Biglaw Healthcare folks, what do you do?

I’m at a small healthcare firm—I do a lot of work with CIN agreements and assessments (and a lot of related antitrust work). As well as joint ventures and transactions between hospital groups and physician groups. My work is national in scope.

I’ve been thinking about switching to big law for better pay. Does the work I do sound like the kinds of things you do or do I have a blind spot to what Big Law healthcare groups do?

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You'd be a fit at plenty of firms.

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I did similar work to you early in my career, and am now in house in pharma. I find that big firms typically have more niche groups that handle discrete issues and large deals. Most JVs with hospitals and practices and providers are smaller deals that are too fee sensitive for big firms, but I know firms like McGuire Woods and McDermott were involved on some of the deals I did as a junior.

We use exclusively big firms as outside counsel and they get a lot deeper into healthcare regulatory work than what I see from smaller firms handling physician deals/MSOs/integrated group/hospital practices. But not many attorneys have healthcare background and I think there is a lot of opportunity for someone doing what you do.

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This is right in the wheelhouse of healthcare work in BigLaw. Just keep in mind that BigLaw firms treat healthcare M&A differently from regulatory. If your skillset is more aligned with structuring/running deals, drafting transaction docs, etc. you are probably better suited for the M&A side of things. If you are dealing with fraud and abuse issues, licensure issues, CHOW issues, etc. on a regular basis, the regulatory side might be a better fit. Not to say there aren't folks who straddle the fence, but it's rare to find someone who does both because of how the practice groups and SMEs are organized.

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Second this. I have worked on both sides of healthcare M&A and regulatory and have friends at other BL firms doing M&A/PE backed deal work. I would add CPOM considerations and healthcare transaction notices in the mix of items for deal work.

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