Health Care and Human Services

Brown & Weinraub is uniquely positioned to monitor state and federal policy and regulatory changes, predict trends, identify new opportunities and potential challenges, and develop strategies to address challenges or opportunities presented by the rapidly evolving health care landscape. We are similarly attuned to issues affecting the delivery of the full range of human services.

Central to this strength is our diverse client base representing the spectrum of stakeholders in the health and human services sector. This ensures that we have a complete view of reforms underway at the federal level and in New York State, which enables us to help our clients adapt. Further, it positions us to identify opportunities for collaboration within and outside our client base. Our services also include targeted strategic advice and counsel related to specific transactional matters such as shepherding expansion or construction projects and licensure applications through state agencies.

Our clients include but are not limited to:

  • Hospitals
  • Diagnostic and treatment centers, including federally qualified health centers
  • Health care systems
  • Community-based providers of health and human services
  • Nursing homes, certified home health agencies and other long term care providers
  • Payers (commercial, government programs and special populations managed care plans)
  • Behavioral health providers
  • Providers of services for the developmentally disabled
  • Associations
  • A major health systems planning agency
  • A medical malpractice insurance company
  • Start-up ventures in the health care sector

Our seasoned team serves as vigorous advocates for our clients by:

  • Working with our clients to frame challenges or opportunities, develop proposed solutions consistent with a reform environment, and communicate the same to agencies of jurisdiction, the executive branch and the state legislature to influence policy development
  • Working with our clients to develop their value proposition and identify opportunities for partnership with the state
  • Connecting clients with key decision-makers

Our Strategic Planning Services include:

  • Assisting in reviewing and developing short, medium and long range strategic business plans including clinical, demographic, utilization and financial factors for health care providers, care systems, payers and other stakeholders
  • Identifying and evaluating initiatives responsive to federal and state health reform
  • Assessing, cultivating and making recommendations on potential public and private partnering opportunities relating to strategic alliances, mergers, acquisitions, consolidations, joint ventures, affiliations and divestitures/sales
  • Conducting program and financial restructuring and valuation analyses.
  • Conducting market area and service assessment including competitors and in/out-migration
  • Advising on regulatory matters and processes
  • Interfacing with governmental entities to identify and remove obstacles to successful strategic plan execution
  • Presenting in stakeholder meetings or public forums

Our transactional support includes:

  • Assist in reviewing and designing appropriate capital investment and feasible financing strategies
  • Provide guidance and recommendations including cost/benefit of refinancing and new debt/leasing options
  • Maintain relationships with the lending community
  • Interface with state agencies responsible for approving projects or applications
  • Interface with the NYS Dormitory Authority and investment bankers regarding financing alternatives
  • Assess options for credit enhancement such as FHA Insurance, letters-of-credit, bank loans, private placements and obligated groups
  • Explore potential equity sources such as grants, philanthropy and internally generated funds
  • Assess appropriate debt to equity ratios
  • Provide advice on regulatory matters and processes
  • Present in public forums
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