Overview
Matthew leads the Regulatory Section at Maynard Nexsen, as well as the Health Care Practice Group. He has assisted providers in virtually every aspect of the health care business. Matthew is also very involved with clients operating in the life sciences industry, advising them on issues related to governance, strategic planning, compliance, corporate and transaction matters.
Typically, his health care engagements are focused on:
- Healthcare affiliations and joint ventures
- Physician/hospital relationships
- Managed care issues
- Stark/Anti-Kickback laws
- General compliance matters
- Health care contracts
- Board governance
Matthew has set up single service agreements, developed integrated physician networks and established other collaborative arrangements between health care providers, including PHOs, IPAs, ACOs, and CINs. He also has experience advising provider clients on value-based care issues.
Collaborating with clients to create and implement strategic plans, Matthew has extensive experience advising clients on affiliations, joint ventures, and purchase and sale of businesses. He also advises health care provider, and life sciences Boards on matters including executive compensation, conflict of interest policies and Board involvement in compliance and quality-related issues.
Matthew also works with health care and life sciences clients on ways to minimize their exposure compliance risk caused by the myriad of regulatory requirements found in the health care industry and to create a "culture of compliance" implemented on a system-wide basis.
He routinely works with providers to assist them in resolving payment and billing disputes with various types of payors. This includes negotiating managed care agreements and dealing with disputes with payors.
Matthew earned his undergraduate degree in International Relations, magna cum laude, from the University of South Carolina, where he was elected to Phi Beta Kappa. He earned his law degree from the University of South Carolina School of Law, where he was a member of the South Carolina Law Review and of the Order of the Wig and Robe. He is an active member of the American Health Lawyers Association.
Community & Professional
- SCBIO Board Member, 2020
- Healthy Learners - Board Member, Chairman (2016-2020)
- Carolina Children's Home - Board Member
- The Free Medical Clinic - Board Member
- South Carolina Bar - Health Law Section
- North Carolina Bar Association - Health Law Section
- Vice Chair, Business Law & Governance Practice Group, American Health Lawyers Association (2016-2018)
- American Bar Association
- Health Care Compliance Association
- Healthcare Financial Managers Association (NC/SC)
Outside Maynard Nexsen
Matthew is an avid photographer and has traveled extensively with his camera in hand. His walls and desk are filled with images from his travels and of his family.
Matthew’s contributions to the Midlands community include years of service on various community boards including: Healthy Learners, Carolina Children's Home, the Free Medical Clinic, the American Heart Association, and Trustus Theatre. In recognition of service to children's initiatives he received the 2010 In All Things Charity Award from the Sisters of Charity Health System.
Matthew and his wife have 1 daughter.
Recognitions
- Recognized by Chambers USA, Health Care, South Carolina, 2020-Present
- Listed in Best Lawyers in America for "Lawyer of the Year" in Columbia, S.C. in Health Care Law, 2022
- Listed in Business Today’s “Top 10 Healthcare Legal Influencers in South Carolina to Watch,” 2023
- Columbia Business Monthly's Legal Elite of the Midlands, 2015-Present
- Listed in Best Lawyers in America for Health Care Law, 2009-Present
- Martindale-Hubbell AV Preeminent Peer Review Rated
- Riley Institute Diversity Leadership Program, 2017
- In All Things Charity Award, Healthy Learners, 2010
- "Who's Who in Health Care" - Charlotte Business Journal
- Leadership Columbia
Media
Presentations
Co-Presenter, SCHFMA 2023 Fall Conference, Preparing For and Defending Against Payor Audits: Tips and Strategies to Increase Success, October 26, 2023.
Co-Presenter, SCHA 22nd Annual CFO Forum, Post-CON in South Carolina, August 17, 2023.
Co-Presenter, SCHA Hospital Financial Leadership Networking Event, Corporate Governance – Fiduciary Duties and related Issues in the Health Care Space, April 20, 2023.
Co-Presenter, SCHA Hospital Financial Leadership Networking Event, Non-Competes and Trends in Physician Contracting, April 20, 2023.
Co-Presenter, Community Integrated Management Systems (CIMS) Annual Meeting, Contracting Considerations: Cautions, “Red Flags” and other Factors Influencing Decision-Making Progress, January, 30, 2023.
Co-Presenter, HealthLaw Webinar, Price Transparency and the No Surprises Act: What's Next? (Recorded Webinar Session), December 7, 2022
Co-Speaker, SC Hospital Association 21st Annual CFO Forum, “Healthcare Law: Current Litigation Challenges to Monitor” August 19, 2022
Co-Presenter, "Good Faith Estimates," (Post Webinar Q&A) February 3, 2022
Moderator, "NCBIO Clinical Trials Forum," December 8, 2021
Speaker, SCHA Annual CFO Forum, "Managing the Trend Toward Transparency," August 18, 2021
Panelist, Midlands MGMA Meeting, "Surprise Billing and Price Transparency," June 16, 2021
Panelist, "Life Sciences Round Table 2021," April 2021
Featured Panelist, “Next Up -- How SC Healthcare is Taking On COVID-19,” a 1-hour virtual conversation providing key stakeholders of South Carolina’s life sciences industry with a current snapshot of SC’s healthcare climate now, and the path forward as we begin the move towards normalcy, May 19, 2020
Speaker, “SC and NC Emergency Regulatory Changes and Telehealth: Guidance, Implementation, and Pitfalls,” Maynard Nexsen, Columbia, SC, March 26, 2020
Presenter, "Managed Care Contracting in South Carolina," SCHA, Columbia, SC, November 2019
Presenter, "Managed Care Contracting in South Carolina," SCHA CFO Forum, Charleston, SC, August 2019
Co-Presenter, "Medicaid Managed Care in North Carolina: The Future Is Now," Coastal Carolina Health Alliance, Wilmington, NC, June 2019
Co-Presenter, "Health Care Providers' Investment in Technology re: Analytics," Dixon Hughes Goodman Healthcare Symposium, Orlando, FL, June 2019
Co-Presenter, "Best Practices for Managing Hospital Volunteers," South Carolina Hospital Association, Columbia, SC, May 2019
Co-Presenter, "Compliance Overview for Physician Practices," South Carolina Rheumatism Society, Charleston, SC, April 2018
Presenter, “Duties of Nonprofit Board of Directors,” Maynard Nexsen Nonprofit Symposium, February 16, 2018
Co-Presenter, “Competing in the Health Care Industry: Antitrust Implications,” South Carolina Hospital Association CFO Forum, Charleston, SC, August 2017
Co-Presenter, Maynard Nexsen Direct Contracting Symposium, Columbia, SC, June 2017
Co-Presenter, “In a Post-Yates World, Do Your Board and Officers Have Adequate Protection?” American Health Lawyers Association, Webinar, Columbia, SC, November 2016
Presenter, “Update on Legal Trends in Healthcare,” Dixon Hughes Goodman Hospital Symposium, Greenville, SC, September 2016
Co-Presenter, “State of Telehealth in South Carolina; Fraud & Abuse Issues in Telehealth,” Palmetto Care Connections, Columbia, April 2016
Presenter, “Competition and Antitrust in Healthcare,” Medical University of South Carolina Masters in Health Administration program, Charleston, SC, November 2015
Co-Presenter, “Direct Contracting: A New Opportunity For An Old Idea?” South Carolina Hospital Association Annual, Trustees, Administrator and Physicians (“TAP”) meeting, Hilton Head, SC, September 2015
Co-Presenter, “Preparing Boards for Assuming Risk,” Dixon Hughes Goodman Healthcare Symposium, Orlando, FL, May 2015
Co-Presenter, “Legal Issues in Hospital Administration,” Medical University of South Carolina Masters in Health Administration program, Charleston, SC, November 2014
Co-Presenter, “Risk Capability and the Hard Work of Healthcare Transformation: Connecting the Dots with Governance,” South Carolina Hospital Association Annual, Trustees, Administrator and Physicians (“TAP”) meeting, Hilton Head, SC, September 2014
Publications
Issues and Considerations in an Evolving Liability Environment: Summaries and Checklists Regarding Protections for Board of Directors and Executive Officers
Matthew Roberts co-authored a toolkit on behalf of the AHLA Business Law and Governance Practice Group, that identified liability issues for directors and officers that organizations should be aware of and provided checklists of matters to consider with respect to managing challenges and risks. (AHLA PG Toolkit, December 2018)
Navigating the Challenges of Physician Board Membership
Due in large part to the increased affiliation between hospitals and physicians, some hospital boards are seeking additional physician representation. Many hospitals have determined that having physician board members is an effective physician-alignment strategy and gives the board a different, but much needed, perspective on clinical issues.
Amendment to the Stark Law Effective January 1
The healthcare reform act, known as the Patient Protection and Affordable Care Act (PPACA), has now been passed into law and will affect the lives of Americans in numerous ways. One change impacts the way in which some healthcare entities operate their businesses to comply with the ever changing landscape of the Stark law.
Media
Quoted, "Understand Your Value When Negotiating with Insurance Companies," ENT Today, October 4, 2024
News
Insights
Videos/Podcasts
Health care attorney Matthew Roberts discusses the significant impact of ESG, or Environmental, Social, and Governance, for life sciences companies.
Matthew Roberts examines the significant and sometimes positive changes occurring in clinical research processes in the life sciences industry caused by the COVID-19 pandemic.
As more employers and health care consumers express concern about the cost of their health care, government entities have made some major changes to create more price transparency in the health care system. Health care attorney Matthew Roberts discusses how providers should prepare.
The future of the life sciences industry is bright in South Carolina. Nexsen Pruet's health care practice group leader Matthew Roberts highlights the economic impact of one of the State's fastest growing industry sectors.
Nexsen Pruet's newest webinar series is focusing on Life Sciences companies in the Carolinas. These webinars will focus on various legal and regulatory issues that Life Sciences companies deal with on a daily basis. They are also designed to provide updates and strategies on how to deal with these issues.
Podcasts
Admissions
- State Bar: South Carolina, North Carolina
