Health Care

Knowledgeable on changing health care laws and regulations, evolving reimbursement models and trends, and other business and regulatory developments, our Health Care practice works together to provide clients with quality, comprehensive and practical solutions to the problems they face. We represent a variety of health care organizations, providers and technology and wellness companies.

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Calfee’s Health Care group is a cross-disciplinary team of attorneys that provides legal services to health care providers and facilities.  

Our clients include:

  • Academic medical centers
  • Billing companies
  • Biomedical and medical device start-up companies
  • DMEPOS manufacturers and suppliers
  • Dialysis providers
  • Health care management and administrative service providers
  • Health care payors 
  • Independent and physician office laboratories 
  • Medical technology, device and life science companies
  • Pharmaceutical benefit managers 
  • Health care information technology and wellness companies 

We counsel and assist our clients in the following areas: 

  • Health care providers (health systems, hospitals, public health care facilities, clinically integrated networks, long-term care facilities, multi-specialty and single-specialty physician groups, physicians, and ancillary providers and facilities) 
  • Federal fraud and abuse laws (Stark Law, Anti-Kickback Statute, and False Claims Act) 
  • HIPAA and patient privacy and security
  • Joint ventures
  • Hospital and physician integration and alignment
  • Physician practice acquisitions
  • Tax and tax exemption
  • Payor negotiation and contracting 
  • Medical staff issues and governance 
  • Accreditation and licensing issues
  • Clinically integrated networks and accountable care organization formation and governance 
  • Concierge medical practice formation 
  • Physician practice succession planning
  • Physician employment agreements
  • Medical director arrangements
  • Antitrust 
  • Corporate and commercial business and finance 
  • Capital formation
  • Public finance
  • Environmental 
  • Employee benefits and executive compensation 
  • Government relations 
  • Intellectual property 
  • Information technology 
  • Labor and employment 
  • Litigation
  • Real estate
  • Workers' compensation and OSHA 
  • Mergers and acquisitions of health care providers/payors
  • Federal and state health care fraud, Stark and False Claims investigations
  • Health care antitrust litigation
  • Insurance-related litigation
  • Staff privileges litigation
  • Medical board hearings
  • Contract disputes involving physicians, hospitals, suppliers, contractors, employees, insurers and managed-care entities
  • Reimbursement disputes
  • Non-competition issues
  • Licensing matters

 

Calfee represented:

  • Health systems and physicians in federal and state False Claims, Anti-kickback and Stark allegations, including negotiating settlements and corporate integrity agreements.
  • Hospitals and physician groups in mergers, acquisitions, joint ventures, and buyouts.
  • Area hospitals, clinics and other health care providers in litigation and disputes arising out of contracts with insurers, physicians, suppliers and others.
  • Hospital and other health care providers in antitrust litigation.
  • Health care employers in disputes and litigation with physicians and other medical professionals.
  • Restructuring, governance, regulatory guidance and contracting for an academic medical center.
  • Hospitals, clinics and physicians in connection with post-trial proceedings and appeals from excess verdicts and punitive damage awards in medical malpractice litigation.
  • Providers in creating and updating compliance plans.
  • Hospitals in connection with grand jury investigations conducted by the Department of Justice Antitrust Division.