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Attorney Spotlight

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.

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Insurance & Managed Care

Attorneys in our Insurance & Managed Care Practice Group counsel insurance companies, insurance holding companies, health maintenance organizations (HMOs), preferred provider organizations, captive insurers, insurance brokers, insurance agencies, and third-party administrators on corporate and regulatory matters, including development of insurance policies and negotiation of provider contracts.

We represent insurance industry participants in:

  • Mergers, acquisitions and dispositions
  • De novo formations of stock, mutual and captive insurers
  • Shell acquisitions and loss portfolio transfers
  • Multi-state regulatory matters, including Form A, Form B, Form C, Form D and Form F filings, and policy form and rate filings
  • Administrative proceedings before and informal negotiations with the Tennessee Department of Commerce & Insurance , including the Financial Affairs, Policy Analysis, Agent Licensing and Consumer Insurance Services sections of the Insurance Division and the TennCare Oversight Division
  • Legislative matters
  • Negotiation of reinsurance treaties and excess policies
  • Negotiation on renewal coverages and premiums
  • Coverage disputes and other litigation

We have represented Tennessee captives since the late 1970s when first authorized, including the first two captives licensed under the 2011 revisions. In addition to de novo pure and cell captive formations, we handle foreign and alien redomestications. We also advise risk retention groups (RRGs) and purchasing groups, both domestic and offshore, and have significant experience in working with RRGs and captives on various legal, regulatory and tax matters, and operational issues. We are members of the Tennessee Captive Insurance Association and serve on its Government Relations Committee.

We also have worked with managed care clients on existing insurance coverages and on future placements, including the alignment of insured-insurance company objectives with claims and coverage disputes.

We are active participants in meetings and events held by the National Association of Insurance Commissioners, and members of our practice group are the only Tennessee representatives of the Federation of Regulatory Counsel, Inc., a professional association of insurance regulatory lawyers. We also are listed by AM Best.


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