Our attorneys have represented healthcare providers for years, including hospitals and national health systems, multi-state ancillary providers and physician practices. This diverse base of experience provides our attorneys with insight to the entire spectrum of healthcare providers.
The transformation of the healthcare industry to accountable care and quality reimbursement presents a sea of change, where novel opportunities and challenges are constantly emerging. The continued consolidation of the healthcare industry is taking some unexpected turns; however, the drivers of accountable care often appear to be physicians, and they are increasingly recognizing this potential power. Hospitals are being pushed to cut costs in ways that are exceptionally challenging– the successful are embracing technology and recognizing ways to provide value-based compensation to their physicians and employees and to joint venture appropriately with other healthcare providers. The government continues to struggle with accountable care implementation, but it is also beginning to develop regulatory pathways for increased consolidations that previously were deemed suspect under antitrust, physician referral, and anti-kickback laws.
The merging of accountable care and quality reimbursement, made possible through advances in technology, creates an excellent opportunity for our attorneys to provide meaningful, practical guidance to providers that are willing to engage in an interesting and innovative change for the healthcare industry.
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HOSPITAL AND HEALTH SYSTEMS
Our healthcare attorneys provide operational and regulatory advice to hospitals and health systems, ranging from small community hospitals to large nonprofit hospitals, academic medical centers and for profit health systems. As healthcare providers respond to the sweeping legislative changes in recent years, our lawyers have represented purchasers and sellers in M&A transactions, as well as equity investors and lenders. In addition to negotiating and drafting the transactional documents, our lawyers perform due diligence, risk analysis and mitigation, and tax structuring with respect to the joint venture, consolidation, sale and purchase of healthcare providers. Outside of the transactional environment, our lawyers serve as operations counsel, advising clients on state licensing laws and regulations, federal conditions of participation, Joint Commission rules, and provider-based rules and regulations, managed care contracting and reimbursement, and frequently interface with state and federal agencies.
Attorneys: Lisa Thomas, Callie Campbell
We have advised ancillary healthcare providers such as independent diagnostic testing facilities, ambulatory surgery centers, home health agencies, imaging centers, psychiatric hospitals, clinical laboratories, durable medical equipment, prosthetic and orthotic suppliers, nursing homes, assisted living facilities, lithotripsy companies and dialysis providers. In response to the changing landscape of healthcare, these providers have consolidated, merged, acquired other providers, and entered into strategic joint ventures with other healthcare providers. Our lawyers have guided our healthcare clients in these transactions, by applying business-minded practical solutions while navigating the state and federal regulatory requirements of Stark, anti-kickback, and other fraud and abuse laws, as well as state laws regulating the operations and relationships of these healthcare providers. These strategic joint ventures range from the development of travel surgery programs to joint ventures between these providers and physicians to provide ancillary services. We assist ancillary providers on a regular basis with operational issues, such as federal enrollment and participation standards, Medicare and Medicaid reimbursement, and compliance with state licensing law and regulations. We have frequently interacted with state and federal agencies to seek advisory opinions and less formal advice, including the Centers for Medicare and Medicaid and their regional contractors, and the OIG.
Attorneys: Lisa Thomas, Callie Campbell