Shield United of Wisconsin, focusing on healthcare litigation, insurance compliance and corporate business transactions. He then moved into an executive role, overseeing development, contractual negotiation and administration of subsidiary provider networks.

Bar Admissions

• Arizona
• Wisconsin

Education

• Marquette University (J.D., 1994)

• The University of Arizona (M.S., 1990)

• University of Wisconsin-Stevens Point (B.S., 1988)

• "CMS Star Ratings"
• "PBMs, ERISA Preemption, Rutledge v. PCMA, and Resulting State Laws: The Continuing Story"
• "PBMs: How Did We Get Here? ERISA Preemption, Rutledge v. PCMA, State Laws, and What's Next"
• Arizona Offshoring Requirements Set to Change
• COVID-19 Coverage and Provider Payments Updates
• New Coronavirus Relief for Plan Enrollees Means Extra Work for Plan Sponsors, Insurers and Plan Service Providers
• New York State Department of Financial Services Reporting Requirements for Pharmacy Benefit Managers
• Oklahoma Patient's Right to Pharmacy Choice Act Preempted by ERISA
• States Adopt NAIC Model Bulletin on Insurers' Use of AI
• The Lower Costs More Transparency Act of 2023
• Wisconsin Insurers Should Start Now on the First Corporate Governance Annual Disclosure

Seminar

• 2019 Pharmacy Law Symposium
• 2022 Pharmacy Law Symposium
• 2023 Pharmacy Law Symposium
• 2024 Pharmacy Law Symposium
• 2026 Pharmacy Law Symposium