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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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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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GovCon Trade Blog: DSS Releases New Guide to Help Cleared Contractors Meet Requirements of FOCI Mitigation Agreements

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May 23, 2016

On May 11, 2016, the Defense Security Service (DSS) released a new guide on mitigating and managing affiliate operations for entities bound by a Foreign Ownership, Control, or Influence (FOCI) mitigation agreement. The guide, titled Navigating the Affiliated Operations Plan: A Guide for Industry, outlines how companies can identify whether they are engaging in affiliated operations, submit an Affiliated Operations Plan (AOP), and ensure that they are properly mitigating potential risks. In compiling an AOP, a company is expected to describe all operations and services it intends to share with affiliates, as well as the potential risks of the collaboration and how those risks will be mitigated. The guide emphasizes that, unless there are special circumstances, an AOP must be provided before a company can start leveraging any affiliated operations.

Affiliated operations are cooperative administrative, commercial or operational endeavors between a mitigated company and an affiliate. Sharing human resources, disclosing financials and accounting data, permitting audits, engaging in business development, collaborating in marketing, sharing personnel, and sharing legal counsel are all considered affiliate operations that must be approved by DSS. According to DSS, such services can potentially permit an affiliate entity to exert undue influence and undermine the managerial and operational independence of a mitigated company. Another concern is the potential disclosure of confidential and operational security information as a result of access to a mitigated company's records. To alleviate the risk of a breach in security, the guide recommends transparency through close collaboration with DSS, the Government Security Committee (GSC) and Facility Security Officers (FSOs). The guide encourages GSC review of the type of information disclosed to the affiliate, as well as the method and format of the disclosure. To protect operational independence, the guide mandates that mitigated companies reserve the ultimate decision-making authority for themselves. A mitigated company should demonstrate that it is not dependent on an affiliate and has alternative means for obtaining a shared service.

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To continue reading the content in this article on the firm's Government Contracts & International Trade blog, please click here to view the post.

Bass, Berry & Sims' Government Contracts & International Trade blog features news, commentary and insight on the demanding and ever-changing regulatory environment of contracting with federal, state and local governments, and international trade issues when conducting a global business.


 


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