Comprehensive business transaction insight for health care entities
John Hintz advises clients on a variety of health care 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:
- Health care 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
A clinical psychologist before becoming an attorney, John began his legal career as in-house counsel with Blue Cross & Blue Shield United of Wisconsin, focusing on health care litigation, insurance compliance and corporate business transactions. He then moved into an executive role, overseeing development, contractual negotiation and administration of subsidiary provider networks.
Experience in Action
- Represents health plans offering Medicare Advantage products, including contracting with vendors, providers and other administrative support companies.
- Assists health plan clients in the area of insurance regulation, including filings and approvals of products, holding company transactions, business plans and related plan changes, and provider contracts.
- Lead counsel in the formation, development and implementation of one of the nation's largest clinically integrated networks consisting of 53 hospitals, 1,180 clinics and over 8,400 clinicians, including clinical integration program design and managed care contract negotiations.
- Lead counsel to a large, multi-specialty group IPA (over 450 physicians) in the formation and administration of its clinical integration program, including the joint negotiation of dozens of managed care contracts with multiple third-party payers.
- Lead counsel in the formation, development and implementation of a multi-specialty group IPA (100-plus physicians) and its initial clinical integration program, including securing first-time managed care contracts.
- Lead counsel on hundreds of managed care contract negotiations on behalf of health care providers (from solo physician practitioners to large, multi-hospital vertically integrated systems), including individual transactions controlling revenues in excess of $200 million annually.
- Lead counsel on hundreds of managed care contract negotiations on behalf of various forms of health insurers and other third-party payers, including individual transactions controlling revenues in excess of $250 million annually.
- Nightingale’s Healthcare News "Ten Outstanding Physician Practice Lawyers"
Professional & Civic Activities
- Disability Rights Wisconsin Protection and Advocacy for Individuals with Mental Illness Advisory Council, member
- American Health Law Association, member
- Marquette University Law School, Adjunct Professor of Law, Managed Health Care,
- Arizona Bar Association, member
- Gerald L. Ignace Indian Health Center, Inc., former board member
News & Insights
- Presentation"PBMs, ERISA Preemption, Rutledge v. PCMA, and Resulting State Laws: The Continuing Story"2023 Pharmacy Law Symposium
July 19-20, 2023Seminar
- Presentation"PBMs: How Did We Get Here? ERISA Preemption, Rutledge v. PCMA, State Laws, and What’s Next"Quarles & Brady's Pharmacy Law Symposium
- News Release
- Presentation"CMS Star Ratings"Quarles & Brady Pharmacy Law Symposium
- News Release
- Marquette University (J.D., 1994)
- The University of Arizona (M.S., 1990)
- University of Wisconsin-Stevens Point (B.S., 1988)
- U.S. District Court, Eastern District of Wisconsin
- U.S. District Court, Western District of Wisconsin
- U.S. District Court, District of Arizona
- U.S. Court of Appeals, 7th Circuit