Mary Powers Antoine combines nearly three decades of legal experience in the healthcare industry with a previous career as a registered nurse to deliver personalized legal advice with a real world perspective. She represents managed care plans, hospitals and health facilities as well as physicians' groups on a wide range of regulatory, contracting, and licensing issues. She advises medical staffs on peer review investigations, hearings and other disciplinary actions, bylaws, rules and regulations, Joint Commission compliance and compliance with state and federal laws, and patient care issues.
Ms. Antoine has developed an in-depth understanding of the operational and business issues the healthcare industry faces. She uses her expertise to guide clients on the full range of state and federal regulatory and accreditation issues from Medicare and Medi-Cal, The Joint Commission and the California Knox-Keene Health Care Service Plan Act, to HIPAA and EMTALA. She regularly represents clients in matters involving the Department of Managed Health Care, the Joint Commission, NCQA, and the Centers for Medicare & Medicaid Services.
Ms. Antoine's experience representing clients from different sectors of the industry provides her with a strategic understanding of the business issues they face. She offers her clients pro-active and practical legal solutions to further their business success.
Ms. Antoine is AV rated by Martindale-Hubbell and was recognized by San Francisco Magazine in 2011 as a Northern California "Super Lawyer" in the area of Healthcare law. She was also the first woman to serve as Nossaman's assistant managing partner.
Representative Work
Medical Staffs
Providing a full range of medical staff legal counsel services, including peer review investigations, hearings, medical staff bylaws, and Joint Commission compliance, to the following medical staff clients:
- Cedars Sinai Medical Center
- The Medical Staffs of Kaiser Foundation Hospitals throughout Northern California
- Sonora Regional Medical Center
- The Consolidated Medical Staff of Hanford Community Medical Center, Selma Community Hospital and Central Valley General Hospital
- Plumas District Hospital
Managed Care
Kaiser Foundation Health Plan, Inc. Representing this national healthcare service plan, and its affiliated entities, on a broad range of managed care issues with state regulators involving compliance with Medicare, the Knox-Keene Act and other state managed care laws; and in business transactions, which involve issues related with Knox-Keene Act, Medicare, Medi-Cal and fraud and abuse compliance.
California Association of Dental Plans. Providing all legal and regulatory counsel to the state's only dental plan industry group. Representing the Association in all interactions with Department of Managed Health Care regulators on a full range of issues.
Delta Dental. Providing special California counsel to this national specialized dental health plan.
Holman Professional Counseling Centers. Providing all regulatory and legal counsel to this specialized mental healthcare service plan.
Santa Clara Family Health Plan. Providing general regulatory advice to this county-wide local initiative healthcare service plan.
CaliforniaChoice. Providing regulatory and legal counsel to this innovative managed care plan marketing cooperative.
Pacific Dental Services. Providing regulatory and legal counsel to this dental management company.
Health Dialog. Providing California regulatory counsel to this national provider of care management, healthcare analytics, and decision support.
Newport Dental Plan/Bright Now! Dental. Provided Knox Keene Act and general regulatory advice to this specialized dental healthcare plan and its parent company.
Anne Clark Associates. Provided regulatory and legal counsel to this employee assistance program.
Physician Groups
Providing legal counsel on a wide range of issues, including peer review investigations and hearings, and Medicare, Medi-Cal, Knox-Keene Act, NCQA and AAAHC compliance, to the following clients:
- Health Care Partners Affiliates Medical Group
- Sutter North Medical Group
- The Permanente Medical Group, Inc.
- Southern California Permanente Medical Group
- California Association of Physician Groups
- Emergency Medical Group of Folsom
- Oroville Internal Medicine Medical Group
Health Facilities
Providing a wide range of legal services to these acute care, skilled nursing and ambulatory surgery health facilities:
- Children's Hospital & Research Center Oakland
- Retirement Housing Foundation, a national nonprofit corporation operating skilled nursing facilities, assisted living facilities, and senior living apartments
- Coalition for Quality Nursing Facilities
- United Surgical Partners, Inc., a national company operating ambulatory surgery centers