Is your client...

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  • administrator, director, C-level or GC of a hospital/medical center/long term care facility?

    Does it have a compliance plan?

    Does it do self-audits?

    Any investigations?

  • adequately protecting its employees’ confidential health information?

    Do they provide HIPAA privacy and security training to people with access to protected information?

    Are they asking questions about risk management?

  • administrator, director, C-level or GC of a highly-regulated organization?

    Is it being audited by Medicare or Medicaid?

    Any investigations?

  • target of a state/federal probe?

    What is the audit status?

  • looking for access to state/federal officials or regulators?

    Which government agency is making the inquiry?

  • being adversely affected by local/federal policies or regulation?

    Which government agency is in charge of the policy/regulation?

  • a candidate, donor or political consultant in a federal, state or local election?

    Do you want to establish a PAC?

  • having difficulty keeping abreast of ever-changing legislative and regulatory mandates?

    How can fast-paced legislative and regulatory changes be monitored and timely reported?

  • subject to a legislative or regulatory program it does not believe is appropriate?

    How can the program be changed through the legislative or administrative process to benefit your client?

  • looking to create a beneficial new provision in law?

    How does the process work and who can be a guide through it?

  • seeking to establish or expand operations?

    How can existing laws or new proposals be leveraged to achieve the maximum economic development benefit?

  • having trouble with relationships with administrative agencies?

    Who has the ability to smooth the tensions and re-establish good relationships?

HLP-At-a-Glance
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20 Attorneys

  • Representative Clients

    AHF Management Corp.

    Alliant Management Systems

    American Chemistry Council

    America’s Health Insurance Plans

    American Water Works Association

    Baptist Health System

    Beacon Orthopedics & Sports  Medicine

    Blanchard Valley Health System

    Cardiovascular & Thoracic Surgeons

    CarePoint Partners, LLC

    Catholic Health Initiatives

    Columbus Aesthetics & Plastic Surgery

     Elmcroft Senior Living

    Golden Living

    Kindred Healthcare

    Kentucky Association of Manufacturers

    Kentucky Chemical Industry Council

    Kentucky League of Cities

    Lexmark International, Inc.

    MD2U

    Norton Healthcare, Inc.

    OrthoNeuro

    Premier Health Care Services Remedi Senior Care

    Property Casualty Insurers  Association of America

    The Christ Hospital

    University of Cincinnati Health

    West Virginia University Hospitals

  • What We Do

    Admission Agreements

    Administrative / Regulatory / Compliance

    Antitrust / Financing / M&A / Real Estate / Taxation

    Certificate of Need

    Civil Monetary Penalties

    False Claims Act

    Health Care Fraud Investigations / Litigation

    HIPAA

    Licensure Investigations / Hearings

    Medicare-Medicaid Audit Appeals and Defense / Certification / Reimbursement

    Medical Staff Privileges

    Physician Compensation

    Coalitions / Grassroots Campaigns

    Government Relations

    Government Investigations

    Lobbying / Advocacy

    Political Law

  • Creating Value

    • Spearheaded constitutional amendment to reform requirements for corporations in the state
    • Lobbied and passed a complete overhaul to the classification  of cities within the state
    • Drafted, negotiated and passed legislative and regulatory programs to foster the redevelopment of “Brownfields” and other environmentally-impacted properties
    • Facilitated and negotiated substantial economic development funds for new and existing businesses, in multiple instances
    • Drafted, negotiated, lobbied and passed amendments to existing law to reduce the amount of administrative and state fees paid by a waste management company based upon the volume of waste handled
    • Negotiated, lobbied and passed a change to consumer protection laws that would allow a major on-line sales operation to expand its business into the state
    • Closely monitored and defeated legislative amendments that would substantially increase costs for insurers
  • Health Care Industry Focus

    Ambulance/Ambulette Companies

    Ambulatory Surgery Centers

    Durable Medical Equipment Companies

    HMOs

    Home Health Agencies

    Hospices

    Hospitals

     Long Term Care Facilities

    Nurses

    Pharmacist/Pharmacies

    Physician Joint Ventures

    Physicians

    Urgent Care Centers

Experience Highlights
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  • Health Care: Negotiated Settlement Avoids Criminal Action Against Ohio Hospital

    We represented an Ohio hospital that disclosed information about improper financial relationships with referring physicians in response to claims of violating the False Claims Act, the Anti-Kickback Statute and the Stark Statute. We negotiated a settlement with the Department of Justice, the Office of the Inspector General and the Ohio Attorney General (collectively “Government”). During the negotiations, our client disclosed that some of their arrangements with physicians violated the federal Anti-Kickback Statute because they did not meet the requirements of the relevant safe harbors. Criminal charges against our client were declined, and we worked to address the civil and administrative issues to provide a global resolution. After further negotiations with the Government, the matter was settled for an amount that was agreeable to our client.

  • Health Care: Physician Peer Review Proceedings

    We counseled a client who received complaints regarding a physician. The hospital was required to proceed according to its Medical Staff Bylaws, including holding a hearing before a peer review hearing committee. We counseled the hospital throughout the process, ensuring compliance with the Health Care Quality Improvement Act, state licensure and reporting regulations, and the Medical Staff Bylaws. Any violations during the peer review process could have resulted in the hospital and participating reviewing physicians losing civil immunities and facing potential liability. The hospital completed the hearing and peer review process with no compliance difficulties.

  • Health Care: Highland Hospital: Certificate of Need Appeal

    We represented a client seeking a Certificate of Need to place 150 mental health beds, with a total capital expenditure exceeding $40 million, in a vacant facility formerly owned by United Hospital Center. The Certificate was granted, but then appealed by a competitor, who raised issues of financial feasibility, necessity of the project and compliance with the state health plan. The competitor alleged that it was denied due process. The matter was appealed to the Office of Judges, an administrative appeal body, and our client’s Certificate was upheld.

  • Lobbying: Business Coalition Lobbies for Increased Penalties for Marketing and Selling Knock-Offs of Name-Brand Products

    We worked to secure a sponsor for the bill, presented research and testimony on behalf of the Coalition, and negotiated policy within the legislation. The legislation was passed, providing a victory for our client in their efforts to protect consumers and their products.

  • Public Policy: Municipality Seeks Legislation to Address Foreclosed and Blighted Properties

    With our assistance, multiple bills have passed that expedite the foreclosure process and provide more authority for cities to address or maintain properties that have gone into foreclosure.  We coordinate the efforts and missions of the client — as well as promote bill passage through testifying at committee hearings, lobbying legislators and providing research and analysis regarding the impact of the bills.

  • Public Policy: Kentucky Grassroots Organization: Advice on political donations/Super PAC

    We advised the committee on a variety of issues, including forming a Super PAC, as well as compliance with laws relating to fundraising, expenditures and advertising. We registered the client with the Federal Election commission, managed their campaign-finance disclosure reports and handled media contacts.

Attorney Roster
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DINSMORE & SHOHL LLP | LEGAL COUNSEL

 

FOR INTERNAL USE ONLY. Nothing in this presentation should be construed or is intended to be legal advice.  All images, videos, copyrights, and trademarks used in the presentation are property of their respective owners.  Copyright 2017. All rights reserved.