Global expenditures on health care are approaching seven trillion US dollars a year, or roughly 10 percent of the world’s gross domestic product. More than 70 percent of these expenditures occur in North America and Europe alone. Not surprisingly, opportunities are immense and growing in the health and life sciences industry, for businesses that include: pharmaceutical and device manufacturers, research and development organizations, information technology companies, providers, clinicians, insurers and entrepreneurs of every stripe.
These opportunities are local, national and global. A 100-bed community hospital in Kansas City wants to form a joint venture for an ambulatory surgery center with 11 cardiologists from St. Louis. A children’s hospital in Abu Dhabi wants to partner with a teaching hospital in Paris. A device manufacturer headquartered in Bonn wishes to market its products in Hong Kong. A Russian pharmaceutical company seeks approval from the US Food and Drug Administration for a new anti-coagulant. An e-health company headquartered in Barcelona wants to license its health records software to an IT consultant in Kampala. The list may be long, but the number of law firms that can handle this range of matters is not.
The firm must have a presence, on the ground and around the world. The firm must have a deep bench of lawyers who have spent decades immersed in the health and life sciences sector, helping organizations navigate continuously evolving political, regulatory and economic landscapes. The firm must understand each jurisdiction’s health care delivery system—from manufacturer to distributor to provider to patient to payor to policy maker—and the firm must be able to provide each of these players with the full range of strategic transactional, regulatory and dispute resolution counseling services.
With offices in 79 locations in 52 countries across four continents, and with more than 100 lawyers, consultants and policy professionals who have spent their entire professional careers exclusively counseling health care life sciences organizations, Dentons is proud to be that firm.
- Alberta Health Services: Advising on the negotiation of an Information Sharing Framework with a medical association, on behalf of participating physicians, which is the first Canadian information sharing agreement (and related information management agreement and information exchange protocol) of its kind. It involves the client and the participating physicians sharing health information as co-custodians using electronic medical record systems owned and/or operated by the client.
- Regional health care provider: Advising on the negotiation of a multijurisdiction agreement with the Northwest Territories (NWT) whereby the client will implement a version of NetCare and act as a service bureau offering electronic health records management for NWT medical practitioners and patients.
- Katz Group Canada Inc.: Advising on the sale of its independent pharmacy banner business conducted by Drug Trading Company Limited and all of the shares of its independent franchise retail pharmaceutical business carried on by Medicine Shoppe Canada Inc. to McKesson Canada Corporation for C$925 million.
- Medical suppliers: Counseling numerous medical equipment and other medical suppliers with respect to Medicare, Medicaid and other federal and state healthcare programs. We help the companies with supplier standards, licensure, contracting, coding, billing reimbursement and related issues. We also advise on how to structure arrangements with distributors, providers and group purchasing organizations; review product pricing and sample promotional programs and analyze advertising and marketing materials for compliance with federal and state fraud and abuse laws.
- Nation's leading drugstore chain: Representing client in $225 million acquisition of a retail and specialty pharmacy business.
- Neurological Consultants of Kansas City, Inc.: Handling sophisticated transactions on behalf of a leading physician group, including physician practice mergers and acquisitions and physician-hospital joint ventures. We also work with the group on day-to-day corporate governance and contracting issues for physicians, including practice formation, employment matters, exclusive hospital contracting, managed care contracting and billing and collection issues.
- Patheon Inc.: Acting as Canadian counsel on the acquisition of Banner Pharmacaps, a specialty pharmaceutical business dedicated to the research, development and manufacturing of unique gelatin based dosage forms. Banner is the world's second largest pharmaceutical business focused on delivering proprietary softgel formulations. The company has four manufacturing facilities, significant proprietary technologies and products, and leading positions in some of the industry's fastest-growing product categories. Banner is headquartered in High Point, N.C., with additional research labs and manufacturing facilities in the Netherlands, Canada and Mexico.
- Sana Kliniken AG: Advising on the acquisition of all shares in the hospital Krankenhaus Rummelsberg GmbH. The 400-bed specialist hospital for orthopedics and accident surgery, neurology, internal medicine, and rehabilitation was previously operated by diaconal organization Rummelsberger Diakonie. The Federal Cartel Office approved the acquisition of the hospital, which boasted 470 employees. The transaction was one of the most important takeovers in the hospital sector in 2010. The team advised Sana on all legal and structural questions.
- Substantial health system: Serving as lead outside counsel to a substantial, health system with multiple hospitals, facilities, physician practices and clinics located in numerous western and mid western locations in the US regarding wide variety of fraud and abuse, regulatory, coverage and reimbursement and compliance matters. We support the client in a wide variety of ongoing investigations, audits and reviews of potential overpayments and alleged false claims.
- The Salvation Army: Advising on a wide range of matters and issues, including matters relevant to the delivery of healthcare and social services. Our work includes serving The Salvation Army in regard to the operation of health service providers including: hospitals, long term care facilities, community mental health service providers, addiction services and the provision of housing and services to those who live with developmental disabilities. Such work includes relations with regional health authorities and local health integration networks, partnerships with other funders and other health service providers. Key areas in which we provide support include internal governance and corporate matters, governance, accreditation, contractual and other arrangements with healthcare professionals, patient care issues, technology and related issues, privacy and the protection of personal health information, P3 and construction project matters, employment, litigation and related matters. Our work for The Salvation Army encompasses and supports the broad range of services provided by The Salvation Army, the largest non-governmental provider of services in Canada.
May 22, 2015
June 14, 2013
The 2015 edition of Chambers USA: America's Leading Lawyers for Business ranks 101 total Dentons practices and lawyers and marks the advancement of key Firm practices and individuals. Read more
June 10, 2013
The 2013 edition of The Legal 500 US recognizes 15 Dentons practices and 42 lawyers, representing a more than 50 percent increase in total rankings in the past year. Recognition for the Firm includes "seamless extensions of clients’ teams;" "exemplary strategic and tactical leadership;" and "far above other firms, both in technical strengths and business experience." Read more
The 2013 edition of Chambers USA: America's Leading Lawyers for Business recognizes 32 Dentons practices and 82 lawyers. Recognition for the Firm includes "excellent at representing their clients;" "top-notch firm, very good results with them;" and "always prepared, always accessible, and never fail to deliver." Read more
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June 22, 2015
June 17, 2015
On June 1, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published its proposed rule on Medicaid managed care (CMS-2390-P). As noted in our two earlier advisories, which provided an overview of the proposed rule and discussed the expanded federal role in rate setting, the proposed rule represents the first update to Medicaid managed care regulations since 2002, and offers revisions that are intended to better align the Medicaid program and the Children’s Health Insurance Program (“CHIP”) with other health care coverage sources, including Qualified Health Plans (“QHPs”) under the Health Insurance Exchange marketplace and the Medicare Advantage program ("MA"). Read more
June 12, 2015
On June 12, 2015, the US Court of Appeals for the District of Columbia Circuit issued a lengthy decision calling into question the regulatory prohibition on per-click equipment leases under the federal physician self-referral law (or "Stark Law"), 42 U.S.C. §§ 1395nn and 1396(b)(s). Council for Urological Interests v. Burwell, No. 13-5235. In a 2-1 decision, the Court of Appeals held that the explanation offered by the US Department of Health & Human Services ("HHS") for prohibiting per-click equipment leases — from "the cross-your-fingers-and-hope-it-goes-away school of statutory interpretation" according to the Court — is based on an unreasonable interpretation of the Stark Law. In the same decision, the Court unanimously upheld HHS's broad definition of a "furnishing" entity to include both the entity that performs the "designated health services" ("DHS") at issue and the entity that bills for them. Read more
On June 1, 2015, the US Centers for Medicare & Medicaid Services (CMS) published its proposed rule on Medicaid managed care (CMS-2390-P). According to CMS, the purpose of the proposed rule is to "modernize the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems." Among the many changes to the program, CMS has proposed new rules regarding rate-setting. Read more
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News and Events
London, United KingdomJuly 21-22, 2015
Washington, DCJuly 29, 2015
This event is exclusive to NHS organisations only. In this programme, Robyn Chatwood of our International Healthcare team is working with Learning Impact in association with Healthcare UK to deliver the programme for NHS organisations pursuing international expansion opportunities. The two day workshop provides a fast-track to building international business skill and expertise. A second workshop after six months proposes to bring the group back together formally to review experiences and consider next steps. Read more
As Medicare and Medicaid turn 50 years old, please join Dentons' Health Care practice and Public Policy and Regulation practice for an insightful discussion focusing on the next 50 years of these programs. Read more
Recent Press Releases
June 25, 2015
June 12, 2015
Dentons announced today that Samuel R. Maizel has joined its Restructuring, Insolvency and Bankruptcy Practice as a partner. Read more
June 11, 2015
Dentons announced today that Jenifer Healy joined its Public Policy and Regulation practice as a senior managing director. Read more
The 2015 edition of The Legal 500 US recognizes 24 Dentons practices and 75 lawyers. Read more
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