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HHS Advisory Opinion Approves Profit-Based Bonus Plan for Bona Fide Physician Employees

On Oct. 13, 2023, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued Advisory Opinion 23-07 approving a multispecialty physician practice’s proposal to pay bonuses to each of its...more

Private Equity in Healthcare – An Updated Review of Selected Niche Investment Areas

Since mid-2022, the macro acquisition environment has faced the challenges of inflation and increasing interest rates, among a variety of other headwinds. Global deal flow is down from its 2021 peak. Yet, as this white paper...more

Fraud and Abuse Rules Part IV: Final Changes to Existing and New Anti-Kickback Statute Safe Harbors

As discussed in a prior McGuireWoods alert, the U.S. Department of Health and Human Services (HHS) published final rules that significantly amend the Physician Self-Referral Law (Stark Law), the federal Anti-Kickback Statute...more

Recent Physical Therapy Enforcement Actions Highlight Compliance Concerns

The government has stepped up efforts to monitor physical therapy billing fraud and recoup overpayments. While the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) have long policed fraudulent...more

Market Trends on Physician Compensation & Alignment: Key Takeaways

As competition in and consolidation of the healthcare sector continues to increase, so too does the importance of thoughtful, forward-looking approaches to physician alignment and compensation models. Experts who spoke on a...more

Illinois to Increase Access to Healthcare Via Telehealth During COVID-19

The unprecedented public health emergency created by the 2019 novel coronavirus (COVID-19) has sparked action by state and federal regulators to ensure greater access to healthcare, while simultaneously limiting the spread of...more

A View From the Top: Steven Windwer of Bay State Physical Therapy

The interview below is part of a new series from McGuireWoods that features interviews with C-suite leadership of private equity-backed portfolio companies. To recommend a leader for a future interview, email Holly Buckley at...more

HHS to Ease Fraud and Abuse Rules Part 1: Proposed Revisions to Existing Anti-Kickback Statute Safe Harbors

As discussed in a previous McGuireWoods alert, on Oct. 9, 2019, the Department of Health and Human Services announced two proposed rules to significantly amend the Physician Self-Referral Law (Stark Law), the federal...more

Assessment and Management of Known and Unknown Risks: 6 Points on Corporate Integrity Agreements, Ongoing Investigations, and...

The next in our series of posts sharing key takeaways from panels at the Healthcare & Life Sciences Private Equity and Lending Conference discusses investing in companies operating under or negotiating corporate integrity...more

CMS Revised Guidance on Immediate Jeopardy

On March 5, 2019, the Centers for Medicare & Medicaid Services (CMS) revised Appendix Q to the State Operations Manual, which provides guidance for CMS surveyors in identifying situations of “immediate jeopardy.” Immediate...more

Florida Bankruptcy Court Offers Potential Means to Stave Off Medicare Termination

A recent bankruptcy decision in Florida may have implications for troubled healthcare entities that seek to avoid Medicare termination and preserve reimbursements. ...more

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