As this fall’s election approaches, headwinds have been brewing in DC and state legislatures for private equity health care dealmaking, many of them with bipartisan support. While a key Senate committee scrutinized patient...more
Health care policy and business face consequential times ahead, with Election Day Nov. 3 and a challenge to the Affordable Care Act (ACA) being heard before the Supreme Court on Nov. 10. In February 2018, two months after...more
In the October 3 Federal Register (79 FR 59717), the Office of Inspector General (“OIG”) of the Department of Health and Human Services (“HHS”) published a proposed rule that would amend the safe harbor regulations to the...more
Standard & Poor’s (S&P) Rating Services recently warned the health care sector was at “a tipping point where negative forces have started to outweigh many providers’ ability to implement sufficient countermeasures.” S&P noted...more
Since the Affordable Care Act (the “ACA”) was enacted in 2010, the health care industry has been on the edge of its proverbial seat waiting to see which care delivery models are best suited to sustain all the changes: to...more
8/8/2014
/ ACOs ,
Affordable Care Act ,
Blue Cross ,
CIGNA ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Highmark ,
Hospital Mergers ,
Hospitals ,
Humana ,
Joint Operating Agreement ,
Joint Venture ,
United Healthcare Insurance Co. ,
WellPoint
With almost 18 percent of U.S. GDP spent on health care, experts see consolidation as fundamental to reducing costs—by integrating care coordination and delivery, and by increasing scale to drive efficiencies, including with...more
Since January 2009, the DOJ has recovered more than $13.4 billion through False Claims Act cases involving fraud against federal health care programs, and last month, Halifax Hospital Medical Center and Halifax Staffing, Inc....more
4/29/2014
/ Corporate Integrity Agreement ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Employment Contract ,
False Claims Act (FCA) ,
Halifax Hospital ,
Healthcare ,
Hiring & Firing ,
Medicare ,
Settlement ,
Stark Law ,
Whistleblower Awards
Drakeford v. Tuomey and U.S. vs. Bradford Regional Medical Center -
With the Affordable Care Act and market forces driving consolidation and creative transactions across the health care industry, health care...more