By all accounts, 2019 proved to be another year of significant investment by private equity firms in the physician practice space. Below we discuss 10 trends we observed as counsel on a number of these transactions during...more
1/22/2020
/ Acquisitions ,
Commercial Insurance Policies ,
Contract Negotiations ,
Contract Terms ,
Due Diligence ,
Health Care Providers ,
Hospitals ,
Indemnity Insurance ,
Mergers ,
Partnerships ,
Physicians ,
Private Equity ,
Private Equity Firms ,
Private Equity Funds ,
Strategic Planning
Discover the factors that drove healthcare M&A activity in 2019.
Innovation, expansion and continued private equity investment in the industry influenced healthcare transactions last year. 2019 saw continued robust...more
1/16/2020
/ Acquisitions ,
Ambulatory Surgery Centers ,
Centers for Medicare & Medicaid Services (CMS) ,
Divestiture ,
EBITDA ,
Health Care Providers ,
Health Information Technologies ,
Healthcare Facilities ,
Home Health Care ,
Hospice ,
Hospitals ,
Joint Venture ,
Managed Care Contracts ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Mergers ,
Pharmacies ,
Physicians ,
Private Equity ,
Private Equity Firms
Investors’ interest in healthcare continues to grow and healthcare-related deal flow in private equity appears to be at an all-time high. On November 5, Bass, Berry, & Sims member Tatjana Paterno moderated a Kayo Women in...more
Following the launch of several platforms in recent years, it seems that private equity’s interest in the fertility space is trending up again. Investment in this sector brings some unique issues that potential investors...more
11/13/2019
/ Anti-Kickback Statute ,
Clinical Laboratories ,
Consent ,
Discounts ,
Due Diligence ,
Fertility Treatments ,
Health Care Providers ,
Investors ,
Joint Venture ,
Partnerships ,
Patient Referrals ,
Physicians ,
Prescription Drugs ,
Private Equity ,
Private Equity Firms
In the wave of physician practice management transactions, urology is poised to be one of the next hot sectors. In addition to the issues to consider in connection with any physician practice transaction, below we discuss...more
6/26/2019
/ Anti-Kickback Statute ,
False Billing ,
False Claims Act (FCA) ,
Healthcare ,
Healthcare Fraud ,
Medical Devices ,
Pharmaceutical Industry ,
Physician-Owned Hospitals ,
Physicians ,
Private Equity ,
Safe Harbors ,
Stark Law ,
Value-Based Care
2018 marked a year of continued robust healthcare merger and acquisition activity, with deal volume surpassing that of 2017. The dollar volume of healthcare deals also exceeded 2017, highlighted by CVS Health Corp. (NYSE:...more
1/9/2019
/ Acquisitions ,
Acute Facilities ,
Ambulatory Surgery Centers ,
Health Care Providers ,
Health Information Technologies ,
Healthcare Facilities ,
Home Health Care ,
Hospice ,
Hospitals ,
Investors ,
Managed Care Contracts ,
Mergers ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Physicians ,
Private Equity ,
Private Equity Firms ,
Substance Abuse ,
Urgent Care Facilities
On July 17, 2018, the U.S. House of Representatives' Ways and Means Committee Subcommittee on Health ("Subcommittee") expressed its commitment to modernizing the Stark Law during a hearing in which industry and government...more
7/19/2018
/ ACOs ,
Affordable Care Act ,
Alternative Payment Models (APM) ,
Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Hospitals ,
Medicare Access and CHIP Reauthorization (MACRA) ,
OIG ,
Request For Information ,
Stark Law ,
Ways and Means Committee
Dermatology, ophthalmology, radiology, urology? The list goes on. Yet, in any physician practice management transaction, the following six key considerations apply and, if not carefully managed, can derail a...more
Spring cleaning season has arrived! This time of year serves as the perfect opportunity to revisit your portfolio company’s healthcare compliance. The complex and ever changing healthcare regulatory and enforcement...more
On December 3, 2017, CVS Health Corp. (NYSE: CVS) announced it would purchase health insurer Aetna Inc. (NYSE: AET) for $67.5 billion, a transaction that would be one of the biggest healthcare mergers in the past decade. The...more
The popularity of radiology practice consolidation is increasing, in part, due to the same catalysts that have driven other outsourced physician groups to consolidate – (a) the need to achieve scale and leverage in order to...more
On June 22, 2017, Senate Republicans released a draft of the Better Care Reconciliation Act (BCRA), their much-anticipated version of the legislation to "repeal and replace" the Affordable Care Act (ACA). Despite rumors of a...more
6/24/2017
/ Affordable Care Act ,
Continuous Coverage ,
Employer Mandates ,
Essential Health Benefits ,
Health Insurance ,
Individual Mandate ,
Legislative Agendas ,
Medicaid ,
Medicaid Expansion ,
Penalties ,
Political Parties ,
Proposed Legislation ,
Repeal ,
Stabilization Issues ,
Tax Credits ,
Trump Administration ,
Waivers
On May 4, 2017, the House of Representatives narrowly passed a bill that will repeal and replace the 2010 Patient Protection and Affordable Care Act (ACA). The Republican-backed American Health Care Act (AHCA) passed in the...more
5/6/2017
/ Affordable Care Act ,
American Health Care Act (AHCA) ,
CBO Report ,
Essential Health Benefits ,
Health Insurance ,
Premium Subsidies ,
Proposed Legislation ,
Repeal ,
Stabilization Issues ,
State Legislatures ,
Trump Administration
On April 18, 2017, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register a final rule (the "Final Rule") aimed at stabilizing the individual and small group health insurance markets...more
On March 6, 2017, Republicans in the House of Representatives unveiled two bills that aim to repeal and replace the 2010 Patient Protection and Affordable Care Act (ACA). The bills, collectively called the American Health...more
3/10/2017
/ Abortion ,
Affordable Care Act ,
Employer Mandates ,
Federal Funding ,
Individual Mandate ,
Medicaid ,
Medicaid Expansion ,
Penalties ,
Proposed Legislation ,
Repeal ,
State Health Insurance Exchanges ,
Tax Credits
Healthcare transactional activity continued unabated throughout 2016, continuing a years long trend of sustained growth. This activity is due to a number of factors: innovative technology, pharmaceuticals, and services that...more
1/9/2017
/ Addiction Equity Act ,
Health Care Providers ,
Health IT ,
Healthcare Facilities ,
Hospitals ,
Industry Consolidation ,
Innovation ,
Managed Care Contracts ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Mental Health ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Provider Payments
On November 8, 2016, the future of the Patient Protection and Affordable Care Act (ACA) became more uncertain. Republicans in Congress have been working to repeal the ACA since it was passed in 2010, and now, with control of...more
12/1/2016
/ Affordable Care Act ,
Cadillac Tax ,
Employer Mandates ,
FSA ,
Health Insurance ,
Hospitals ,
HSA ,
Individual Mandate ,
Medicaid Expansion ,
Medical Device Tax ,
Pharmaceutical Industry ,
Presidential Elections ,
Repeal ,
Tax Credits ,
Tax Cuts ,
Trump Administration