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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

Healthcare Transactions: Year in Review 2018Last year, CVS Health Corp. (NYSE: CVS) announced it would purchase health insurer Aetna Inc. (NYSE: AET) for $67.5 billion, a transaction that would be one of the biggest healthcare mergers in the past decade. The transaction raises an intriguing question: is this the beginning of a transformational shift in healthcare?

Recently, members of our healthcare group authored the Healthcare Transactions: Year in Review outlining 2017 M&A activity and drivers in the following hot healthcare sectors:

• Managed Care
• Hospitals
• Post-Acute Care—Home Health & Hospice
• Ambulatory Surgery Centers (ASCs)
• Healthcare Information Technology (HIT)
• Behavioral Health
• Physician Practice Management

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Brian Roark Comments on Impact of Sequestration Related to Fraud Recovery in 2015

Bloomberg BNA

Media Mentions

March 2, 2016

Bass, Berry & Sims attorney Brian Roark provided comments for an article discussing whether sequestration led to decreased healthcare fraud recoveries in 2015. These automatic budget cuts effected the anti-fraud resources available to enforce federal healthcare programs and some question whether this lack of resources caused the drop in recoveries between 2014 ($3.3 billion) and 2015 ($2.4 billion). As Brian points out in the article, "the decline was probably due to a smaller number of large-dollar settlements and that it's not necessarily an indication of any long-term trends."

The full article, "Sequestration Hampered Gov. Anti-Fraud Efforts, Agencies Say," was published by Bloomberg BNA’s Health Law Resource Center on February 29, 2016, and is available online.

Brian's comments were also included in the blog post from March 7, 2016, "Are Anti-fraud Efforts Hurt by Budget Sequestration?" published on Bloomberg BNA's Health Care Blog.


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