John P Marren

Practice Areas

Health Care

Antitrust and Trade Regulation

Nonprofit and Tax-Exempt Organizations

Corporate and Transactional

Career

John P. Marren is a founding partner of the firm of Hogan Marren Babbo & Rose, Ltd. with ten (10) years of clinical and administrative experience in health care, and more than 38 years of experience in health care and general corporate, not-for-profit and transactional law. He is recognized as a national expert in managed care, healthcare antitrust, Clinical Integration (CI), Accountable Care Organization (ACO) development and other hospital/physician alignment strategies. Mr. Marren has consistently been listed as a leading lawyer in Chambers USA in Healthcare and is recognized for having “pioneered managed care legal issues” and for his “significant involvement in structuring clinically integrated provider networks” as well as his expertise in “antitrust compliance matters.”

With respect to pertinent merger/antitrust involvement, Mr. Marren was lead counsel in:

• The formation of Northwestern Healthcare Network, including Northwestern Memorial Hospital and a system of seven hospitals under a common parent involving filing for and working with the Federal Trade Commission;

• The formation of the Loyola University of Chicago health system;

• The formation of Alegent, a system of six hospitals in Omaha, Nebraska, which included working with the Federal Trade Commission and the Department of Justice in finding an exemption from the application from traditional antitrust laws;

• The formation and restructuring of Optima Health, a three-hospital healthcare system in Manchester, New Hampshire;

• The defense of a challenge to the merger of Victory Memorial Hospital and St. Therese Hospital in Waukegan, Illinois;

• The demerger of the relationship of St. Luke’s Hospital, Boise, Idaho, and Saltzer Medical Group

Along with the involvement with numerous other joint ventures and mergers which required antitrust scrutiny. This type of representation involves antitrust oversight post-merger on an active basis. Specifically, the divestiture of the relationship between St Luke’s Hospital and Saltzer required our oversight of the divestiture to support compliance with the court mandated divestiture order.

Mr. Marren has provided legal leadership in the formation of hospital affiliations, systems and networks, physician/hospital affiliations, ACOs, PHOs and the development of HMOs and PPOs, and has worked with the Illinois Department of Insurance to develop regulations. Mr. Marren is currently active in assisting providers in the formation of creative relationships among physicians, hospitals and payors.

Professional Memberships

Admissions:

Illinois 1983

U.S. District Court, Northern District of Illinois

Memberships:

American Health Lawyers Association

Publications

“Clinical Integration Networks and Accountable Care Organizations: Topics for Developing High Value CINs and ACOs,” American Health Lawyers Association Physician and Hospital Law Institute (2018).

“The Legal Framework for Clinical Integration,” Texas Hospital Association, Clinical Integration Task Force (2009).

“Clinical Integration: Lessons Learned (the Good, the Bad, and the Ugly),” American Health Lawyers Association (2008).

“Law of Medical Practice in Illinois, 3rd Edition, Chapter 13, “’Managed Care,’” Thompson-West (2007).

“Clinical Integration as a Physician-Hospital Alignment Strategy,” American Federation of Hospitals, Fall Policy Conference (Sept. 2007).

“Clinical Integration: Practical Insights and Current Developments,” The Institute for Clinical Quality & Value (June 2007).

“The FTC’s Advocate Health Decision and Its Impact on PHO’s, Clinical Integration, and Price Fixing,” The American Bar Association, Health Law Section (June 2007).

“Clinical Integration: A Physician and Hospital Strategy for Better Quality, Enhanced Competition, and Collective Contracting, Hospitals and Health Systems Law Institute,” American Health Lawyers Association (Feb. 2007).

“Clinical Integration: Managed Care Contracting as a Catalyst for Quality Medicine,” American Health Lawyers Association, Physician Organizations, Vol. 9, Issue 2 (June 2006).

“Hot Topics in Managed Care,” The American Association of Integrated Healthcare Delivery Systems (June 2006).

“The FTC and Provider Networks: Collision at the Crossroads,” Chicago Bar Association, Antitrust Section (May 2003).

“The Hospital Board at Risk and the Need to Restructure the Relationship with the Medical Staff: Bylaws, Peer Review and Related Solutions,” Loyola University Chicago School of Law, Annals of Health Law.

“Lack of Proper Board Oversight Can Result in IDS Failure,” Integrated Health Care Delivery Systems.

“The Emperor Has No Clothes,” Trustee Magazine. (July 2000).

“How to End a Patient Relationship (Methodical Approach Needed for Treatment Termination),” American Association of Orthopedic Surgeons Bulletin.

“Integrated Delivery System Formation and Continuation: A Critical Analysis,” University Health System Consortium.

“Emerging Legal Issues,” Managed Care Quarterly.

“Managed Care Under the Gun; Suing Your Managed Care Plans,” Managed Care Quarterly.

“New Patient’s Rights: Providers Beware,” Managed Care Interface.

“The Managed Care Market and the Anesthesiologist,” Illinois Society of Anesthesiologists Today.

“Managed Care and the Law,” Direct Contracting & Hospital Managed Care.

“Legal Issues in Accepting Capitation,” Physician Executive.

“Forming PHOs for Direct Contracting,” Medical Group Management Journal.

“Buying and Selling Hospital Care: Elements of Rational Managed Care Contracting,” Journal of Health and Hospital Law.

Education