Practice Groups →Health Care Law
MSO Arrangements
Management services organization (MSO) arrangements are increasingly used by physicians and investors to separate clinical care from business operations.
While these structures can offer operational efficiencies and growth opportunities, they are heavily regulated and must be carefully designed to comply with New York’s corporate practice of medicine doctrine, fee-splitting restrictions, and related state and federal requirements.
We advise physicians, health care entrepreneurs, and management companies on structuring and documenting MSO arrangements that are both legally compliant and operationally workable. Our approach is informed by deep experience with audits, investigations, and enforcement matters, allowing us to help clients avoid structural missteps that can later lead to contract disputes or regulatory scrutiny.
Our MSO-related services include:
Structuring MSO and professional practice relationships. We advise on ownership, governance, and operational structures that appropriately allocate clinical and non-clinical responsibilities while complying with corporate practice of medicine and related restrictions.
Drafting and negotiating MSO and services agreements. We prepare management services agreements, administrative services agreements, and related contracts with attention to compensation structures, control issues, regulatory compliance, and long-term enforceability.
Physician and clinician agreements in MSO models. We draft and negotiate physician employment agreements, independent contractor agreements, compensation arrangements, and equity or buy-in provisions that align with MSO structures and regulatory requirements.
Regulatory risk assessment and compliance planning. We evaluate MSO arrangements for regulatory exposure, including billing, documentation, supervision, and operational risks that frequently draw agency attention.
Dispute avoidance and enforcement-informed counseling. We apply a litigation-informed perspective to help clients structure relationships and agreements in ways that reduce the likelihood of future disputes or regulatory challenges.
Predictable options begin with a conversation.
Tell us what is in front of you. We will help you understand your options and what each one involves.