Ferraiuoli’s health and insurance law practice has emerged in response to the ever-growing needs of this industry in Puerto Rico. The practice of healthcare and insurance law here has its own nuance, influenced by local and stateside trends and regulations that affect all players in the field.
With an acute awareness of the coexisting legal requirements of each system and how they interact with each other within the Puerto Rico framework, we have developed the ability to analyze and understand these trends and its sources, identifying alternative responses to the challenges they present.
We offer a unique combination:
- in-depth knowledge and experience generally available only from larger, stateside law firms
- first-hand understanding of the Puerto Rico healthcare and insurance landscape
- personal attention, responsiveness, and cost-efficiency of a smaller, more agile law practice
Our knowledge of the many technical aspects of Medicare, Medicaid, insurance claims, payment practices and the intricate local and federal regulatory requirements of this industry gives us a significant edge in counseling against the threat of litigation and defending claims filed against our clients. We have detailed knowledge and have participated in healthcare-related multi-district litigation and class actions against health insurers.
We Handle
- Contract negotiations
- Legal counseling and opinions
- Complex compliance issues embedded in the local and stateside regulatory environment
- Administrative prosecution of matters pertaining to permits
- Government requirements for stateside and local businesses
Joint Efforts With Our Other Practices
- Corporate and Tax: counsel in designing and structuring the appropriate organizational needs, including the structuring of ACO’s, Super Groups and other provider-oriented organizational solutions which take into account Puerto Rico’s unique market needs and provide alternatives for the various healthcare components of the industry. This collaboration helps clients identify opportunities that are adequately adapted to their practices and interests, allowing them to achieve success in this complex and highly regulated field.
- Bankruptcy and Creditors’ Rights: assistance in managing major creditors’ claims and adversary proceedings in the bankruptcy arena by providing guidance and understanding to this related workgroup of the particular intricacies of the healthcare industry. With the emergence of serious economic issues, many healthcare clients seek proficiency in the bankruptcy field combined with knowledge in the healthcare business. We have created a unique niche in this area by handling the needs of these clients with the expertise, adequacy and cost efficiency required, always keeping in mind the best interest of the clients.
- Government and Legislative Affairs: legislative assistance services and monitoring of legislative and administrative initiatives at the federal and local levels. Our deep experience in the health insurance business provides us with valuable insights regarding the logistics of governmental agencies and the intricacies of healthcare delivery systems on the island. This knowledge has become an important tool for our clients in the successful planning of their efforts and executive decision-making process.
- Litigation: administrative and litigation support for clients, including proficiency in the medical malpractice area, with emphasis in actions filed against healthcare providers and industry contractors. We promptly identify strengths and weaknesses in defending our clients and provide alternatives to protect their interests from the onset of claims.
Notable Clients
By recruiting leading professionals who possess the experience required to counsel our diverse client base, we have excelled in providing solutions directed at preventing the pitfalls of unnecessary litigation and administrative proceedings. We represent many key players in the healthcare and insurance areas:
- Triple-S Salud, Inc.
- First Medical Health Insurance Plans
- MMM Healthcare Corporation
- Hospital Auxilio Mutuo
- Hospital San Juan Capestrano
- Special Care Pharmacy
- Inspira de Puerto Rico, Inc.
- The Title Insurance Company
- Iké Asistencia
- Progressive Health Partners
- Jasso LLC
- DMJ Imaging Center
- Telecoqui Medica de Puerto Rico
- Worldwide Insurance and Reinsurance Corp.
- CGF Insurance LLC
