(503) 208-5037Timothy Hatfield
Tim is a dedicated health care attorney who has devoted his career to advising insurance companies, managed care entities, and health care providers in complex regulatory and compliance matters. He serves as primary regulatory counsel to health plans, provider groups, health systems, and health care startups. He also routinely advises clients regulated by the Oregon Health Authority, Oregon Department of Consumer and Business Services, the Washington Office of the Insurance Commissioner, and other state agencies in high-leverage transactions and disputes. Clients rely on Tim to shepherd complex health care transactions through the regulatory filing and approval process.
Prior to founding Hatfield Knivila, Tim was a partner at Stoel Rives, an associate at Cadwalader, Wickersham & Taft in New York and an analyst at The Advisory Board Company in Washington, DC. He also has experience at the Department of Health and Human Services, Office of the Inspector General and the Federal Trade Commission.
Tim is active in the health care community. He is a member of the executive committee and former chair of the Oregon State Bar Health Law Section. He was also chair of the board of Project Access Now, a non-profit that focuses on improving access to care for the low-income and uninsured population.
Tim loves exploring the wilderness with his wife and daughter. He is also an avid backcountry skier and runner.
Experience
-
Health Care Market Oversight Program
Represented national online retailer in the Oregon regulatory approval process for its acquisition of a chain of urgent care facilities.
Represented region’s largest independent radiology practice in the acquisition of an Oregon independent practice.
Advising California Managed Care Plan in a change of control transaction involving three Oregon Coordinated Care Organizations
-
Insurance Regulatory
Represented Oregon health carrier in receivership proceedings, which included the successful resolution of state and federal civil investigations.
Advised one of the nation’s largest managed care organization in the acquisition of a Washington MCO.
Represented Idaho health carrier in exclusion proceedings before the department of insurance.
-
Stark Law
Advised multi-hospital system in internal investigation of real estate leasing practices, which resulted in self-disclosure of Stark-related overpayments.
Advised infusion clinic in $5,000,000 self-disclosure of Stark Law violations related to compensation model.
Structured numerous physicians practices to comply with group practice criteria.
-
Audits and Internal Investigations
Conducted internal investigation regarding doctored insurance filings, including self-disclosure to regulators, avoiding any enforcement action.
Advised provider regarding fraudulent billing practices of employee, which included self-disclosure to Medicaid agency.
Advised dental practice management company regarding potential medical malpractice and professional misconduct, including reporting to dental board.
-
Medicaid and Coordinated Care Organizations
Represented Medicaid managed care organization in a variety of insurance and regulatory matters, including risk contracting arrangements, HIPAA, regulatory compliance and transactions.
Advised consortium health plans in the drafting of Medicaid provider tax legislation.
Advised purchaser of Coordinated Care Organization regarding various Holding Company Act issues.
-
State Agency Experience
Successfully defended disability service provider in abuse action brought by the Oregon Department of Disability Services, resulting in a finding that the allegation of abuse was unsubstantiated.
Successfully defended foster parent pro bono in state action alleging abuse, resulting in a finding that the allegation of abuse was unsubstantiated.
Credentials
-
Partner, Stoel Rives, LLP
Associate, Cadwalader, Wickersham & Taft
Analyst, The Advisory Board Company
-
Board Chair, Project AccessNOW (2019-2021), Board member (2015-2022)
Chair, Oregon State Bar Health Law Section (2022), executive committee (2021 - present)
-
Boston University School of Law, J.D., 2012, cum laude
Kenyon College, B.A., 2007 political science with highest honors cum laude