The implementation of the Affordable Care Act has resulted in increased spending for hospitals, physician practices, senior living organizations, life sciences companies, health care information vendors, ambulatory surgery centers, certain payors and generally all participants in the health care industry. Regardless of size or structure, health care businesses must continue to navigate a complex maze of federal and state laws and regulations to remain economically competitive. Health care compliance continues to be an important part of the health care delivery system as the federal government – and some state governments –remain vigilant with enforcement activity. Ongoing compliance efforts are critical to avoid significant financial exposure and public relations challenges – and potential litigation, criminal liability and/or administrative sanctions. Mergers and consolidations, patient and data privacy and security challenges, fraud and abuse enforcement and reimbursement changes will remain prevalent throughout the health care delivery system.
Saul Ewing’s health care industry clients confront these and many other challenges and the firm’s attorneys are there to represent them in corporate, transactional, regulatory, compliance, labor and employment, tax and employee benefits, energy and environmental, litigation and bankruptcy matters. Their work includes assisting health care providers in developing and implementing various sophisticated forms of commercial arrangements, including accountable care type organizations that focus on population health initiatives, mergers, acquisitions, strategic engagements, and new business formations. They also provide advice and counsel on day-to-day business operations, including management and governance, contract drafting and negotiation, physician and staff employment issues, and tax matters. The team’s regulatory work includes compliance with HIPAA and federal and state anti-kickback and physician self-referral statutes and regulations, advice on licensing, accreditation and survey-related matters, as well as Affordable Care Act compliance in connection with employee benefits. Saul Ewing attorneys conduct risk assessments to help health care businesses identify where they may need to make operational changes with the aim of preventing fraud and abuse, data breaches, and activities to ensure compliance with an organization’s tax-exempt status.
Saul Ewing’s health care team has experience advising:
- Academic medical centers and community hospitals and long term care hospitals
- Ambulatory surgery centers and other freestanding facilities
- Physician and dental practices, and individual licensed practitioners
- Participants in the Medicare Shared Savings Program, commercial “accountable care organizations” and other innovative health care delivery organizations
- Community health centers and federally qualified health centers
- Medical specialty boards
- Medical societies
- Colleges and universities
- Device manufacturers in FDA related activities
- Provider joint ventures
- Senior living organizations (e.g., continuing care retirement communities, nursing homes and assisted living facilities)
- Health care software and technology companies
- Infusion therapy providers
- Physical therapy providers
- Durable medical equipment (DME) companies
- Health care consulting firms
- Medical billing companies
- Home health care companies
The activities of the firm’s health care lawyers comprise the following general subjects:
- IT Contracting
- Real Estate
Bankruptcy and Restructuring
Labor and Employment
Business and Finance
Real Estate Services
Regulatory, Compliance and Government
The group includes attorneys who have been named to the following lists:
- Chambers USA
- Super Lawyers
- The College of Labor and Employment Lawyers
The College of Labor and Employment Lawyers selects Fellows who have been in the field for at least 20 years and have proven to peers that they possess a high level of professional qualifications and character.
- Benchmark Litigation - State Litigation Star
Benchmark Litigation employs researchers who conduct interviews with litigators and their clients, examine recent casework handled by law firms and ask individual litigators to offer their professional opinions on peers.
- American College of Trial Lawyers Fellow
Fellowship in the American College of Trial Lawyers is extended only by invitation to trial lawyers whose professional careers have been marked by high standards of ethical conduct, professionalism, civility and collegiality.
- The Best Lawyers in America list
Inclusion in Best Lawyers is based entirely on peer review, employing a sophisticated, conscientious, rational, and transparent survey process designed to elicit meaningful and substantive evaluations of the quality of legal services.
- American Health Lawyers Association
- Healthcare Information Management Systems Society
- Pennsylvania Society of Health Care Attorneys
- America’s Health Insurance Plans
- Healthcare Financial Management Association