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By: Foley & Lardner LLP

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Andrew Baum
Alexis Finkelberg Bortniker
Angelica L. Boutwell
Adam J. Hepworth
Andrew Hurst
Antoinette F. Konski
Adam C. Losey
Asha M. Natarajan
Anna S. Ross
Alan D. Rutenberg
Allie Shalom
Anil Shankar
Aaron Tantleff
Adria Warren
Andrew Yost
Benjamin Daniels
Benjamin R. Dryden
Bryan B. House
Brett Ludwig
Blake A. Taelman
Carmen N. Decot (Couden)
Christopher J. Donovan
Chanley T. Howell
Christina Pretorius
Chauncey W. Lever, Jr.
Claire Marblestone
Courtney Worcester
David Y. Bannard
Dennis A. Cardoza
Donald H. Romano
David Rosen
Don Schroeder
David W. Simon
Diane Ung
Eric Cheung
Elizabeth S. Elson
Eileen R. Ridley
Elizabeth J. Rosen
C. Frederick Geilfuss II
Foley & Lardner LLP
Kush Das
George Mikhail
H. Holden Brooks
Heidi Jeffery
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Heidi Sorenson
Hayley Wells
Hannah E. Zaitlin
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Jana Kolarik Anderson
Jordan J. Bergmann
Jeremy J. Bledsoe
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Jennifer M. Forde
Jennifer F. Walsh
Jack Haake
Jennifer Hennessy
Jonathan L. Israel
Jessica Joseph
Julie Kadish
James R. Kalyvas
Jason J. Kohout
John L. Litchfield
John S. Lord Jr.
James Matthews
Jan E. Murray
Jennifer Rathburn
J.J. Silverstein
Jeffrey C. Thrope
Judith A. Waltz
Kelly Thompson
Kyle Faget
Kevin G. Fitzgerald
Kacey Heekin
Kirshia Rohita
Katy Koski
Lauren Coetzee
Lisamarie Collins
Lisa A. Estrada
Lindsey E. Gabrielsen
M. Leeann Habte
Lawrence M. Kraus
Lisa M. Noller
Larry S. Perlman
Lori A. Rubin
Lawrence W. Vernaglia
Linda X. Wu
Lynette M. Zigman
Michael G. Bailey
Michael L. Blau
Monica R. Chmielewski
Michael Crossen
Marian Dodson
Melesa A. Freerks
Mike Munro (US)
Matthew Jassak
Michelle A. Leeds
Melissa Lerner
Michael P. Matthews
Mark J. Neuberger
Michael A. Okaty
Michael R. Overly
Myla R. Reizen
R. Michael Scarano Jr.
Mark T. Schieble
Morgan J. Tilleman
Michael Tuteur
Jay Mark Waxman
Nathan A. Beaver
Nathaniel M. Lacktman
Nicholas R. Paquette
Nick Welle
Olivia King
Philip C. Babler
Pamela L. Johnston
Rebecca S. Bradley
Redi Kasollja
Richard K. Rifenbark
Roger D. Strode
Rohan Virginkar
Scott T. Allen
Scott L. Klug
Stephen B. Maebius
Steven M. Millendorf
Theodore H. Bornstein
Thomas B. Ferrante
Richard J. Ferris, Jr.
Thomas R. Hrdlick
Timothy J. Patterson
Taylor C. Pancake
Tami S. Smason
Taylor E. Whitten
Tianran Yan
Torrey K. Young
Weiwei Luo
William McKenna
Zachary L. Coffelt
Zaldwaynaka (Z) Scott

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Health is wealth
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The medical credentialing process, whether for a hospital, a hospital system or a health plan, has emerged as a potential early target for the application of blockchain technology and administration.1 It is a process that allows a secure database to be established over time and on a cumulative basis. Medical credentialing involves verifying whether a candidate meets the applicable educational and training prerequisites for the position sought — appointment to a hospital’s medical staff or the…
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On November 30, 2018, the Centers for Medicare & Medicaid Services (CMS) published 83 Fed. Reg. 62152, which proposes changes to Medicare Part D (prescription drug benefit) and drug plans offered by Medicare Advantage (managed care) in an effort to reduce out-of-pocket costs for beneficiaries. The proposed rule is part of the Trump Administration’s  four part strategy to effectuate its “Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs,” published in May 2018. The…
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This year marks the 15th anniversary of the completion of the Human Genome Project. In the decade and a half that has passed since, the genomic revolution has spurred an immeasurable level of excitement and support surrounding the promise of personalized medicine, setting high expectations for a new era of health care and rapidly transforming the field into a multi-billion dollar industry. While realizing that promise has turned out to be neither quick nor easy,…
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The past decade has seen a tremendous amount of private equity investment in physician practice recapitalizations, primarily in hospital-based practices such as anesthesiology and radiology as well as “retail medicine practices” like dermatology and ophthalmology/optometry, to name a few. Orthopedics, on the other hand, has received less attention from investors, but we believe that trend is about to change, and in a significant way.…
United States fifty dollar bill
United States fifty dollar bill with the United States Capitol building close up
On November 2, 2018, CMS released an on-line display copy of its Outpatient Prospective Payment System (OPPS) Final Rule implementing payment changes effective January 1, 2019. The official Federal Issuance is expected on November 21, 2018.  One anticipated set of changes in the Final Rule is related to off-campus outpatient hospital departments (OCODPs).…
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Practitioners in the Medicare or Medicaid managed care space place heavy reliance on the protection of the Anti-Kickback Statute (AKS) Safe Harbor found at 42 C.F.R. § 1001.952(t), generally known as the “EMCO [eligible managed care organization] Safe Harbor,” as they look at incentive arrangements between providers and managed care plans. Although the language of the regulation is generally understood, there has not been any guidance from HHS’s Office of the Inspector General (OIG) since…
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Packing white and red capsules in a sorting machine in a pharmaceutical laboratory, Spain
In a final rule published on January 19, 2017, HHS and several federal departments and agencies made revisions to the Common Rule, the federal policy for the protection of human subjects applicable to human subject research conducted or supported by participating federal departments and agencies.[1]  Compliance with the revised Common Rule is expected on January 21, 2019.[2]…
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Starting January 1, 2019, the Medicare program will cover certain medical services delivered via asynchronous telemedicine technologies. The Centers for Medicare and Medicaid Services (CMS) just published the final rule for the 2019 Physician Fee Schedule, introducing a new code, officially titled “Remote Evaluation of Pre-Recorded Patient Information” (HCPCS code G2010). This article provides the top 10 things to know about the new code and explains how it will work.…
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Telemedicine providers rejoice: Medicare will cover new virtual care services starting January 1, 2019.  The Centers for Medicare and Medicaid Services (CMS) just published the final rule for the 2019 Physician Fee Schedule, introducing a new code: Virtual Check-Ins, officially titled “Brief Communication Technology-Based Service” (HCPCS code G2012).  This article discusses the new code and explains how it will work.…