Overview
Matthew Amodeo guides health care providers and other industry players through complex state and federal regulations as they make the transformation from fee-based to value-based reimbursement. He is a leading adviser on Medicare and commercial value-based payment models, accountable care organizations (ACOs), clinically integrated networks and hospital-physician affiliation transactions.
Health Care Compliance and Operations
Matthew counsels hospitals, provider-sponsored plans, population health companies and other industry stakeholders on regulatory matters associated with Medicare Advantage plans, the Medicare Shared Savings Program (MSSP), the BPCI-Advanced Model, and other CMS and CMMI payment models and demonstrations. He advises clients on the intricacies of participating in multiple Alternate Payment Models (APMs) and MIPS under the Quality Payment Program. Matthew assists health systems in developing integrated delivery systems, payor contracting strategies and shared-risk arrangements with vendors.
Representative Experience
- Represents a large community hospital in creating an integrated delivery system and implementing managed care contracting strategy
- Advised a multi-hospital health system in establishing a shared risk arrangement and co-branded insurance product with a large national payor
- Advised a regional health network in establishing a shared risk arrangement with a state funded employee benefit plan
- Assisted large integrated delivery system in creating regional ACO with community-based providers for participation in the Medicare Shared Savings Program
- Advised national population management company on multi-state regulatory requirements pertaining to population management activities, e.g., utilization management, telemedicine, TPAs, benefit carve-outs
Personal Interests
Matthew is a competitive sailor.
Related Services
Related Industries
Credentials
Bar Admissions
New York
Education
New England School of Law
J.D. (1991)
College of the Holy Cross
B.A. (1987)
Insights & Events
Latest
Insights
Leadership & Community
Professional Associations
- American Health Lawyers Association (AHLA)
Honors
- Nightingale’s Healthcare News — Outstanding Physician Practice Lawyer
No aspect of these recognitions has been approved by the highest court of any state.