David E. Kopans

David Kopans advises clients throughout the insurance and managed health care industries on regulatory compliance and complex contractual and transactional arrangements.  Clients look to David for his ability to blend his extensive knowledge of the insurance and health care industries, including government health care programs, to help them navigate federal and state regulatory frameworks, coordinate with government agencies, and achieve their business goals.

David’s insurance-regulated clients have included national and regional insurers, third-party administrators, pharmacy benefit managers, managing general agents, utilization review agents, insurance producers, managed care entities, risk bearing provider entities, and other insurance-regulated entities.

He assists such clients with formation, licensure, and various regulatory compliance matters, including Insurance Holding Company Act filings, rates and form filings, and regulatory approvals related to mergers and acquisitions, including Medicare Advantage, Medicare Part D, and Medicaid managed care organization changes of ownership.

David also advises health care providers, clinically integrated networks (CINs), independent practice associations (IPAs), accountable care organizations (ACOs), and other risk-bearing and non-risk bearing provider organizations (POs) with respect to their formation, regulatory compliance and managed care and vendor contracting, value-based payment arrangements, including participation in government initiatives, such as the Medicare Shared Savings Program and ACO REACH Model.

In addition, David advises clients across the insurance, health care, and life sciences industries on transactional and regulatory compliance matters related to health information privacy and security under the Health Insurance Portability and Accountability Act (HIPAA), the Information Blocking Rule, the Part 2 Rule, and a variety of other state and federal health data protection laws.