Skip to Main Content
Services Talent Knowledge
Site Search
Menu

SusanBenz

Partner

"Practicing health care law is ultimately about helping vulnerable individuals, something I find extremely gratifying."

Overview

Biography

Susan serves as co-team leader of the health care and health and human services providers teams, representing providers in regulatory compliance, managed care, and corporate matters. Her clients include provider networks, independent practice associations, behavioral health care collaboratives (BHCCs), and care-coordination organizations (CCOs). Susan also represents hospitals; physicians; skilled-nursing, assisted-living, and independent senior-housing facilities; CCRCs; home-care agencies; intellectual and developmental disability providers; and behavioral-health organizations.

Bar Associations

  • Bar Association of Erie County, Health Law Committee
  • New York State Bar Association, Health Law Section
  • Women's Bar Association of New York State, Western New York Chapter

Selected Memberships & Affiliations

  • Barclay Damon’s Women's Forum
  • American Health Lawyers Association
  • Healthcare Financial Managers Association
Experience

Representative Experience

  • Handled IPA formation, corporate governance, contract negotiations, value-based payment agreements, and data-privacy issues for behavioral health care collaboratives (BHCCs).
  • Represented care-coordination organizations (CCOs) regarding vendor contracts, data-use agreements, security attestations, corporate matters, and HIPAA compliance.
  • Facilitated a provider’s telehealth delivery by designing its corporate and regulatory structure.
  • Negotiated managed-care contracts for physicians, skilled-nursing facilities, and behavioral- health agencies.
  • Successfully challenged Medicaid rates for agencies servicing individuals with intellectual and developmental disabilities.
  • Designed and handled corporate restructuring for health care and human service providers to achieve regulatory compliance and business objectives.
  • Trained HIPAA business associates of a Fortune 100 company and developed an industry-specific business associate manual.
  • Successfully defeated a $1.6 million liability arising from an Office of Medicaid Inspector General (OMIG) finding that an intellectual/developmental disability (I/DD) agency documentation was insufficient to support reimbursement it received for services provided.
  • Handled a HIPAA privacy breach for a provider involving disclosures to and settlements with the US Department of Health & Human Services Office for Civil Rights (HHS-OCR) and the NYS Attorney General.
  • Represented a consortium of numerous not-for-profit behavioral health care providers in designing and developing a behavioral health care network intended to engage in value-based contracting under a statewide Medicaid reform initiative, including assisting with corporate governance, contract negotiations, value-based payment agreements, and data privacy issues.

Prior Experience

  • Damon Morey LLP, Partner
  • Krokidas & Bluestein, Boston, Massachusetts, Associate

Selected Community Activities

  • The East Aurora Cooperative Market, Founding Member

Selected Honors

  • The Best Lawyers in America®: Health Care Law, 2009-2014 and 2016-2020
  • Buffalo Business First, Health Care Champion, 2016
  • Buffalo Business First, Who's Who in Law, 2012
Knowledge

Selected Speaking Engagements

  • Healthcare Financial Managers Association (HFMA), “Hot Legal and Compliance Topics in 2018 and Beyond”
  • Developmental Disabilities Alliance of Western New York (DDAWNY), “Hot Compliance Issues for 2018”
  • Healthcare Financial Managers Association (HFMA), “Managed Care Contracting in 2016 and Beyond: A Brave New World”
  • Healthcare Financial Managers Association (HFMA) Region 2 Annual Conference, “Riding the Wave of Provider Consolidations, Regulatory, and Antitrust Hurdles”
  • Barclay Damon LLP, “Achieving Success in Affiliations & Consolidations: Best Practices for Avoiding Deal Meltdown”

Selected Publications & Media

Selected Alerts & Blog Posts

Featured Media

Alerts

New NYS Hemp Legislation Signed

Alerts

NY Green Bank and NY PSC: Energy Storage Updates

Alerts

House Judiciary Committee Advances MORE Act

This site uses cookies to give you the best experience possible on our site and in some cases direct advertisements to you based upon your use of our site.

By clicking [I agree], you are agreeing to our use of cookies. For information on what cookies we use and how to manage our use of cookies, please visit our Privacy Statement.

I AgreeOpt-Out