Articles and Blogs

On October 14, 2024, Plaintiffs representing a class of health care providers for In Re Blue Cross Blue Shield Antitrust Litigation reached a settlement agreement against the Blue Cross Blue Shield Association and its member companies (“BCBS”) for allegations of suppressing competition and underpaying providers. BCBS will pay $2.8 billion to a Settlement Fund... READ MORE

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. The health care sector, and addiction treatment providers in particular, face heightened scrutiny due to the high volume of claims and the vulnerability of patient populations, particularly those in... READ MORE

NATIONAL AHA opposes CMS nursing home staffing rule: 5 notes AMA files lawsuit alleging price-fixing by MultiPlan American Medical Association President: Rural doctor shortage ‘already here’ CVS expands MinuteClinic primary care services Elevance, Cigna, CVS accelerate push into specialty pharmacy FTC drills down on cross-market hospital mergers How a group of clinicians launched a... READ MORE

Tenet Health has sold 14 hospitals this year for more than $4.8B, according to its third-quarter earnings call. Tenet sold the following: 1) an interest in five Alabama hospitals to Orlando Health, 2) three hospitals in South Carolina to Novant Health, 3) four California hospitals to UCI Health, and 4) two California hospitals to... READ MORE

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

The Centers for Medicare & Medicaid Services (“CMS”) is reinforcing regulatory expectations regarding nursing home residents’ rights to vote. On September 26, 2024, CMS issued a QSO Memo, “Compliance with Residents’ Rights requirement related to Nursing Home Residents’ Right to Vote.” CMS reminds nursing homes of the regulatory expectations that residents of nursing homes... READ MORE

NATIONAL 3 federal moves to address rural healthcare gap 340B purchases hit $66.3B in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana... READ MORE

A new report from Silicon Valley Bank analyzes the state of the health care technology market. The top U.S. regions for health care technology companies are New York, San Francisco, Massachusetts, Austin and Nashville. Nearly half of all health technology investments this year have gone to AI companies. Executives at several health systems announced... READ MORE

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

The government lawsuit against defendants Precision Lens and its founder Paul Ehlen, United States ex rel. Fesenmaier v. Cameron-Ehlen Group, Inc. (“Fesenmaier”), has garnered substantial media attention. This is due in part to juicy facts (kickbacks to physicians in such forms as fancy meals and exclusive vacations for which physicians were invoiced at below... READ MORE