Greenebaum is a recognized leader in the highly specific and increasingly complex area of health care and health insurance law. Our client list includes more than 275 physicians and physicians groups, and more than 90 other health care providers, including hospitals, nursing homes, pharmaceutical providers, municipal health departments, and assisted living and other long-term care facilities. We have depth and long-standing involvement in representing managed care and health insurance companies.

We represent some of the largest health care related companies with principal offices located in the Commonwealth of Kentucky and Southern Ohio, including:

• Humana Inc.
• TriHealth Inc.
• Norton Healthcare Inc.
• Atria Senior Living Group Inc.
• HealthSouth
• LifePoint Hospitals
• Baptist Healthcare System
• Ventas, Inc.
• Trover Solutions

Our broad range of legal services in the health care and health insurance industries cover many practice areas, including mergers and acquisitions, regulatory and privacy compliance, labor and employment (including collective bargaining, unfair labor, discrimination and wage and hour representation), ERISA, employee benefits and executive compensation, real estate finance and development, economic incentives, tax planning and controversy work, litigation and alternative dispute resolution, intellectual property, corporate, bankruptcy, creditor rights and immigration. Our attorneys have considerable experience in legal areas that are specific to the health care and health insurance industries, such as:

• Certificate of need and licensure
• Regulatory compliance and interpretation
• Pharmaceutical regulatory issues
• Medicare and Medicaid reimbursement audits and compliance
• Elder care issues
• Business and health care facility ownership and governance issues
• Managed care issues
• Medicare Part D
• Mergers and acquisitions (including mergers, asset and stock transfers, divestitures, recapitalizations and reorganizations and related tax and regulatory planning and approvals
• Joint ventures
• Financing (public and private) of health care providers, health care facility development and transactions
• Securities offerings, including venture capital, private placements and initial public offerings
• Securities compliance for publicly traded health care and health insurance companies
• Entity formations, including regulatory
• Fraud and abuse compliance
• Intellectual property asset evaluations, due diligence and ownership transfers and licensing
• Protection and commercialization of life sciences intellectual property
• HIPAA – privacy and security
• Health insurance coverage and reimbursement – private and public
• Physician practice issues, including formation and governance strategies, acquisitions, recruitment and employment and ventures
• Health care facility ownership and governance; ventures
• Professional licensure; utilization and professional peer reviews
• Physician credentialing
• Tax increment financing
• Captive insurance formation, insurance taxation (federal, state and local)

Specific examples of our work include:

• Representing Humana Inc. in merger and acquisition activities involving health maintenance organizations, Medicare Advantage organizations (including Medicare Part D) and other health insurance entities. Work includes licensure and regulatory advice, government contracting support, litigation support and guidance on matters including ERISA, intellectual property, immigration, Medicare Part D, HIPAA, employment, and tax planning and tax controversy.
  
  
• Regularly acquiring and divesting assisted living facilities for Atria Senior Living, which is among the largest assisted and independent living communities in the United States. Atria has engaged our services to finance its growth, development and operations through various private and pubic lending sources. We advise Atria on health care-related regulatory compliance issues and on ERISA matters. We also have represented Atria in connection with its employment related litigation, and have consulted on wage and hour matters, union organization activities and other labor related issues.
  
  
• Litigation services in relation to insurance policy coverage and interpretation issues.

Our attorneys are active participants in the health care industry, as many serve on national, state and local boards, setting policy as well as tracking emerging trends that directly impact clients in the health care and health insurance industries. Because of this level of involvement, we have unique knowledge about opportunities and risks that effect businesses in these industries and a record of successful implementation of strategies benefiting our clients.

Greenebaum Doll & McDonald PLLC acted as counsel in two of the largest U.S. healthcare mergers and acquisitions of 2008 (below), as listed by Modern Healthcare.  Source: Irving Levin Associates. Published Jan. 19, 2009. For more information about Modern Healthcare please visit their website.