- Accountable Care
- Administrative Law
- Alternative Dispute Resolution
- Antitrust and Unfair Business Practices
- Behavioral Health & Community-Based Care
- False Claims Act
- Government Relations & Public Policy
- Institutions for Mental Diseases
- Intermediate Care Facilities for the Mentally Retarded
- Litigation, Mediation, Arbitration
- Managed Care
- Medicare, Medicaid, Other Governmental Reimbursement & Payment
- Post-Acute and Long-Term Care Services & Supports
- Provider & Supplier Operations
- Recovery Audit Contractor (RAC) Appeals
- Skilled Nursing Facilities
Stanford University, B.A., 1983
Loyola Law School, J.D., 1989
- 1989, California
Mark E. Reagan is the managing partner and head litigator of the San Francisco office of Hooper, Lundy & Bookman, P.C., the largest full service law practice in the country dedicated solely to the representation of health care providers.
Throughout his legal career, he has represented long-term care facilities, hospitals, physician groups, home health agencies, hospices, medical product suppliers, trade associations, and other health-related entities in California and in numerous other states. His practice is devoted to counseling, litigation and trial and appellate work, before administrative agencies and all courts, with an emphasis on health care issues, including long-term care, managed care, health care fraud and elder abuse, licensing and certification, Medicare and Medicaid, false claims, anti trust, unfair competition, workers’ compensation reimbursement, risk management and corporate compliance. He frequently testifies before the California State Legislature on these and other health related matters and assists clients with legislation and regulatory enactments.
Mr. Reagan serves as General Counsel to the California Association of Health Facilities, the largest trade association primarily serving the long-term care profession in California. He serves on the Legal Committee for the American Health Care Association, and was the chair of that group from 2006 through 2009. Mr. Reagan is a board member of the American Board of Medical Quality.
Mr. Reagan has handled numerous Medicare and Medicaid reimbursement/audit matters on behalf of health care providers and has assisted his clients in obtaining recoveries in excess of $300 million. He has been representing the long-term care industry in California in Medicaid rate litigation since 1990. He has handled numerous such Medicaid matters on behalf of the California Association of Health Facilities and has represented a consortium of skilled nursing facilities in Washington challenging Medicaid rate cuts. To date, he has handled 10 separate cases challenging the Medicaid rates and timeliness of payment made to these facilities. Seven of the 10 have resulted in successful injunctions and/or judgments.
He has also handled several false claims cases to successful conclusions, including U.S. ex rel. Swan v. Covenant Care, Inc., 279 F.Supp.2d 1212, 1217 (E.D. Cal. 2002), in which the Court held that regulatory violations and other “quality of care” concerns cannot give rise to false claims liability as to skilled nursing facilities participating in the Medicare program. Mr. Reagan has had a number of published decisions throughout his career within the California appellate courts and Supreme Court as well as the United States District Courts and the Ninth Circuit Court of Appeals
Mr. Reagan is also a nationally recognized speaker, instructor and author on health related topics.
He received his B.A. degree in Economics and Communication from Stanford University in 1983. In 1989, he received his J.D. from Loyola Law School, Loyola Marymount University and was admitted to the California Bar that same year.
Lemaire v. Covenant Care California, LLC, 234 Cal. App. 4th 860 (2015)
Plott Nursing Home v. Burwell, 779 F.3d 975 (9th Cir., 2015)
Valley View Health Care, Inc. v. Chapman, 992 F.Supp.2d 1016, E.D. Cal. (2014)
Nevarrez v. San Marino Skilled Nursing and Wellness Centre, 221 Cal. App. 4th 102 (2013)
Ruiz v. Podolsky, 50 Cal. 4th 838 (2010);
Alvarado v. Selma Convalescent Hosp., 153 Cal.App.4th 1292 (2007);
Hogan v. Country Villa Health Services, 148 Cal.App. 4th 259 (2007);
People v. Davis, 126 Cal.App.4th 1416 (2005);
Chamber of Commerce of U.S. v. Lockyer, 422 F.3d 973 (9th Cir. 2005);
Chamber of Commerce of U.S. v. Lockyer, 364 F.3d 1154 (9th Cir. 2004);
Covenant Care, Inc. v. Superior Court, 32 Cal.4th 771 (2004);
Chamber of Commerce of U.S. v. Lockyer, 225 F. Supp.2d 1199 (C.D. Cal 2002);
U.S. ex rel. Swan v. Covenant Care, Inc., 279 F.Supp .2d 1212 (E.D. Cal 2002);
Delaney v. Baker, 20 Cal.4th 23 (1999);
California Assn. of Health Facilities v. Department of Health Services, 16 Cal.4th 284 (1997).
- American Board of Medical Quality
- American Health Care Association - Past Chair and Member of Legal Committee, Member of Finance Committee, Serve on the Managed Care and Alternative Payment Model Subcommittees of the Finance Committee
- American Health Lawyers Association
- California Association of Health Facilities (General Counsel)
- California Society for Healthcare Attorneys
Honors & Awards
- Recognized as a Northern California Super Lawyer for several years, including 2014-2015.
Presentations & Speaking Engagements
- April 23, 2015
- Webinar, April 23, 2015
- Palm Springs, CA, November 10-12, 2014
- New York, NY, June 29, 2014 - July 2, 2014
- March 17, 2014
- March 14, 2014
- February 19, 2014
- June 15, 2015
- June 5, 2015
- April 1, 2015
- U.S. Supreme Court Determines that Providers Cannot Challenge Medicaid Rates under 42 U.S.C. Section 1396a(a)(30)(A)April 1, 2015
- April 1, 2015
- May 9, 2014