Industry

Healthcare

Montgomery McCracken’s Healthcare Industry Group brings clients the specialized knowledge and experience of attorneys with a wide range of expertise for challenges that health care providers face on a daily basis. What distinguishes our lawyers is the breadth of their industry experience, such as a former general counsel of a hospital, assistant US attorneys, and a social work liaison, putting them in a better position to give sound, relevant counsel. 

capabilities include:

  • Transactions between nonprofit and for-profit corporations, including joint ventures and mergers and acquisitions
  • Provider networks and corporate restructuring
  • Reimbursement (Medicare/Medicaid, Blue Cross/ Blue Shield and private managed care arrangements)
  • Medicare/ Medicaid Fraud and Abuse statutes (including the Anti-kickbacks Law, Stark I and II and the False Claims Act)
  • Healthcare licensing, accrediting and other regulatory matters for all kinds of healthcare providers
  • Hospital-medical staff relationships, including the Healthcare Quality Improvement Act
  • Representation of healthcare providers before the Pennsylvania Office of Attorney General
  • Litigation involving staff privileges
  • Administrative agency hearings

Our services include structuring business arrangements to achieve client goals while avoiding potential regulatory pitfalls, resolving problems with governmental agencies, assisting clients with corporate compliance programs and litigating reimbursement, staff privileges, antitrust, professional liability, and licensure disputes. We also provide counseling on a number of technical legal areas such as employee relations, immigration, environmental law, and taxation or nonprofit entities. An in-depth knowledge of the healthcare industry enables us to consider the ramifications of a client’s problem within the larger context of seemingly unrelated laws and regulations affecting healthcare providers.


Experience

Representative Matters
  • Advising nonprofit hospitals in disaffiliations from Integrated Delivery Systems
  • Converting nonprofit health care entities to for-profit entities (including the first conversion of a nonprofit hospital in Pennsylvania)
  • Representing an investor-owned company in building a specialty service hospital
  • Developing and implementing compliance plans in numerous segments of the health care industry including long-term care, billing companies, physician offices, hospitals and laboratories
  • Advising nonprofit hospital in joint venture with public companies
  • Advising nonprofits in joint venture to establish a capitated health plan for the elderly
  • Advising providers in the intricacies of HIPAA compliance
Representative Clients
  • AmeriSourceBergen
  • Baptist Home
  • Berwick Health and Wellness Foundation
  • Brandywine Health Services
  • Catholic Health Initiatives
  • First Hospital Foundation
  • Hazelton General Hospital
  • Hazelton Saint Joseph Medical Center
  • Health Care Compliance Association
  • Inglis House
  • Methodist Hospital
  • Pocono Medical Center
  • Pottstown Memorial Center
  • Presby Homes and Services
  • St. Ignatius
  • St. Joseph Medical Center, Inc. (Towson, Md)
  • Thomas Jefferson University Hospital

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