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What is Shannon Wiley looking forward to at this year's Asembia Specialty Pharmacy Summit? Find out more>


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Experience Spotlight

Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Thought Leadership

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Thought Leadership Spotlight

Download the Healthcare Fraud & Abuse Review 2017, authored by Bass, Berry & Sims

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

Click here to download the Review.

PopHealthCare, LLC Acquired by GuideWell Mutual Holdings Corporation

Client Type: Private Company

We represented PopHealthCare, LLC in its acquisition by GuideWell Mutual Holdings Corporate (GuideWell). PopHealthCare is a leader in risk adjustment and population care management and will operate as a fifth business unit under the GuideWell umbrealla. This transaction will form the foundation for GuideWell’s expansion into population health management with a focus on post-acute and in-home care for individuals with complex and chronic illness. PopHealthCare will operate as an independent, stand-alone subsidiary of GuideWell. It will maintain corporate offices in Franklin, Tennessee, and Tempe, Arizona, and regional offices in the states where it serves existing client organizations. The terms of the transaction were not disclosed publicly.

PopHealthCare offers programs in high risk population management that drive demonstrable improvements in member quality of life and satisfaction, while helping its partnering health organizations realize appropriately enhanced revenues, enhanced quality scores and reduced medical costs.

GuideWell Mutual Holding Corporation (GuideWell) is a not-for-profit mutual holding company and the parent to a family of forward-thinking companies focused on transforming health care. The GuideWell organization includes the leading health insurance company in Florida, a number of health care delivery businesses, a consumer engagement company, and a provider of administrative services to state and federal health care programs.

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