Gregory J. Pepe heads the Healthcare Law, Alternative Dispute Resolution & Mediation and Corporate & Business Transactions practice areas. His experience in the healthcare market, its accompanying regulatory constructs and related business matters, spans decades. Greg provides his clients the understanding necessary to navigate the changing healthcare landscape.Healthcare issues that Greg often addresses include how providers can successfully negotiate new market ventures and grow their business strategically while operating within policies and legal regulations. Greg has extensive experience in addressing the myriad of business issues facing healthcare providers. He skillfully provides counsel and solutions for his entrepreneurial clients.The business issues that hospitals, doctors, lab companies, and other healthcare providers face are extremely complex. Greg works with clients to establish business relationships such as partnership agreements, corporation agreements, noncompetition agreements, compensation arrangements, and provider contracts. The agreements and contracts are crafted to provide the legal structure for the entity to operate effectively. To that end they are constructed with the objective of avoiding future disputes.
There are numerous types of disputes that might arise within the healthcare industry; between providers and payors, doctors and hospitals, senior and junior doctors, and partnerships. Within the arena of dispute resolution and mediation Greg assumes the patient/provider perspective and works as an advocate for the patient or provider.
For example, in a recent arbitration, a national ancillary healthcare service provider claimed that a national payor entity had wrongfully denied over 30,000 claims for reimbursement. The provider contract between the parties called for the parties to attempt a resolution of the dispute by unstructured negotiations. When those negotiations failed, both parties submitted the dispute to a panel of three arbitrators. Greg was appointed by the national healthcare provider as one of the arbitrators. He, together with the other arbitrators, worked with both parties to achieve resolution. The emergence of large healthcare provider groups and networks presages large and complex arbitrations when the parties have disputes.
Greg has been an advisor to a number of state medical societies, including the Connecticut State Medical Society. He provides counsel for physician practice management issues within the context of organized medicine and initiation of litigation by medical societies against managed care companies. He represents numerous physician groups, including large integrated practices, IPAs, PHOs, and others involved in healthcare law issues.
Martindale-Hubbell Distinguished
Gateway Community College Foundation, Corporate Honoree
The Connecticut Hospice, “Spirit of Hospice” Award
New Haven BIZ, 2020 “New Haven Power 50” New Haven