Alston & Bird LLP

266 Best Lawyers awards

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Awarded Practice Areas

Health Care Law

Biography

Larry Gage is a senior counsel in the firm’s Washington, D.C. office whose practice is focused primarily on public sector and nonprofit health law and policy. In 1981, Larry founded the National Association of Public Hospitals and Health Systems (NAPH)(an organization now known as America’s Essential Hospitals). He served as president of that organization for over 30 years, developing and achieving enactment of Medicare and Medicaid reimbursement reforms that are the economic lifeblood of hospitals serving a disproportionate number of elderly and low-income patients.

Along with his advocacy and health policy representation of NAPH, Larry's clients have included major teaching hospitals, medical schools, integrated health and hospital systems, and state and local governments across the country. He has assisted clients with mergers, reorganizations, conversion to other corporate structures and negotiation of complex contracts, affiliation agreements and joint ventures. Larry’s practice also has an international aspect—he is a cofounder and past Board Chair of American International Health Alliance, which is funded by USAID, PEPFAR and other U.S. and international organizations. He has provided advice and assistance to clients throughout the former Soviet Union, and in Eastern Europe, Asia and Africa. . Larry was also a member of the Governing Board of the University HealthSystem Consortium for ten years.

The governance and legal structure of academic medical centers has been a primary area of Mr. Gage’s focus for over 30 years. He has written and lectured extensively on this subject, including a Special Report on Transformational Governance for Public and Nonprofit Hospitals, published by the American Hospital Association’s Center for Healthcare Governance in November, 2012. In 2016, Mr. Gage also wrote a chapter on “Representation of Public Hospitals” in the American Health Lawyers Association’s Handbook on Representing Hospitals and Health Systems.

Larry served as Deputy Assistant Secretary for Health Legislation in the Department of Health and Human Services and as staff counsel and subcommittee staff director for the U.S. Senate Labor and Human Resources Committee (now the Senate HELP Committee).

Alston & Bird LLP

266 Best Lawyers awards

Alston & Bird LLP logo

Overview

  • English

  • Columbia University, J.D., graduated 1972

  • District of Columbia, District of Columbia

  • American Health Lawyers Association - Member
  • American International Health Alliance - Co-Founder; Board, 1992-present; Chair, 2000-2004
  • American Medical Association Ethical Score Task Force - Member
  • District of Columbia Bar Association - Member
  • Harvard School of Public Health – Health Policy and Management Executive Council - Member
  • Harvard School of Public Health Leadership Council - Member
  • Hospital Quality Alliance - Principal Member, 2006-2011
  • National Public Health & Hospital Institute - Co-Founder; Board Secretary, 1986 to 2011
  • University HealthSystem Consortium - Governing Board, 1997-2011
  • English
  • District of Columbia, District of Columbia
  • American Health Lawyers Association - Member
  • American International Health Alliance - Co-Founder; Board, 1992-present; Chair, 2000-2004
  • American Medical Association Ethical Score Task Force - Member
  • District of Columbia Bar Association - Member
  • Harvard School of Public Health – Health Policy and Management Executive Council - Member
  • Harvard School of Public Health Leadership Council - Member
  • Hospital Quality Alliance - Principal Member, 2006-2011
  • National Public Health & Hospital Institute - Co-Founder; Board Secretary, 1986 to 2011
  • University HealthSystem Consortium - Governing Board, 1997-2011
  • Columbia University, J.D., graduated 1972

Client Testimonials

Awards & Focus

Recognized in The Best Lawyers in America® 2026 for work in:
  • Health Care Law
Special Focus:
  • COVID-19
Awards:
  • American Hospital Association Trustees Award, May 2012
  • California Association of Public Hospitals Award of Recognition, 2011
  • Safety Net Hospital Pharmacy Alliance, Lifetime Achievement Award, 2011

Additional Information

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Case History

Cases
  • University Medical Center of Southern Nevada (Las Vegas)
Represented Clark County, NV, in the creation of a new Board of Trustees for the County-owned teaching hospital.
  • Harborview Medical Center (Seattle)
Represented a major County-owned teaching hospital in successfully negotiating a long term clinical services and management agreement with the University of Washington.
Transactions
  • Alameda Health System (Oakland)
Represented a major California County Hospital Authority in negotiating the acquisition of two community hospitals and in the creation of a new system-wide subsidiary physician organization to consolidate the system’s medical staff into a single entity.
  • Grady Health System (Atlanta)
Represented major safety net teaching hospital in the successful renegotiation of clinical and academic services affiliation agreements with the Emory University and Morehouse University Schools of Medicine.
  • Henry Ford Health System (Detroit)
Conducted system-wide review of governance and legal structure of major non-profit health system; many recommendations for reform have been adopted.

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