For the foreseeable future, the US health care delivery and financing systems will undergo enormous change as they implement the many provisions of the Affordable Care Act (ACA). Those changes will impact hospitals, physicians, health plans, patients, employers, pharmacies and others.

Dentons’ US Health Care practice group has been involved in the ACA since its conceptualization. We counsel healthcare providers, payors, service providers, employers, exchanges, and service providers on not only what the ACA requires, but also on how those requirements can be integrated into their business plans and operations.

Dentons’ US Health Care practice group includes former senior federal health care officials and lawyers and other professionals with deep knowledge and experience in the range of issues implicated by the ACA. Importantly, our team enjoys exceptional relations with senior policy makers in the most important government agencies.

Working seamlessly with our colleagues in Dentons’ Insurance Regulatory, Employee Benefits, Tax, and Public Policy & Regulation groups, the US Health Care practice group efficiently and effectively provides the counsel required for our clients to achieve their business objectives.

Insights

GME @ Dentons - Differences between program closure rules and hospital closure rules

January 9, 2020

When a residency program or hospital closes, residents must find alternative programs in which to complete training and teaching hospitals must assess the payment implications of taking on so-called “displaced residents.” However, confusion often arises between CMS’ rules for transferring Medicare GME-funded positions from one hospital to another in the event of a residency program closure, and the Affordable Care Act’s rules relating to the permanent redistribution of a hospital’s GME positions upon hospital closure. We explain the differences.

GME @ Dentons: Hahnemann bankruptcy to leave residents without malpractice insurance

December 5, 2019

On June 30, 2019, Philadelphia-based Hahnemann University Hospital and St. Christopher’s Hospital for Children filed for bankruptcy protection in the US Bankruptcy Court for the District of Delaware. As part of the bankruptcy process, Hahnemann won the court’s approval to sell its Medicare provider agreement, which primarily consisted of the right to receive the Medicare funding associated with each of Hahnemann’s more than 550 Medicare-funded residency positions.

GME @ Dentons—Section 5506 redistribution announcement in the CY 2020 OPPS final rule

November 5, 2019

On Friday, November 1, 2019, CMS announced the opening of the application process for teaching hospitals to apply for GME slots from two closed hospitals: Hahnemann University Hospital in Philadelphia, PA (CCN 39-0290), and Ohio Valley Hospital in Wheeling, WV (CCN 51-0039). This announcement in the CY 2020 OPPS final rule officially gave notice of Rounds 16 and 17 of the Affordable Care Act’s section 5506 closed hospital slot redistribution program.

View all insights for Affordable Care Act Implementation (United States)