Yesterday, the Supreme Court decided Universal Health Services, Inc. v. United States ex rel. Escobar, a case that many hoped would provide much-needed clarity on the viability of the implied certification theory of liability in False Claims Act cases. While the Court held the implied certification theory as a viable basis to impose liability, the ruling did little to provide the hoped-for clarity ...
A large percentage of closely held businesses restrict or even prohibit the owners’ ability to transfer their equity interests. Often these restrictions require the owner to sell the equity back to the entity or the other owners at a formula value, for example, book value, that is not anticipated to be a true fair market value. These and other permanent restrictions on equity interests are called nonlapse restrictions because by their terms they never go away or “lapse ...
Last week, Waller co-hosted a roundtable discussion on interoperability with Brentwood Capital Advisors and were joined by healthcare IT companies, investors, providers and payors. Will Morrow, VP of HCA’s Health Insight Capital, and Hal Andrews, President of Healthcare for Digital Reasoning, kicked off the discussion with a case study on HCA’s work to achieve data interoperability and how HCA’s strategy led to its recent investment in Digital Reasoning ...
Following up on the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Department of Health and Human Services (HHS) recently issued a proposed rule to replace the Medicare sustainable growth rate (SGR) methodology which was repealed by MACRA. The proposed rule would implement the Merit-based Incentive Payment System (MIPS) to replace SGR and establish incentives for participation in Advanced Alternative Payment Models (Advanced APMs) ...
The U.S. International Trade Commission (“ITC”) recently issued a Final Determination concluding that certain dental implants imported by Instradent USA, Inc. and by JJGC Industria e Comercio de Materiais Dentarios S/A of Brazil (“Respondents”) infringe U.S. Patent Numbers 8,714,977 and 8,764,443 and should be blocked from entry into the United States ...
On April 27, 2016, Waller hosted the Middle Tennessee InfraGard Members Alliance’s Incident Response Briefing. The presenters highlighted increasing cybersecurity risks and the need for a proactive, coordinated approach to limit the impact of cybersecurity compromises. InfraGard is a partnership between the FBI and the private sector dedicated to sharing information and intelligence to prevent hostile acts against the United States ...
Last month, CMS issued a proposed rule that would drastically expand the agency’s authority to further its program integrity efforts through the provider and supplier enrollment process. This proposed rule, referred to as CMS-6058-P, (located in the Federal Register at 81 Fed. Reg. 40 ...
A number of events have occurred recently involving the Federal Trade Commission and healthcare entities. First, garnering the lead spotlight, the FTC began presenting its case in the U.S. District Court for Northern Illinois to enjoin a merger between Advocate Health and NorthShore University HealthSystem, two large Chicago-area health systems ...
As the delivery of health care continues to evolve and hospitals bear additional pressures to adapt to new payment models, more nonprofit hospitals are partnering with for-profit providers, through a sale, joint venture, or other arrangements. Partnerships between independent nonprofit hospitals and larger health care systems (nonprofit and for-profit) have been growing over the past two decades ...
On March 30, the Department of Justice (DOJ) announced a major new initiative to target quality of care and fraud and abuse in elder care by forming 10 Elder Justice Task Forces throughout the United States. The DOJ intends to build these task forces on interdisciplinary teams – including Health Care Fraud Enforcement Action or HEAT Teams – already at work in several districts across the country. The teams include representatives from the U.S ...
IT IS TRUE that established energy corridors attract additional utilities. Power line corridors may represent an attractive route for natural gas transmission lines, just as established natural gas lines often seem to attract additional natural gas pipelines thereafter. Landowners along these corridors may feel beleaguered as additional utilities are installed across their properties ...
Many healthcare boards believe that they have satisfied the 501(r) community health needs assessment (CHNA) requirements by completing their organization’s CHNA report and adopting an implementation strategy. After doing that, the board may feel ready to focus on other pressing issues until the next three-year CHNA deadline ...
It’s no surprise that the National Cybersecurity Center of Excellence (NCCOE) has extended the public comment period for one of its newest guides, “Securing Electronic Health Records on Mobile Devices ...
Nonprofit hospital executives and lawyers throughout the country are taking notice of a recent tax court case out of New Jersey involving the Morristown Medical Center, in which Judge Vito Bianco agreed with the local town and denied the New Jersey hospital of its tax exemption for the majority of its properties. Estimates put the annual dollar cost of this loss of property tax exemption for the hospital at between $2.5 million to $3 million ...
Last week marked the fifth anniversary of the enactment of the Dodd-Frank Wall Street Reform and Consumer Protection Act (“Dodd-Frank”), and a number of proposed rules have been released recently by the U.S. Securities and Exchange Commission to implement corporate governance and disclosure requirements required by Dodd-Frank applicable to reporting companies under the Securities Exchange Act of 1934 (as amended, the “Exchange Act”) ...
When Congress passed the Medicare Access and CHIP Reauthorization Act of 2015, the elimination of the Sustainable Growth Rate—the so-called “Doc Fix”—received most of the attention. The fact that Congress had officially waded into the quagmire of health information technology interoperability, however, went largely unnoticed ...
Later this month, new rules will make it easier for smaller companies to access capital. The new rules, referred to as “Regulation A+", were adopted earlier this year by the Securities and Exchange Commission (“SEC”). To amend and expand the exemption for public offerings afforded by Regulation A under the Securities Act of 1933, as amended (the “Securities Act”), as mandated by the Jumpstart Our Business Startups Act (the “JOBS Act”) ...
Much has been made of a recent amendment to the Tennessee Business Corporation Act and its impact on the financial liability of corporate directors. Newly added Section 48-24-109 of the Tennessee Code Annotated provides that, in the event a corporation is dissolved, “[d]irectors shall cause a dissolved corporation to discharge or make reasonable provision for the payment of claims and make distributions of assets to shareholders after payment or provision for claims ...
The Tennessee General Assembly recently passed the Revenue Modernization Act (the “Act”), which imposes broad, sweeping changes by adopting revised nexus standards for Tennessee business tax, franchise and excise tax, and sales and use tax purposes; revising Tennessee apportionment for business tax and franchise and excise tax purposes; and imposing sales tax upon remotely accessed video games as well as online software access ...
Don Stuart, a partner in Waller’s Tax Practice Group and current Chair of the Tax and Finance Practice Group of the American Health Lawyers Association (AHLA), and Kim Looney, partner in the firm’s Healthcare Compliance and Operations group, are authors on two chapters in the AHLA’s new publication The ACO Handbook: A Guide to Accountable Care Organizations, Second Edition ...
In a policy shift aimed at providing families with more economic flexibility during the often lengthy green card application process, the U.S. Citizenship and Immigration Services (USCIS) announced that, effective May 26, 2015, certain H-4 dependent spouses of H-1B nonimmigrants seeking employment-based lawful permanent resident status will be eligible to apply for employment authorization ...
During his State of the State address delivered on February 9, 2015, Tennessee Governor Bill Haslam discussed the sharp decline in tax collections from business that the state experienced in 2014. Gov. Haslam stated that the drop in revenue collections was partly due to a disparity between the taxes paid by “companies outside of Tennessee that do business in Tennessee,” and those “that our in state and homegrown companies” are required to pay ...
