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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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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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Tennessee Government Update - Recap of February 14 - 18, 2011

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February 18, 2011

Governor Bill Haslam announced his legislative priorities for 2011 yesterday. He asked the Tennessee General Assembly to reform Tennessee's civil justice system, also known as tort reform; recast Tennessee's K-12 teacher tenure law; open charter schools to more students; and eliminate one of the four members of the Tennessee Regulatory Authority.

The tort reform measure proposes to:

  • cap non-economic damage awards at $750,000 per occurrence
  • cap punitive damage awards at $500,000 per case and
  • categorize all cases arising from the providing of healthcare, including nursing home cases, as medical malpractice cases and, therefore, subject to the special rules of medical malpractice cases, to be known hereafter as "healthcare liability actions."

The proposal also reforms the provisions of Tennessee law relative to appeal bonds and the basis and procedure for awarding punitive damages. The bill would make a product liability lawsuit more difficult against a seller of a product who is not the manufacturer. In addition, the recommendation provides automatic appeals of class action certification or denial of certification by a state trial court and would eliminate punitive damages and class action status in cases brought under the Tennessee Consumer Protection Act. The Tennessee Consumer Protection Act reform also would prohibit bringing a case under that statute involving the marketing of securities. The bill is SB 1522/HB 2008.

The Knoxville News Sentinel reports that the Association for Justice (Tennessee Trial Lawyers) had a somewhat negative reaction to the tort reform proposal.

Tennessee's teachers have had a particularly difficult week politically. In addition to the governor's tenure reform proposals, the Senate Education Committee voted to repeal the statute under which local teacher groups may bargain collectively with local boards of education. 

The governor's tenure reform proposal will result in a five-year initial probationary period rather than the current three-year period and would create a process in which a tenured teacher could revert to probationary status if a teacher did not maintain sufficiently high standards as measured by the new evaluation system adopted in 2010 and embedded in Tennessee's $500 million Race to the Top Award.

Also, in the educational arena, the governor proposed eliminating the cap on the number of charter schools in Tennessee (90, at present) and opening enrollment at charter schools to more students.

As a footnote to the education recommendations, the governor still has not appointed a permanent commissioner of education to lead the reforms he seeks and implementation of the Race to the Top Award. He requested yesterday that the legislature change the statutory credential for the job from "qualified to teach" in Tennessee to "a baccalaureate degree." In other words, an undergraduate degree would still be required but not a Tennessee teaching certificate.

Finally, the Tennessee Regulatory Authority, to which the legislature added a fourth director several years ago, would be reduced to three directors, the historic number for the TRA and its predecessor agency, the Public Service Commission. Two of the four positions are to be re-appointed under the current statute by July 1, 2011. The governor's proposal would eliminate one of the two, that one being an appointment made jointly by the governor and both speakers.


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