Kate Morgan is a member of Dentons' Insurance practice.
Kate has advised health insurance and managed care clients on a broad range of regulatory issues, including: state and federal mandated benefits; state and national health care reform; group health laws (e.g., extra-territorial applicability, withdrawal from group business); unwinding joint ventures; HIPAA and state conversion and continuation of coverage provisions; state privacy laws; utilization review requirements; company licensing; broker and agent issues; and applicability and interpretation of other relevant statutes and regulations. Kate also provides regulatory advice regarding non-traditional healthcare models to third party administrators, consulting companies, and financial institutions, including negotiating with state insurance regulators to obtain insurance license exemptions for such models.
Kate also has significant experience with provider contracting issues, including Accountable Care Organizations and other complex risk and pay-for-performance (P4P) financial reimbursement models. Kate has negotiated and drafted contracts between insurers/HMOs and provider organizations, including large hospital physician systems, Physician Organizations (POs), and Independent Practice Associations (IPAs) and has advised on a variety of payment structures, including fee-for-service, capitation, and global budgeted fee-for-service, among others. She has also advised on related issues, including recoveries, provider data requests, risk mitigation, performance measurement, and variety of multi-party agreements.
In connection with regulatory approvals of mergers and acquisitions of insurance companies, Kate has obtained approval of Forms A, requests for exemption and disclaimers of control on behalf of insurers. She has prepared, filed and obtained approval of certificates of authority, redomestications, and producer appointments, in all 50 states. Kate served as the lead associate representing property and casualty insurers in contested rate cases and rule challenges before state departments of insurance and administrative law judges.
Activities and Affiliations
Community Involvement and Pro Bono
Her pro bono work has focused on immigration cases, including on behalf of a Mexican-born client a citizenship appeal before the Ninth Circuit Court of Appeals and a successful asylum application on behalf of a Nepali activist.
Prior and Present Employment
Before joining Dentons, Kate was Assistant General Counsel at Blue Cross Blue Shield of Massachusetts, prior to which she was an Associate with the law firm of Dewey and LeBoeuf LLP.