Overview

Paul DeMuro, Ph.D., is an attorney and strategic advisor who uses his cross-disciplinary background in informatics, finance and accounting, economics, and law, coupled with his extensive health care knowledge and experience, to assist clients in swiftly identifying and implementing solutions to the myriad issues that they face.

His broad array of clients has included private equity funds, accountable care organizations (ACOs), hospitals, health care districts, physicians, managed care organizations, clinical laboratories, ambulatory surgery centers, pharmaceutical companies, ancillary service providers, real estate developers, and information technology organizations. Clients call on Paul for advice on complex corporate transactions, including mergers and acquisitions, joint ventures, and other transactions aimed at streamlining health care, real estate, and information technology operations. He also advises on physician integration issues, including both clinical integration and integration into organizations hiring physicians from traditional private practices.

In addition, clients seek Paul’s guidance on complex data analytics, quality, value-based purchasing, managed care, accountable care, precision medicine, informatics, patient-generated health data, digital health, data sharing, compliance, Medicare Advantage, and privacy and security issues. He has worked in the areas of artificial intelligence, machine learning, and natural language processing for many years. Paul also leads internal investigations and counsels on corporate governance, executive and physician compensation, regulatory compliance, and public-private partnership issues. His vast regulatory experience, including in the antitrust space, helps minimize the time spent analyzing matters and coming up with potential solutions.

Paul has facilitated board retreats, developed corporate reorganization strategies, been named an expert witness, developed strategies for mixed-use real estate projects, and worked as a data science/analytics advisor and an Associate Professor at a College of Pharmacy. Besides his legal training, he is a certified public accountant in Maryland who earned a Ph.D. in Biomedical Informatics and an M.B.A. with a concentration in finance. His educational background, in-house counsel experience (as a Chief Legal Officer for Health and Wellness for a real estate developer in Miami), and many years of practice at a global law firm enable Paul to anticipate and effectively address his clients’ legal and business challenges.

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Paul is also a former National Library of Medicine post-doctoral fellow in the Ph.D. program in Biomedical Informatics, Clinical Informatics track at Oregon Health & Sciences University, School of Medicine in the Department of Medical Informatics and Clinical Epidemiology. He researched the use of informatics technologies to increase quality and reduce costs. For his master’s degree, he researched the area of “Accountable Care” long before it garnered widespread attention.

He is currently the only attorney member of an American Medical Informatics Association Ethical, Legal, and Social Issues Working Group research team on Data Sharing.

Over the past 40 years, Paul has authored more than 200 publications about various health care issues and on such topics as ACOs, biomedical informatics, clinical integration, mergers and acquisitions, capital finance, corporate governance, Medicare reimbursement, and fraud and abuse. He has delivered more than 400 presentations globally, including a keynote presentation at Middlesex University in London and for such organizations as Medical Informatics Europe and MedInfo.

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Focus Areas

Experience

  • Represented a publicly traded corporation in its physician practice and health plan acquisitions and strategy.
  • Served as a "legal architect" for the record-breaking joint venture transaction to lease and operate a first-of-its-kind health and well-being center in Miami, merging the best practices of hospitality and health care by leveraging the expertise of the developer in visionary properties with a health system's expertise in lifestyle medicine and a venture party's expertise in improving well-being by design.
  • Worked on numerous restructurings of health care-related entities and hospital turnaround projects.
  • Worked on a multibillion-dollar acquisition of a physician network by a dialysis company.
  • Addressed patient-generated health data privacy and security considerations, including penning an international survey on certain issues for an international informatics journal.
  • Addressed Food and Drug Administration considerations for certain health information technologies, genetic testing, and computerized decision support systems.
  • Represented various clinical laboratories, including in the sale of one to a publicly traded company.
  • Represented management of the target in a health care publicly traded company sale to another company.
  • Represented national physician practice management companies in numerous transactions, the investment bank in such an IPO, sale to other private equity sponsors, and numerous acquisitions.
  • Worked on clinical integration and physician compensation projects, including those to increase the quality of care and reduce overall costs while enhancing physician compensation.
  • Developed provider-sponsored health plans and “friendly physician” models in numerous jurisdictions.

Credentials

Education

  • Oregon Health and Science University, School of Medicine (Ph.D., 2015)
    • Degree in Biomedical Informatics
  • Oregon Health and Science University, School of Medicine (M.B.I., 2012)
  • University of California, Berkeley, Haas School of Business (M.B.A., 1986)
  • Washington University in St. Louis (J.D., 1979)
    • Article and Book Review Editor, Washington University Law Quarterly
    • Phi Delta Phi, The International Legal Honor Society
  • University of Maryland (B.A. summa cum laude, 1976)

Bar Admissions

Professional & Community Involvement

  • AcademyHealth, Health Economics Interest Group
  • American Bar Association:
    • Health Law Section, Former Chair
    • International Law Section
    • Joint Committee on Employee Benefits, Former Chair
    • Science & Technology Law Section
  • American Bar Foundation, Life Fellow
  • American College of Healthcare Executives
  • The American College of Medical Practice Executives, Fellow
  • American Health Lawyers Association, Fellow
  • American Institute of Certified Public Accountants
  • American Medical Informatics Association
    • Ethics Committee, Member
    • Ethical, Legal & Social Issues Working Group
    • Finance and Investment Committee, Member and Former Chair
    • Pharmacoinformatics Working Group
  • California Society of Healthcare Attorneys
  • Chicago Bar Association
  • Health Care Compliance Association (HCCA), Certified in Healthcare Compliance
  • Healthcare Financial Management Association (HFMA), Fellow
    • National Board of Directors, Former Member
    • Executive Committee, Former Member
    • Principles and Practices Board, Former Member and Vice-Chair
  • Illinois Bar Association
  • International Bar Association
  • Maryland Association of CPAs
  • Medical Group Practice Association, Former Board Member
  • New York Bar Association
  • The Royal Society of Medicine, Fellow
  • Texas Bar College

Certifications

  • Certified Public Account, Maryland
  • Certified Medical Practice Executive (CMPE), the American College of Medical Practice Executives, MGMA
  • Certified in Healthcare Compliance (CHC), HCCA
  • Certificates of Advanced Technical Study, by HFMA, in:
    • Mastering Healthcare Accounting and Finance
    • Mastering Managed Care
    • Mastering Patient Financial Services

Events

Past Events

  • WTW 2023 Health Care Risk Conference, Managed Care Track: Current Trends, Risks and Innovation in Value-Based Contracting for MCOs (Moderator)
  • Florida Institute of CPAs 2023 Annual Health Care Industry Conference: The State of Long-Term Care in the U.S.
  • The University of Texas' Southwestern Medical Center Health Informatics Program: The Intersection of Law and Ethics in Health IT
  • Medical Informatics Europe 2020: Ultra-Personalized Medicine: N-of-1 Treatment in an N-of-1 World
  • American Bar Association's Section on International Law webinar: How Will Law Treat Science and Medicare Once the Pandemic Subsides?
  • MedInfo 2019: The Intersection of Personalized Medicine, Genomic Sequencing, and Patient-Generated Health Data: Technical, Legal, Ethical, and Regulatory Challenges
  • 2019 Context Sensitive Health Informatics Conference: Managing Privacy and Data Sharing Through the Use of Health Care Information Fiduciaries
  • Health IT Workshop—Emerging Technologies in Healthcare—Legal, Ethical & Social Aspects: Patient-Generated Health Data and Healthcare Information Fiduciaries
  • Florida Healthcare Financial Management Association 2019 Spring and Annual Meeting: Virtual Healthcare: The New Age of Medicine

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