Industries & Practices
Health Care Regulatory
Supreme Court unanimously sides with American Hospital Association, 340B hospitals over outpatient drug reimbursement rates; 340B hospitals estimated to potentially recoup billions of dollarsMore
Federal court sides with Eli Lilly challenge to HHS expansion of 340B discountsMore
Status of MFN drug pricing program remains uncertainMore
CMS releases Hospital 2021 OPPS final ruleMore
Health system and physician-owned hospital affiliation
Prepared several options for a health system and physician-owned surgical hospital to affiliate in a secondary market. Provided regulatory advice, including an analysis of potential Stark Law and Anti-Kickback Statute compliance issues, as well as antitrust and federal tax law advice.
Change of Ownership RAP appeal
Represented a home health agency in its appeal of post-Medicare Change of Ownership Request for Anticipated Payment suspension imposed by the Centers for Medicare and Medicaid Services. Successfully appealed the payment suspension, which was worth $15 million.
Court of appeals rules that HHS has the authority to cut 340B hospitals’ Medicare payments for outpatient drugs by 28.5 percentMore
Behavioral health provider counseling
Represent a variety of behavioral health providers in state licensure matters as well as general operational and compliance matters.