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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August 19, 2015
August 3, 2015
Before leaving for August recess, the House Ways and Means Committee released bill language that would, if passed, turn Medicare indirect medical education (IME) payments into a fixed pool rather than the current system of per-case add-on payments. Under the current system, IME payments are made based on a hospital's intern and resident-to-bed (IRB) ratio and are added to each Medicare inpatient discharge. Read more
July 28, 2015
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, one of the primary purposes of the proposed rule is to “align the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans […].” This advisory, the fifth and final in our series, will examine CMS’ actions towards this stated purpose. Read more
As noted in Dentons' June 17, 2015 alert, the US Court of Appeals for the District of Columbia Circuit recently issued a decision calling into question the regulatory prohibition on per-click equipment leases under the federal physician self-referral statute and its implementing regulations (collectively, the "Stark Law"). Read more
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News and Events
London, United KingdomSeptember 24, 2015
In the first event of our very successful International Healthcare Masterclass series, Babette Marzheuser-Wood and Robyn Chatwood of our Franchising and Healthcare team will discuss the key legal and business issues when expanding your business internationally in the healthcare sector. Read more
Recent Press Releases
August 11, 2015
June 25, 2015
Dentons announced today that Lori Mihalich-Levin has joined the Firm as a Partner in the Health Care practice. She will advise clients primarily on Medicare reimbursement issues, building on her experience as a national point-person on policy issues pertaining to Medicare reimbursement and graduate medical education (GME). Read more
June 12, 2015
Dentons announced today that Samuel R. Maizel has joined its Restructuring, Insolvency and Bankruptcy Practice as a partner. Read more
Dentons announced today that Jenifer Healy joined its Public Policy and Regulation practice as a senior managing director. Read more
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