As innovative treatments proliferate and cost-effectiveness becomes paramount, health care is increasingly being delivered in the sub-acute space. Consequently, interest in specialty pharmacy, home health, hospice, therapy, behavioral health, residential care, day care and long-term care (including long-term pharmacy) is at an all-time high.
Opportunities abound for strategic clients who seek to increase the synergies of their existing lines of service, as well as for financial clients who see the growing value of sub-acute providers. At the same time, investors, owners and operators of public and private, for-profit and nonprofit service providers face a host of challenges, including evolving consumer demands, increased regulatory involvement, shifting reimbursement models, new delivery systems and technologies, and related business and legal hurdles.
McDermott attorneys are at the forefront of this market expansion and provide targeted, creative transactional and strategic advice related to the myriad legal, regulatory, reimbursement and policy issues associated with the management and operation of sub-acute providers, payors and their business partners. Our practice also includes a substantial amount of work for investors, real estate investment trusts (REITs) and lenders.
Our health care lawyers provide multi-disciplinary counsel to clients on a broad range of issues, including mergers, acquisitions, joint ventures and the development of new business lines, debt and equity financing, formation of provider networks, payor negotiations, Medicare and Medicaid reimbursement matters, state, CON and licensure issues, contracts with third-party providers and employees, federal and state tax planning, antitrust and environmental compliance, and government relations and legislative initiatives.
Our lawyers work on multi-disciplinary teams that include experienced medical, coding and valuation professionals, and who together form an integral part of our compliance program audits and training programs. These programs are specifically designed to provide clients with the tools required to meet the challenge of planned and unplanned governmental scrutiny. As the OIG increases its involvement in this growing sector, McDermott’s industry-focused health care attorneys offer comprehensive counsel to capture the burgeoning opportunities in sub-acute, home and long-term care.