Articles and Blogs

Health care continues to drive private equity (“PE”) activity, creating opportunities for investors and traditional health care providers. Transactions in the health care space are especially complicated, layering health care regulatory and reimbursement considerations on top of a complex securities, antitrust, privacy and security framework. Hall Render’s PE team of attorneys and advisors leverage... READ MORE

Despite recent reductions-in-force (“RIFs”) at the Food and Drug Administration (“FDA” or “Agency”), the Agency’s Office of Prescription Drug Promotion (“OPDP”) has signaled that enforcement remains a priority. On April 28, 2025, OPDP issued its third Untitled Letter of the year — notably, the first following the April 1 RIFs, which impacted OPDP staffing.... READ MORE

A new report argues that Alabama’s certificate of need law is negatively impacting health care in the state. Researchers estimate that Alabama would have 52 more hospitals, the cost of care would be reduced and post-surgery complications would decrease by 5.2% but for certificate of need restrictions. New data has been published on private... READ MORE

NATIONAL $1 in Medicaid cuts costs rural areas $5: community hospital CEO Catholic health systems warn of program closures, higher premiums if Medicaid cuts pass CMS deploying more coders, ‘advanced systems’ to audit all Medicare Advantage contracts CMS shift sparks hope for high-needs ACO REACH extension CMS to crack down on Medicare Advantage overpayment... READ MORE

On April 30, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the FFY 2026 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”) to update IPPS payment rates, change DSH payments, increase uncompensated care payments and request input on ways to streamline Medicare regulations and reduce provider burden. Increase to Payment Rates... READ MORE

The Center for Medicare & Medicaid Innovation (“CMMI”) has announced a new strategy for establishing payment systems that incentivize healthier lives through a focus on three key pillars: (1) promoting evidence-based prevention; (2) empowering patients to achieve their health goals; and (3) driving choice and competition. This strategy includes several positives for providers participating... READ MORE

In the latest example of enforcement action against pharmacy benefit managers (“PBMs”), Michigan Attorney General Dana Nessel recently filed an antitrust lawsuit in federal court against Express Scripts, Inc. and Prime Therapeutics LLC, alleging the two PBMs engaged in an unlawful agreement to suppress pharmacy reimbursement rates and harm competition (the “Complaint”). The Complaint,... READ MORE

Hall Render is pleased to announce that Camilla Moreno Jimenez has joined the firm in its Indianapolis office. Camilla advises health care industry participants on a broad range of strategic and operational issues, including clinical services, regulatory and compliance matters, patient care issues and policy. Camilla has experience counseling hospitals and health systems on... READ MORE

On April 24, 2025, the U.S. Court of Appeals for the Seventh Circuit (the “Seventh Circuit” or “Court”) affirmed summary judgment in Partin v. Baptist Healthcare Sys., Inc., applying the McDonnell Douglas burden-shifting framework to Emergency Medical Treatment and Active Labor Act (“EMTALA”) retaliation claims. Case Background Plaintiff Dr. William Partin (“Partin”) was an... READ MORE

Hospitalogy recently compiled statistics tracking the top health systems along several metrics, as of January 1, 2025, including total revenue (Kaiser Permanente), patient service revenue (HCA Healthcare) and patient revenue growth (BJC Health System). Health system margins dipped below 1% for the first time in 15 months, according to a recent report. The report... READ MORE