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Andrea M.
Ferrari

Position
Partner
Office
Miami

Andrea Ferrari is a partner in the Corporate Practice Group and a member of the firm’s Healthcare Industry Team. Prior to joining Jones Walker, she was a partner and chief diversity, equity and inclusion officer at one of the nation’s most prominent healthcare valuation and consulting firms. Before joining that firm, she was a member of the healthcare practice group of a global Am Law 100 law firm.


Andrea’s regulatory practice is national in scope and includes providing transactional, operational, governance, and dispute resolution counsel for a broad array of nonprofit, for-profit, and governmental clients. She focuses on structuring, documenting, managing, and, when necessary, defending financial arrangements involving healthcare providers, which often involves attention to the “Big Three” compliance requirements of being fair market value, being commercially reasonable, and not inappropriately taking into account the volume and value of referrals. Her work includes assisting clients with mergers and acquisitions, affiliations, joint ventures, public-private partnerships, enterprise-level compliance programs, and healthcare workforce recruitment and management arrangements, including significant incentive, independent contractor, and employment arrangements that exceed $1 million in annual compensation.  Her work also includes outside general and special counsel services for healthcare clients, often with respect to their contracting and compensation practices.

In addition to assisting healthcare clients in significant transactions, investigations, litigation and compliance planning, Andrea utilizes her public health training to assist clients both within and outside of the healthcare industry with post-pandemic population health strategies, including protocols for health services staffing, vaccination, quarantine, emergency preparedness and response, and the promotion of health equity.

Andrea brings to her work broad healthcare industry experience and unique perspective on the common regulatory requirements of fair market value and commercial reasonableness developed in her years as a valuation professional focused on healthcare and as the author of more than 100 presentations and publications on these topics. In her more than 25 years in the healthcare industry, Andrea has worked with some of the largest health systems, physician groups, and life sciences companies in the United States, as well as numerous Fortune® 500 and Fortune® 100 companies and False Claims Act defense counsel. In addition to her experience as partner at one of the nation’s leading healthcare-focused valuation and consulting firms, Andrea draws on her experience as an attorney in the healthcare practice group of a global Am Law 100 law firm, as contract associate general counsel for a regional public health system providing safety-net and trauma care, working in-house in a major urban academic medical center, coordinating clinical research at several well-known teaching hospitals and working with life sciences companies through a firm providing drug development consulting for the pharmaceutical industry.

Although Andrea’s experience includes a broad spectrum of healthcare transactions, investigations, and litigation, she is most-known for her work with uniquely experienced “Rockstar” physicians and academic, safety-net, and public hospitals. Her recent focus areas have also included:

  • Providing pre- and post-transaction due diligence for major acquisitions, joint ventures, and affiliations, including financial review for compliance with fraud and abuse laws, tax exemption regulations, antitrust laws, anti-discrimination laws, other legal and regulatory requirements, and Environmental, Social, and Governance principles
  • Assisting clients in transitioning to value-based payments, including structuring compliant compensation plans and incentive payments in the context of coordinated care and provider alignment strategies, such as clinically integrated networks, accountable care organizations, hospital quality and efficiency programs, gainsharing arrangements, and co-management and bundled payment arrangements
  • Avoiding fraud and abuse issues in clinical research agreements, including establishing and maintaining clinical research compliance programs for proper budgeting and payments
  • Advising clients on compliant provider recruitment and retention strategies, including for shortage areas and uniquely experienced teaching, thought leader, and “Rockstar” physicians
  • Addressing staffing and contracting issues for essential providers, including safety-net and rural provider organizations, children’s hospitals, and public hospitals and health systems
  • Assisting clients with significant medical director and physician consulting agreements, including as the author for medical director arrangements for multiple editions of the American Health Law Association and Business Valuation Resources joint guide to healthcare arrangements
  • Designing regulation-compliant population health and public health advancement strategies, including compensation and incentives to promote health equity and diversity in the provider workforce
  • Providing counsel on public and population health topics such as vaccination, quarantine, supply chain management, disability accommodation, and mandated requirements for disaster preparedness for both healthcare and non-healthcare clients, including hospitality industry clients

Publications

  • "Eliminating Health Disparities by Diversifying the Provider Workforce," HealthCare Appraisers FMVantage Point, December 14, 2021
  • "Financial Stabilization and Recovery for Rural and Safety Net Hospitals Post COVID – New Developments and Options Going Forward," American Health Law Association Member Briefing, September 22, 2021
  • "The Long Awaited New Stark and Anti-kickback Final Rules: New Definitions for Commercially Reasonable, Fair Market Value and Taking into Account the Volume or Value of Referrals: What Do They Mean for Physician Compensation?" Healthcare Appraisers FMVantage Point, December 2020
  • "The Value of Fair Market Value Review in a Hospital's Preparation and Response to Coronavirus," Healthcare Appraisers FMVantage Point, March 2020
  • "Whack-a-Mole to Pac-Man: The Evolving Influence of Hospital-Physician Alignment Agreements," Journal of Health and Life Science Law, October 2019
  • "Hospital-Physician Alignment Through Service Line Co-Management and Hospital Quality and Efficiency Programs: Fair Market Value and Commercial Reasonableness Stumbling Blocks," The Health Lawyer, a publication of the American Bar Association, Vol. 31, No. 3, February 2019
  • "Anti-Kickback Rule Changes Could Speed Up Research at Hospitals," Bloomberg Law, August 30, 2018
  • "Medical Director Services," BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements, a publication of the Business Valuation Resources and the American Health Lawyers Association, multiple editions
  • "Lessons from a Shocking September: A Busy Month of False Claims Act Settlements Arising from Allegations of Improper and Excessive Physician Compensation," Healthcare Appraisers FMVantage Point, October 2015
  • "Shifting Paradigms: The Potential Impact of MACRA on What Constitutes Fair Market Value and Commercial Reasonableness in Healthcare Transactions," Hospitals and Health Systems RX, American Health Lawyers Association, October 2016
  • "Medical Directorships for Hospitals and Other Healthcare Facilities," American Health Lawyers Association, multiple editions
  • "Searching for Bigfoot on the Front Lines: Strategies for Transforming Faculty Compensation in an Accountable Care World," Connections, American Health Lawyers Association, May 2016
  • "The Clinically Integrated Value-Focused World: 7 Tips for Hospitals," Beckers Hospital Review, May 2016
  • "Clinically Integrated Networks and Bundled Payments: Strategies for Hospitals and Health Systems," Hospitals and Health Systems RX, American Health Lawyers Association, May 2015
  • The AHLA Health Care Real Estate Fair Market Value Lease Toolkit, multiple editions, American Health Lawyers Association, 1st ed. January 2015
  • "Doing Good vs. Doing Right: Lessons for Public Health Systems in United States ex rel. Baklid-Kunz v. Halifax and Other Recent Whistleblower Suits," Hospitals & Health Systems RX, American Health Lawyers Association, Vol. 16 No. 2, November 2014
  • The AHLA Health Law Curriculum Toolkit, multiple editions, American Health Lawyers Association, 1st ed. September 2014
  • "Public Health Systems and Public Records Laws–Managing Information, Expectations, and Fair Market Value When Transacting Business in the Public Eye," American Health Lawyers Association, April 2014
  • "Rockstars and Boat Rockers: Negotiating and Structuring Compensation Arrangements with Rockstar Physicians," Hospitals and Health Systems RX, American Health Lawyers Association, Vol. 16 No. 2, May 2014
  • "Compensated On-Call Coverage: What's New?" The Health Lawyer, American Bar Association, Vol. 23, No. 3, February 2011
  • "Manufacturer Payment Sunshine Provisions Under PPACA: New Reasons to Substantiate Payments as Fair Market Value," Life Sciences, American Health Lawyers Association Life Sciences Practice Group, Vol. 4, Issue 3, December 2010
  • "Determining 'Fair Market Value' for Physician Consulting Services: The New 'Big Question' for Life Sciences Companies," Life Sciences, American Health Lawyers Association Life Sciences Practice Group, Vol. 3, Issue 1, April 2009
  • "On Call Payments to Physicians Require Safeguards," South Florida Hospital News, January 2008
  • "On-Call Arrangements—Selecting the Appropriate Structure in Light of OIG Advisory Opinion 07-10," Hospitals and Health Systems RX, American Health Law Association, Vol. 10, Issue 2, June 2008
  • "Lessons from Evanston: FTC Orders Novel Remedy in Hospital Merger Case," Antitrust in Health Care Alert, September 2007
  • "Preparing for Public Health Emergencies," Scripps Treasure Coast Business Journal, 2006

Presentations

  • "A Hidden Minefield? Navigating Legal and Compliance Risks in Clinical Research Budgeting and Compensation," Healthcare Compliance Association Research Compliance Conference, June 9, 2022
  • "Physician Compensation After Changes to the Stark Law and Anti-kickback Statute Regulations: The View from 2022," Strafford Legal Webinars, April 7, 2022
  • "Fair Market Value in Health Care – the Ninth Annual Year in Review: A New Stark-ly Different Post-COVID World, One Year Later," American Health Law Association Physicians and Hospitals Law Institute, February 3, 2022
  • "Care Coordination, Clinical Integration and Physician Incentives after Stark Law and Anti-kickback Statute Rule Changes," Strafford Legal Webinars, October 18, 2021
  • "The Terrible, Horrible, No-Good Very Bad Year: How Did We Do and Where Do We Go From Here? Understanding the Strides and Obstacles to Workforce Diversity and Inclusion Through the Lens of COVID," American Health Law Association Annual Meeting, June 30, 2021
  • "Physician Compensation After 2020 Changes to the Stark Law and Ant-Kickback Regulations: FMV, Commercial Reasonableness and Volume or Value Standards, Part II," Strafford Legal Webinars, May 14, 2021
  • "Highway to the Danger Zone: Compliance Related Transactional Challenges and Options to Overcome Them for Hospitals in Distress," American Health Law Association Health Care Transactions Conference, April 16, 2021
  • "Looking Back and Looking Ahead at Physician Compensation: The View After Stark and Anti-kickback Changes," Institute for Continuing Legal Education, 27th Annual Health Law Institute, April 16, 2021
  • "Physician Compensation After 2020 Changes to the Stark Law and Anti-Kickback Regulations: New FMV, Commercial Reasonableness and Volume or Value Standards, Part I," Strafford Legal Webinars, February 24, 2021
  • "Fair Market Value in Health Care—The Eighth Annual Year in Review: A New Stark-ly Different, Post-COVID World," American Health Lawyers Association Physicians and Hospitals Law Institute, February 12, 2021
  • "Compensation Arrangements with Rockstar Physicians: Key Legal and Fair Market Value Considerations in the Age of COVID-19," Strafford Legal Webinars, December 10, 2020
  • "Medical Directorships: Key Considerations, Fraud and Abuse Compliance, and Lessons from Recent Enforcement," Strafford Legal Webinars, October 20, 2020
  • "Rural Healthcare and COVID-19, Part II," Podcast, American Health Lawyers Association, August 21, 2020
  • "Structuring and Managing Clinically Integrated Networks—The View from 2020: What's New and What Do We Do Now?" Strafford Legal Webinars, August 18, 2020
  • "Structuring and Implementing Physician Incentives in the Age of the COVID-19 Public Health Emergency," Strafford Legal Webinars, June 25, 2020
  • "Designing Transitional Compensation Models During the COVID-19 Public Health Emergency," webinar, American Health Lawyers Association, May 14, 2020
  • "Convergence and Collaboration—The Partner or Perish or Partner and Perish Dilemma: Special Legal and Regulatory Considerations for Achieving Integrated Care with Tax-Supported, Non-Profit, Rural and Other Safety Net Health Systems," American Health Lawyers Association webinar, May 7, 2020
  • "Navigating the Danger Zone: Transactional Decisions for Hospitals in Distress," American Health Lawyers Association Health Care Transactions Virtual Conference, April 22, 2020
  • "Rural Healthcare and COVID-19, Part I," podcast, American Health Lawyers Association, April 15, 2020
  • "Preparing for and Responding to Patient Surges: Addressing Space, Supplies and Equipment," podcast, American Health Lawyers Association, April 8-15, 2020
  • “Lessons from Hahnemann University Hospital: What We Can Learn About Operational Questions, Legal Options and Danger Zones for Hospitals in Distress," American Health Lawyers Association, March 24, 2020
  • "FMV, Commercial Reasonableness and Other Provisions of the Recent Proposed Stark Rules—What Might They Mean for Provider Compensation Going Forward?" Emerging Issues in Health Law, American Bar Association, March 2020
  • "Fair Market Value in Health Care—The Seventh Annual Year in Review: A Whole New World or Just the Triple Grand Slam in the Middle of the World Series?", February 10-12, 2020
  • "Narrowing the Rural Health Disparity Gap: Success in Using ACOs and Integrated Care Models," American Health Lawyers Association, November 14, 2019
  • "Compensation Arrangements with Rockstar Physicians: Key Legal and Fair Market Value Considerations," Strafford Legal Webinars, October 17, 2019
  • "Not Your Father's Compliance Review—A Counsel and Compliance Officer's Guide to Compliance Reviews for 2019 and Forward: The Value-Based World," Fraud and Compliance Forum, American Health Lawyers Association, September 25, 2019
  • "Danger Zones: The Ethics of Closing or Defending a Deal and Keeping Your Client Out of Trouble," American Health Lawyers Association webinar, September 19, 2019
  • "The General Counsel Series, Part II: Contract Management and Compliance Best Practices," American Health Lawyers Association, May 16 and 19, 2019
  • "Structuring Physician Incentives—Regulatory Compliance and Avoiding Potential Pitfalls," Strafford Legal Webinars, June 6, 2019
  • "Due Diligence in the Era of Value-Based Payments: Not Your Father's Compliance Review," Health Care Transactions, American Health Lawyers Association, May 1-3, 2019
  • "The Stark Reality of Coordinated Care," ICLE's 25th Annual Health Law Institute, Michigan Bar Association, March 19, 2019
  • "How Much Should a 'Rockstar Physician' Make? Key Legal and Fair Market Value Issues for Paying Specialized and Highly Productive Physicians," American Health Lawyers Association, March 12, 2019
  • "Structuring and Managing Clinically Integrated Networks—The View from 2019: What's New and What Do We Do Now?" Strafford Legal Webinars, February 27, 2019
  • "FMV in Health Care—the Sixth Annual Year in Review—Traveling the Road to Value-Based Payment: Where Does the Road Lead Now?" American Health Lawyers Association Physicians and Hospitals Law Institute, February 4-6, 2019
  • "Known Unknowns: Challenges in Advising Healthcare Clients When Uncertainties Are Certain," American Bar Association Washington Health Law Summit, December 4-6, 2018
  • "Understanding the Benefits and Obstacles of 'Networking' – Where We Stand with Coordinated, Accountable and Clinically Integrated Care," Nevada Bar Association Population Health Conference, November 30, 2018
  • "Seeking Dr. Dreamy: Case Studies in Fair Market and Commercial Reasonableness of Recruitment Incentives and Compensation Packages for Rural, Academic and Safety Net Providers," American Health Lawyers Association, May 15, 2018
  • "Legal Issues in Designing and Valuing Physician Incentives in an Age of Certain Uncertainties," American Health Lawyers Association Health Care Transactions Conference, May 10-11, 2018
  • "Right Sizing Your Fair Market Value and Commercial Reasonableness Process: Finding an Approach That Aligns with Industry Guidance and That Works for You," webinar, American Health Lawyers Association, March 7, 2018
  • "Structuring Clinically Integrated Networks: Evolving Legal Issues, Tax Reform and Other Game Changers," Strafford Legal Webinars, February 14, 2018
  • "Fair Market Value in Health Care – The 5th Annual Year in Review: Stops on the Road to Value Based Payment," American Health Lawyers Association Physicians and Hospitals Law Institute, February 5-7, 2018
  • "Structuring and Managing Oncology Services Lines: Regulatory Challenges, Physician Employment, and More," Strafford Legal Webinars, January 24, 2018
  • "Public/Private Partnerships in Health Care – Version 2.0: Understanding the Rules for Public Actors, Public Records and Public Provider Payments in the Post-ACA, Post-MACRA World," American Health Lawyers Association webinar, November 6, 2017
  • "Big Changes or Big Trouble? The Impact of Gainsharing, ACOs, CINs and New Models of Finance and Delivery,” American Health Lawyers Association webinar, June 19, 2017
  • "Structuring a Compensation Framework for Clinical Research: Mitigating Fraud and Abuse Risks, Navigating FMV and Learning the Lessons from Recent Enforcement Actions," Strafford Legal Webinars, May 24, 2017
  • "Clinical Trial Mock Budget – A Dive Into Granular Budget Details and the Role of 'Fair Market Value' in Smart and Compliant Budgeting," CBI Clinical Trial Budgeting & Forecasting, February 22, 2017
  • "Herding Cats and Chasing Unicorns: Implementing FMV in Clinical Research Budgets," CBI Clinical Trial Agreements, Investigator Payments and FMV, December 6-7, 2016
  • "Traveling the Road to Value-Based Payment in a Regulatory Enforcement Minefield, Part IV: Medicare's New and Clarified Rules," American Health Lawyers Association webinar, November 15, 2016
  • "Anti-Kickback Risk Management – Fair Market Value," Third Annual Medical Device & Healthcare Technology Compliance Institute, hosted by the American Bar Association, October 13, 2016
  • "Legal Ethics for Dealing with Sticky Provider Compensation Issues: The View from the Post-Tuomey World," Texas Health Law Conference, Texas Bar Association, October 13, 2015
  • "Getting to Yes (Ethically): Legal Ethics for Dealing with 'Sticky' Compensation Issues, Including Timing, Stacking, Quality, Value and the Like," American Health Lawyers Association Annual Meeting, June 29, 2015
  • "Getting to Yes (Ethically): Legal Ethics, Fair Market Value Pitfalls and Physician Transactions When Money Is the Issue," American Health Lawyers Association Health Care Transactions Conference, April 16-17, 2015
  • "Rules, Tools and Fools: Physician Recruitment, Employment and Contracting Ethics – When It’s All About the Money, Do You Have an Obligation to Keep Your Client from Giving Away the Kitchen Sink?" American Health Lawyers Association webinar, March 12, 2015
  • "Is It All About the Money? 10 Lessons on Fair Market Value from Halifax and Other Recent Court Cases," Boston Bar Association, October 27, 2014
  • "What Do 'Rockstars' Make? Legal Issues in Recruiting and Retaining Best of Breed Physicians," American Health Lawyers Association Physicians and Hospitals Law Institute, June 14, 2014

Memberships

  • American Association of Provider Compensation Professionals
  • American Bar Association
    • Health Law Section
    • Antitrust Law Section
  • America’s Essential Hospitals
  • American Health Law Association (AHLA)
    • Public Health Systems Practice Group, Chair (2017–2021)
    • Fair Market Affinity Group, Chair (2014–2017); Vice Chair (2011–2017)
    • AHLA/NACVA Workgroup, Vice Chair (2015–2016)
    • Member, Hospitals and Health Systems Practice Group
    • Member, Academic Medical Centers Practice Group
    • Member, Life Sciences Practice Group
    • Member, Fraud and Abuse Practice Group and Fraud and Abuse Compliance Committee
    • Member, Business Law and Governance Practice Group
    • Member, Antitrust Practice Group
    • Member, Women’s Leadership Council
  • American Public Health Association
  • Association of Clinical Research Professionals
  • Florida Bar, Health Law Section
  • Health Care Compliance Association
  • National Association of Certified Valuators and Analysts (NACVA)
  • Chief Miami (Executive Women’s Advocacy), Founding Member
  • Crohn’s and Colitis Foundation of America
  • Society of Law, Medicine and Ethics
black and white headshot of Andrea M. Ferrari
Miami
201 S Biscayne Blvd
Citi Center, Suite 3000
Miami, FL 33131-4341
D: 305.679.5734
F: 305.679.5835
Emailaferrari@joneswalker.com

Education

  • Boston University School of Law
    Certificate of Concentration in Health Law, 2003
  • Boston University School of Public Health
    Certificate of Concentration in Health Law with secondary focus in epidemiology and biostatistics, 2000
  • Smith College
    BA, Economics, 1996

Bar Admissions

  • Florida

Related Practices

  • Commercial Transactions
  • Corporate Compliance & White Collar Defense
  • Corporate Governance
  • Disaster Preparedness & Recovery
  • Executive Compensation
  • Healthcare Practice

Related Industries

  • Healthcare
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