Squire Sanders’ Triage Health Law Blog discusses the rapidly evolving health care industry in the wake of reform. Although it focuses on the new challenges and opportunities presented by recent government action, it also examines other aspects of today’s health care industry.
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Healthcare Reform
The US healthcare reform legislation of 2010 introduced significant changes to the country’s healthcare and other industries. Although most business leaders have a general knowledge of the reform legislation, many are beginning to ask, “What does this mean for our businesses?” The new laws impact care providers, insurance companies, pharmaceutical and medical device businesses, and employers, with changes ranging from strengthened fraud prevention measures and the expansion of state Medicaid programs to an increased focus on healthcare technology and the introduction of state-based exchanges for individual insurance. Expanded access to healthcare will be implemented and paid for through new mandates, fees, healthcare payment reform, insurance exchanges and incentives. Squire Sanders helps clients take advantage of new opportunities and meet the compliance challenges of the changing environment, developing forward-looking legal advice and solutions for clients in the many areas affected by reform. Through our multidisciplinary, global resources and keen understanding of the healthcare and life science industries, we provide innovative and creative legal strategies to help our clients’ navigate the changes resulting from the legislation. Our services address the following areas:
- Academic medical centers and life science companies – Addressing transparency, accountability and conflict of interest issues between the two groups
- Community benefit plans and audits – Providing tax advice as the IRS moves to implement new rules and new organizations develop
- Consolidation and restructuring – Providing M&A, restructuring, finance, regulatory and advocacy advice for traditional healthcare organizations and new models that will emerge such as accountable care organizations
- Cross-border issues – Counseling on regulatory, finance, hospitality, maritime, real estate and global issues related to healthcare system expansion outside the United States, including meeting medical tourism needs
- Fraud and abuse – Representation in litigation stemming from more focused attention on fraud by the Department of Justice, the Office of Inspector General and the Centers for Medicare & Medicaid Services
- Infrastructure development – Providing finance and real estate advice for rebuilding and re-aligning the healthcare infrastructure
- Legislative/regulatory implementation – Keeping pace with the pending wave of related regulations and shaping new legislation that will result from healthcare reform
- Payer quality/insurance reform – Counseling clients on new insurance regulations, mandates and insurance exchanges
- Senior living – Helping clients meet financing, real estate, development, technology and other requirements for this growing demographic
- Technology – Guiding clients on intellectual property, data privacy and communications requirements for the broadband networks needed to speed health information technology solutions for electronic health records, telemedicine and other aspects of new services
- Workforce development – Helping clients meet new requirements relating to labor and employment issues, modification of employee benefit plans and development of the healthcare workforce
- Counsel in other areas including:
- Bankruptcy and restructuring
- Government relations/public advocacy
- Life sciences
- Public finance
As the healthcare industry moves forward with implementation of the reform measures, Squire Sanders is your go-to partner in navigating the new landscape.
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