Overview

Lynsey Mitchel is a partner in the Corporate Practice Group in the firm's Century City office, a leader of the Health Plan Practice and a member of the firm's Healthcare team.

Areas of Practice

Lynsey represents health maintenance organizations, managed care organizations, medical groups, hospitals, home health providers, medical device retailers and other healthcare entities and providers.

Lynsey has deep expertise in managed care, including HMO regulatory matters and has assisted numerous clients to obtain HMO licensure as healthcare service plans under California’s Knox-Keene Health Care Service Plan Act. Lynsey has represented approximately half of all currently licensed restricted Knox-Keene HMO license holders in California in their licensure process. Lynsey has worked on HMO licensure and other matters for Medicare Advantage, commercial and Medicaid health plans, including dental and vision plans. Lynsey also assists health plans with regulatory compliance matters, material modifications, growth strategies, acquisitions, training, and drafting and negotiating provider contracts, plan-to-plan contracts and pharmacy benefit manager contracts.

In the managed care sector, Lynsey represents payors and providers participating in accountable care organizations (ACOs), bundled payment initiatives and other cutting edge risk-sharing arrangements, including pay-for-performance and gainsharing arrangements. Lynsey works with national and regional health plans (including full service and specialty plans), as well as large health systems and physician groups, on a broad range of matters including population health management strategies, provider employment, risk-based, performance-based and value-based payor and provider contracting, compliance, acquisitions and physician alignment strategies.

Lynsey’s practice is focused on licensing and other regulatory compliance matters, business transactions, patient privacy issues including HIPAA and HITECH Act compliance, and telemedicine, as well as Medicare and Medicaid reimbursement and certification. In addition, she counsels clients on state and federal fraud and abuse issues, including the Stark Law and anti-kickback and fee-splitting laws.

Experience

Experience

Recent Selected Operational and Contracting Projects

  • Represented large provider and operator of specialty health plans in structuring a national downstream global risk and population health management shared savings program.
  • Assisted major insurer to the Medicare Advantage line of business in ten geographic markets and advised on its state and federal licensing and contracting.
  • Structuring innovative “two-site, one program model” between large university health system and regional children’s hospital to transform pediatric care delivered by the hospitals
  • Assisting ambulatory surgery center client to establish innovative bundled payment arrangements focused on total joint and spine surgeries
  • Assisting children’s hospital to evolve to a multi-hospital health system and advising on physician integration strategies and population health initiatives
  • Negotiating commercial ACO shared savings arrangements on behalf of an ACO made up of independent primary care physicians focused on business and practice transformation services
  • Drafting agreements between behavioral health provider and self-insured employers focused on optimization of delivery of services through proprietary healthcare technology

Honors

Honors

The Legal 500 US, Healthcare, 2018-2019

Insights

Articles

  • Co-Author with Florence Wang, "The Affordable Care Act: What Every Business Lawyer Needs to Know," Vol. 29, California Business Law Practitioner, Spring 2014
  • Co-Author with Mark A. Kadzielski, "An Analysis of the New Federal Patient Safety Law and Final Rule," Vol. 11, Journal of Health Care Compliance, 2009
  • Co-Author with Dayna Nicholson, "A Medical Error Happened: Now What? The Implications for Medical Errors Heat Up,"Vol. 10, Journal of Health Care Compliance, 2008
  • Co-Author with Abbie Maliniak, "Overview of the Current State of HIPAA Enforcement," Vol. 19, Managed Care Outlook, 2006

Healthcare Law Blog Posts

Speaking Engagements

  • “Building Tailored Networks,” Speaker at Pre-Conference, 10th Annual MDS Healthcare Leadership and Executive Conference, October 3, 2015
  • "Integrated Delivery Systems: Lessons Learned and New Contracting Challenges," CSHA Annual Meeting & Spring Seminar, April 17, 2015

Memberships

Memberships

Chair, American Bar Association Section of International Law, Life Sciences and Health Law Committee

California State Bar, Executive Committee Member of the Health Law Committee, Business Law Section (2010–Present)

Los Angeles County Bar Association, Health Law Section, Executive Committee (2007-2010)

American Health Lawyers Association

Industries

Education

J.D., Pepperdine University, 2004, cum laude

M.P.H., University of California, Los Angeles, 2001

B.A., Texas Tech University, 1999, magna cum laude

Admissions

  • California
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