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What colorful method does Claire Miley use to keep up with the latest healthcare regulations as they relate to proposed transactions? Find out more>

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On December 1, 2016, Parker Hannifin Corporation and CLARCOR Inc. announced that the companies have entered into a definitive agreement under which Parker will acquire CLARCOR for approximately $4.3 billion in cash, including the assumption of net debt. The transaction has been unanimously approved by the board of directors of each company. Upon closing of the transaction, expected to be completed by or during the first quarter of Parker’s fiscal year 2018, CLARCOR will be combined with Parker’s Filtration Group to form a leading and diverse global filtration business. Bass, Berry & Sims has served CLARCOR as primary corporate and securities counsel for 10 years and served as lead counsel on this transaction. Read more here.

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Securities Law Exchange BlogSecurities Law Exchange blog offers insight on the latest legal and regulatory developments affecting publicly traded companies. It focuses on a wide variety of topics including regulation and reporting updates, public company advisory topics, IPO readiness and exchange updates including IPO announcements, M&A trends and deal news.

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Managed Care Strategy & Disputes

Our Managed Care Team plays a unique and invaluable role in the healthcare industry. Many of the nation's largest healthcare law firms represent managed care companies in disputes with providers. In contrast, Bass, Berry & Sims primarily focuses on representing hospitals and other providers in their dealings with managed care companies and other payors.

We represent the universe of healthcare providers, including hospitals and health systems, ambulatory surgery centers, air ambulance companies, dialysis companies, specialty pharmacies, clinical laboratories, physician practice management companies, and physician practice groups.

The passage of the Affordable Care Act has affected all stakeholders in the healthcare industry – patients, providers, and payors. Given the finite resources and infinite demands on the healthcare system, payors have become more aggressive by creating narrow networks, taking hard positions in contract negotiations, adopting restrictive claims handling policies and procedures, and raising premiums, all while lowering payments to providers. In this environment, it is critical to understand every aspect of the healthcare provider's contractual and non-contractual relationships with managed care companies, as well as the laws that affect these relationships. Maintaining a viable business model may depend on having a clear understanding of these issues and a supporting business and legal strategy.

Invariably, disputes will arise. No matter the type of managed care dispute, we successfully navigate these disputes and aggressively negotiate, arbitrate, and litigate on our client's behalf.

The scope of our Managed Care practice includes:

  • Contract strategy and negotiation
  • Public relations strategies for communications with patients, employers, physicians, and media
  • Contract interpretation and disputes
  • UCR disputes
  • Out-of-network strategies and disputes
  • Responses to attempted recoupments and offsets
  • Analysis of laws affecting managed care matters, such as ERISA, prompt pay laws, any willing provider laws, and the Affordable Care Act.

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