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Hospitals Physician-Owned Hospitals

Baker Donelson

Relocation of Physician-Owned Hospitals: CMS Advisory Insights

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The Centers for Medicare and Medicaid Services (CMS) issued CMS Advisory Opinion No. CMS-AO-2025-1 on February 26, 2025, blessing the relocation of a physician-owned hospital. The hospital planned to relocate eight miles from...more

McGuireWoods LLP

CMS Opinion Offers Guidance on Relocation of Physician-Owned Hospitals

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On Feb. 26, 2025, McGuireWoods successfully assisted a physician-owned hospital in obtaining a favorable advisory opinion from the Centers for Medicare & Medicaid Services (CMS) regarding its proposal to relocate the entire...more

Blank Rome LLP

Exploring Consolidation and Private Equity Investment in Physician Practice Management

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Episode 12: Exploring Consolidation and Private Equity Investment in Physician Practice Management - In this episode of BRight Minds in Healthcare Delivery, host Eric Tower interviews Robert Aprill, a partner at Physician...more

Blank Rome LLP

Empowering Physicians & Provider Groups as they Navigate the Transition to Value-Based Care

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Episode 11 – Empowering Physicians & Provider Groups as they Navigate the Transition to Value-Based Care - In this episode of BRight Minds in Healthcare Delivery, host Eric Tower, a partner at Blank Rome, interviews Luis...more

Blank Rome LLP

How Value-Based Care Models Affect Physician Practice Valuation

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Episode 9: How Value-Based Care Models Affect Physician Practice Valuation - In this episode of BRight Minds in Healthcare Delivery, host Eric Tower interviews Larry Elisco, a partner in Wipfli LLP’s health care practice...more

Bass, Berry & Sims PLC

OIG Approves Hospital’s Redemption Offer to Retiring Physician-Owners

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On January 3, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published Advisory Opinion No. 23-12, approving a physician-owned hospital’s offer to redeem over a two-year period the...more

McDermott Will & Emery

[Webinar] Physician Alignment in Hospital/PPM Joint Ventures in 2024: A McDermott and Chartis Roundtable - January 18th, 12:00 pm...

Hospitals and health systems are looking to improve the financial performance of their physician practices, and investor-backed physician practice management (PPM) companies have sophisticated practice management...more

Goodwin

New York Legislature Considers Proposal to Require Burdensome Regulatory Approval Process for “Material Transactions” Involving...

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New York Gov. Kathy Hochul’s Executive Budget Proposal for FY 2023-2024 includes a proposal to require Department of Health (DOH) approval of certain mergers, acquisitions, and other significant transactions involving medical...more

Venable LLP

New York Governor Proposes Regulatory Overhaul for Investor-Backed Healthcare Transactions

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The recently released New York State Executive Budget for 2024 includes proposed legislation that would significantly expand the state's regulatory authority over healthcare transactions. The bill introduces Article 45-A...more

Roetzel & Andress

Starting a Successful Healthcare Practice: Tips For Success

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This week on the HealthLawHotSpot, Host Ericka Adler, Roetzel shareholder and Health Law Practice Group Leader, is joined by special guest Anjali Dooley, CEO of the Innovators Law Firm, to provide legal and operational advice...more

Health Care Compliance Association (HCCA)

[Webinar] 10 Common Healthcare Compliance Concerns Related to Hospital/Physician Transactions - March 16th, 12:00 pm - 1:30 pm CST

Learning Objectives - This 90-minute webinar features the following topics: - Understand 10 common compliance concerns and challenges related to a variety of high risk hospital/physician transactions. - Develop risk...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - May 2021

I. Certificate of Need Program - A. A.AL2021-011, DVA Healthcare Renal Care, Inc. d/b/a Northport Dialysis, Northport, AL: Proposes the relocation and expansion of its existing state-of-the-art ESRD facility by adding ten...more

McGuireWoods LLP

Healthcare Headlines Episode 4 - The Evolution of Physician-Owned Hospitals Since the ACA

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Episode four of McGuireWoods' "Healthcare Headlines" video series focuses on physician-owned hospitals and how they have evolved since the induction of the Affordable Care Act. Host and McGuireWoods partner Amber McGraw...more

Holland & Knight LLP

CMS Releases 2021 OPPS and ASC Payment System Final Rule

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The Centers for Medicare & Medicaid Services (CMS) has published the Calendar Year (CY) 2021 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Note that the...more

Sheppard Mullin Richter & Hampton LLP

Site-Neutral Payments Stand: D.C. Court of Appeals Overturns Ruling and Allows Lower Payments to Off-Campus Provider-Based...

On July 17, 2020, in a blow to health care providers, the U.S. Court of Appeals for the D.C. Circuit overturned a lower court’s more favorable ruling and held that the Department of Health and Human Services (“HHS”)...more

Foley & Lardner LLP

Florida Proposed Attorney General Oversight of Health Care Transactions

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In a move to provide the Attorney General with oversight authority with respect to certain health care transactions in the State of Florida, the Florida House Health Market Reform Subcommittee recently approved a measure that...more

Dorsey & Whitney LLP

Escobar in Action: Physician-owners’ fraud claims against hospital defeated in Fifth Circuit appeal for lack of materiality

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Following the passage of the Affordable Care Act (“ACA”), which placed new limits on physician-owned hospitals, St. Luke’s Health System (“System”) took action to change one of its hospital’s ownership structures through a...more

Foley & Lardner LLP

Healthcare Law Review: Overview of the U.S. Healthcare System

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The U.S. healthcare industry remains at a crossroads. The healthcare reform legislation passed under President Barack Obama in 2010, officially called the Patient Protection and Affordable Care Act (ACA) but widely referred...more

Wilson Sonsini Goodrich & Rosati

Congressional Committee Targets Private Equity Firms on Medical Billing Practices

Pointing to an increasing trend of private equity firms acquiring physician staffing companies and private emergency transportation companies contracting with hospitals, a key congressional committee announced a bipartisan...more

McDermott Will & Emery

Corporate Law & Governance Update - June 2019

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AHA GOVERNANCE SURVEY - The governance and board development committee will benefit from an overview of the American Hospital Association (AHA) 2019 National Heath Care Governance Survey Report, which describes a...more

McGuireWoods Consulting

Washington Healthcare Update June 2019 #1

This week in Washington: Senate to consider state of patent eligibility in America, House Ways and Means Committee will hold a hearing on the single-payer issue and both the House and Senate continue to hold hearings on the...more

Shumaker, Loop & Kendrick, LLP

Client Alert: Practical Considerations in the Purchase and Sale of Physician Practices

The purchase and sale of a physician practice is a common transaction, especially as the trends of health care diversification and consolidation continue. While general business and legal knowledge regarding the sale of...more

Sheppard Mullin Richter & Hampton LLP

Lifting the Limits on Physician-Owned Hospitals: Can Regulators Prevail Where Legislators Have Stalled?

We reported, in early 2017, on what was then the latest legislative effort to repeal the Affordable Care Act’s amendment to the Stark Law’s whole hospital exception, which amendment has effectively prevented new...more

Benesch

Hospitals & Physician Organizations Summary Report - November 2017

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Uncertainty and pressures continue to mount for healthcare providers, creating a new operating environment – Uncertainty around Medicaid and other programs, the shift to value-based care, margin pressures, the need to search...more

Baker Donelson

CMS Clarifies Streamlined Submission to Self-Referral Disclosure Protocol for Physician Organizations

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In an apparent effort to reduce redundancy, CMS issued an FAQ clarifying a simplified process for submissions to the CMS Voluntary Self-Referral Disclosure Protocol (SRDP) involving financial relationships with physicians who...more

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