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Physician-Owned Hospitals

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

McDermott Will & Emery

Pending Oregon Law Undermines Traditional Physician Practice Structure

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In an apparent attempt to shield physician practices from perceived abuses of close association with physician practice management (PPM) companies, a pending Oregon law could undermine a broad range of structures and...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

King & Spalding

OIG Issues Unfavorable Advisory Opinion Regarding a Company’s Proposal to Create a Turnkey Physician-Owned Entity to Perform IONM...

King & Spalding on

On August 18, 2023, OIG posted Advisory Opinion No. 23-05 regarding a proposed arrangement in which the requesting entity (Requestor) proposed to assist physicians who perform surgeries using intraoperative neuromonitoring...more

Goodwin

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

Goodwin on

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

McDermott Will & Emery

[Event] Physician Practice Management and ASC Symposium 2023 - April 11th - 12th, Nashville, TN

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We are excited to return to Nashville for McDermott’s annual Physician Practice Management and ASC Symposium. Join us and participate in: - Exclusive networking and deal-making opportunities with industry leaders, including...more

Venable LLP

Event in Review: Investments in Professional Practice Management '22 - Challenges and Opportunities

Venable LLP on

There are many things to consider if you plan to invest in middle-market healthcare professional practice management (PPM) businesses this year. The hypercompetitive market, combined with residual effects of the pandemic, has...more

Roetzel & Andress

Starting a Successful Healthcare Practice: Tips For Success

Roetzel & Andress on

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

Morgan Lewis

Practice Acquisitions: Key Legal and Regulatory Considerations for Private Equity Firms and Physicians

Morgan Lewis on

Since 2016, there has been an overall sharp trend upwards in both the size and volume of health service transactions. After recovering from a dip in 2020 due to the outbreak of the COVID-19 pandemic, 2021 saw more than a 50%...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

Benesch

CMS Clarifies Expansion of Physician-Owned Hospital’s “Unlicensed” Observation Beds Under Stark “Whole Hospital” Exception

Benesch on

The Centers for Medicare & Medicaid Services (CMS) recently issued an advisory opinion under the federal physician-self referral law (the “Stark Law”) (Advisory Opinion No. CMS-AO-2021-2) (the “Advisory Opinion”) clarifying...more

Dorsey & Whitney LLP

OIG Advisory Opinion No. 21-02 Provides Helpful Insights into Risk Mitigation Factors Regarding Health System-, Physician-, and...

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On April 26, 2021, the Department of Health and Human Services Office of Inspector General (“OIG”) issued favorable Advisory Opinion No. 21-02 regarding a proposed investment in an ambulatory surgery center (“ASC”) by a...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

McGuireWoods LLP

Healthcare Headlines Episode 2 - PPM Trends: Successful Integration of Physician Practices

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Hosted by McGuireWoods partner Amber McGraw Walsh, chair of the firm’s nationally recognized Healthcare Department, the second episode of "Healthcare Headlines" focuses on successful integration strategies for physician...more

Roetzel & Andress

Practice Growth Strategies for 2021

Roetzel & Andress on

This week on Roetzel’s HealthLaw HotSpot, Roetzel attorneys Ericka Adler and David Hochman along with Lucy Zielinski, Managing Partner at Lumina Health Partners, discuss how physician practices are doing now and how they can...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

Manatt, Phelps & Phillips, LLP

Evolving Physician-Practice Ownership Models - Prepared in collaboration with the American Hospital Association Center for Health...

Physician practice acquisitions and/or equity investment by nontraditional players, such as health plans, private equity investors, venture capitalists and large employers, is a growing trend. These new entrants give...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

Dorsey & Whitney LLP on

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

Baker Donelson

CMS Advisory Opinion 2019-01 Approves Physician-Owned Hospital's Plan to Use Dormant Remote Operating Rooms

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A physician-owned hospital with operating rooms at a second campus that have been inactive since before March 23, 2010 received approval from CMS to include such spaces within the hospital's aggregate capacity limits,...more

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