HEALTH CARE

HEALTH CARE

GW's Health Care Practice Group provides advice on general commercial matters (including contracts, mergers, acquisitions, consolidations, corporate reorganizations, joint ventures, alternative delivery systems, home health care, tax matters, real estate and corporate matters) and regulatory matters (such as governmental regulation, managed care, antitrust, practice plan arrangements, medical staff relations and third party reimbursement). The Health Care Practice Group focuses on the business of the health care industry. Given the continuing changes in the regulatory environment and the challenges facing our clients in an increasingly competitive environment

GW is highly qualified to advise our clients in the following representative areas:

  • Federal and State law regulatory compliance
  • Mergers and acquisitions
  • In addition to the usual buying and selling of entities and properties, we have advised most of the major health care systems in the metropolitan area concerning their formation and the adding or spinning off of hospitals, nursing homes and other providers
  • Business structuring — corporations, limited liability companies, partnerships, etc.
  • Managed care and other third-party payor contracting and dispute resolution
  • GW has negotiated major fee-for-service and risk agreements for health care systems, community hospitals, IPAs, multi-specialty groups and other providers with major managed care providers, including Empire Blue Cross Blue Shield, Aetna, United Healthcare, Oxford Health Plans, Horizon Blue Cross Blue Shield, CIGNA and other managed care organizations
  • GW has negotiated a statewide settlement for providers with an HMO that was on the verge of bankruptcy
  • GW has assisted in the formation and regulatory compliance of IPAs and related managed care contracting entities
  • Strategic planning
  • Medicare and Medicaid compliance, audit and reimbursement appeals