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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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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

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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.

Attorney Spotlight: Shannon Wiley

March 5, 2018

Shannon Wiley spotlightTell us about your practice.

I practice healthcare law almost exclusively in the "specialty drug and device" space. A specialty drug or device is generally any drug therapy that requires special treatment — for example, it is really expensive (i.e. over $100,000 for treatment), for a rare disease, has an odd treatment regime, or is difficult to get reimbursed by insurance. I spend a lot of my time assisting with strategic development of business relationships, like limited drug distribution networks, patient service offerings between manufacturers and pharmacies, as well as mergers and acquisitions. This includes helping to develop the relationships in accordance with regulations drafting the associated contracts.

What is an interesting trend happening right now related to your field of practice?

The specialty pharmacy market ebbs and flows with regard to M&A activity; we are in a flow right now. We are seeing private equity and vertical strategic buyers have the most interest. Private equity funds often look to aggregate pharmacies to create an enterprise with a sum greater than its parts, while vertical strategics bank on market synergies to increase asset value. It is fascinating to be a part of those acquisitions and later integration activities. It provides great insight into industry economic and supply chain trends. 

You've attended the Asembia Specialty Pharmacy Summit for several years. What do you always look forward to and enjoy about this event? 

During Asembia, the entire specialty industry converges in one spot. It is great opportunity to catch up with many industry colleagues (and really friends) that I often only get to see a couple of times a year. I also get to meet new people and learn about their businesses, which is always a delight. Also, each conference really develops its own voice. After the first or second day, one starts to hear that voice and get a feel for what is on peoples' minds at an industry level. It's a deep dive that is an absolute must for giving clients the industry insight and staying current.

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