Practices
- Alternative Dispute Resolution Services
- Business Restructuring, Bankruptcy & Commercial Law
- Business Transactions & Corporate Counseling
- Construction Contracting & Disputes
- Cybersecurity & Data Privacy
- Environmental
- Clean Air Act
- Commercial Transactions and Property Acquisition
- Compliance Counseling and Risk Management
- Environmental Litigation
- Green Technology
- Health and Safety
- International Environmental Law
- Shale Gas
- Site Remediation and Brownfield Development
- Solid and Hazardous Waste
- Underground Storage Tank Regulation
- Water Law
- Family Law
- Health Care
- Insurance Recovery
- Labor & Employment
- Litigation
- Litigation & Information Management
- Real Estate
- Tax - Business & Corporate
- Trademark, Copyright and Trade Secrets
- Trusts & Estates
Health Care
Turning challenges into opportunities requires a comprehensive knowledge of the law, as well as a clear understanding of health care as a business. We understand the operations, market trends and economics of the health care industry. We have gained our experience by actively counseling and advising a wide array of health care clients, including hospitals and health systems, long-term care facilities, multi- and single-specialty physician groups, managed care organizations and providers of outpatient and ancillary services, nurse practitioners, suppliers of durable medical equipment, prosthetics, orthotics, and supplies and medical device manufacturers.
Brouse subscribes to a cross-disciplinary approach to our health care practice, engaging specialists who are able to counsel and advise clients in the areas of organizational design, regulatory compliance, reimbursement issues, corporate financing, labor and employment, real estate, taxation and employee benefits, mergers and acquisitions, licensing, joint ventures and strategic alliances, and litigation. Our broad spectrum of experience allows us to deal with the complex problems that may arise in today’s health care businesses and turn them into opportunities.
According to a source in Chambers USA, "[t]hey are very knowledgeable and help us navigate the ever-changing legal landscape. They're creative in finding solutions for complex issues" - Chambers USA 2022 (Healthcare: Ohio).
Our health care practice regularly assists clients in the following areas:
- Practice acquisitions and related transactions
- Health care joint ventures
- Physician and hospital alignment strategies
- Stark and Anti-Kickback issues
- Medicare, Medicaid and private insurance audits and appeals
- Physician employment agreements
- Regulatory approval, accreditation and licensing issues
- Medical staff issues
- Patient care issues
- Managed care contracting issues
- Dialysis provider issues and transactions
- HIPAA and patient privacy issues
- Overview
Health Care
The Health Care industry today faces many new and complex challenges. Government and industry-sponsored reform initiatives, declining reimbursement, an aging population, staffing shortages and regulatory restrictions on compensation and other financial arrangements are forcing hospitals, physicians and other providers to restructure the ways in which they deliver services. No one can deny that these are formidable obstacles. However, we believe that the other side of challenge is opportunity. The challenges that health care providers face may indeed be opportunities for growth and prosperity.Turning challenges into opportunities requires a comprehensive knowledge of the law, as well as a clear understanding of health care as a business. We understand the operations, market trends and economics of the health care industry. We have gained our experience by actively counseling and advising a wide array of health care clients, including hospitals and health systems, long-term care facilities, multi- and single-specialty physician groups, managed care organizations and providers of outpatient and ancillary services, nurse practitioners, suppliers of durable medical equipment, prosthetics, orthotics, and supplies and medical device manufacturers.
Brouse subscribes to a cross-disciplinary approach to our health care practice, engaging specialists who are able to counsel and advise clients in the areas of organizational design, regulatory compliance, reimbursement issues, corporate financing, labor and employment, real estate, taxation and employee benefits, mergers and acquisitions, licensing, joint ventures and strategic alliances, and litigation. Our broad spectrum of experience allows us to deal with the complex problems that may arise in today’s health care businesses and turn them into opportunities.
According to a source in Chambers USA, "[t]hey are very knowledgeable and help us navigate the ever-changing legal landscape. They're creative in finding solutions for complex issues" - Chambers USA 2022 (Healthcare: Ohio).Our health care practice regularly assists clients in the following areas:
- Practice acquisitions and related transactions
- Health care joint ventures
- Physician and hospital alignment strategies
- Stark and Anti-Kickback issues
- Medicare, Medicaid and private insurance audits and appeals
- Physician employment agreements
- Regulatory approval, accreditation and licensing issues
- Medical staff issues
- Patient care issues
- Managed care contracting issues
- Dialysis provider issues and transactions
- HIPAA and patient privacy issues
- Attorneys
- News
August 15, 2024The Best Lawyers in America 2025 Recognizes 19 Brouse Attorneys in 16 Practice Areas and One Attorney as "Ones to Watch"
June 06, 2024Chambers USA 2024 Ranks Brouse McDowell's Healthcare Practice and 3 Attorneys as Lead Practitioners
November 02, 2023Brouse McDowell Recognized in Best Lawyers "Best Law Firms" in 23 Metropolitan Practice Area Rankings
August 17, 2023The Best Lawyers in America 2024 Recognizes 24 Brouse Attorneys in 28 Practice Areas and 3 Attorneys as "Ones to Watch"
August 15, 2023Business Today Recognizes Brouse Healthcare Attorneys as Most Influential in Ohio
June 01, 2023Chambers USA 2023 Ranks Brouse McDowell's Insurance and Healthcare Practices and 5 Attorneys as Leading Practitioners
May 11, 2023Brouse McDowell Names Several New Practice Chairs
December 29, 202224 Brouse Attorneys Named 2023 Ohio Super Lawyers and Rising Stars
November 03, 2022Brouse McDowell Recognized by U.S. News & World Report's "Best Law Firms" 2023 in 29 Metropolitan Practice Area Rankings
August 18, 2022The Best Lawyers in America 2023 Recognizes 27 Brouse Attorneys in 32 Practice Areas and 5 Attorneys as "Ones to Watch"
June 01, 2022Chambers USA 2022 Ranks Insurance and Healthcare Practices and 9 Attorneys as Leading Practitioners
May 16, 2022Brouse Noted in Bloomberg Law Regarding Summary Judgement Win for Client Mercy Health
April 29, 2022Attorney Nicole Thorn Moderates Panel at the Medical/Legal Summit 2022
March 04, 2022Nicole Thorn Presents at Ohio Medical Group Management Association's Winter Practice Management Conference
December 30, 202130 Brouse Attorneys Named 2022 Ohio Super Lawyers and Rising Stars
November 04, 2021Brouse McDowell Recognized by U.S. News & World Report's "Best Law Firms" 2022 in 26 Metropolitan Practice Area Rankings
September 11, 2021Chris Carney Addresses Upcoming Vaccination Mandate in the Akron Beacon Journal
September 09, 2021Laura F. Fryan Spoke at the "Charge for Medical Records: Ciox Health Case & Info Blocking Reg Nuances" Webinar
September 07, 2021Laura Fryan Speaks About the Intersection of Law and the Practice of Medicine on the American Health Law Association Podcast
August 19, 2021The Best Lawyers in America 2022 Recognizes 28 Brouse Attorneys in 32 Practice Areas and 6 Attorneys as "Ones to Watch"
January 04, 2021Brouse McDowell Names Two New Partners
December 09, 202022 Brouse Attorneys Named 2021 Ohio Super Lawyers and Rising Stars
November 05, 2020Brouse McDowell Receives 29 Practice Area Rankings in US News - Best Lawyers "Best Law Firms" 2021
September 23, 2020Nicole Thorn and Teresa Santin Participate in the Akron Dental Society Member Meeting
September 16, 2020Laura Fryan and Nicole Thorn Present to NEO MGMA on Managing Medical Practices During a Pandemic
August 20, 2020The Best Lawyers in America 2021 Recognizes 28 Brouse Attorneys in 33 Practice Areas and 4 Attorneys as "Ones to Watch"
July 21, 2020Christopher Huryn Comments on Legal Considerations for Health Care Joint Ventures
May 01, 2020Daniel Glessner and Laura Fryan Present at the Virtual Columbus Regional Healthcare Compliance Conference
January 21, 2020Brouse McDowell Welcomes Two New Partners to the Firm
December 09, 201927 Brouse McDowell Attorneys named 2020 Ohio Super Lawyers and Rising Stars
November 01, 2019Brouse McDowell Earns 24 Practice Group Rankings by U.S. News -- Best Lawyers "Best Law Firms"
August 15, 2019Twenty-eight Brouse McDowell Attorneys Recognized in 33 Practice Areas to The Best Lawyers in America 2020
August 01, 2019Laura Fryan Selected for Greater Akron Chamber Award
March 22, 2019Brouse McDowell's Joseph Bucaro Speaks on State Health Care Updates at the CMBA's Medical/Legal Summit
January 13, 2019Posting hospital prices online is just one step toward transparency
November 02, 2018Brouse McDowell Secures 19 Practice Area Rankings in "Best Law Firms" 2019
November 01, 2018Brouse McDowell Client NOMS Healthcare Featured in BOSS Magazine
October 18, 2018Brouse McDowell Advises Crystal Clinic Orthopaedic Center on its New 160,000 Square Foot Campus
August 23, 2018Partner Daniel Glessner Speaks on Physician Contract Negotiation at the ONE Clinic
August 15, 201825 Brouse McDowell Attorneys Recognized in 19 Practice Areas to The Best Lawyers in America 2019
September 14, 2015Leaders of the Akron Bar's Health Law Section work to expand offerings
- Seminars & Events
September 15, 2020Webinar: How the Ciox Health Case Changed How Providers Can Charge for Medical Records
July 14, 2020Webinar: Craig Horbus and Nicole Thorn Present on Cybersecurity for the Stark County Dental Society
May 19, 2020Webinar: HIPAA and Ohio Privacy Laws - How to Ensure Compliance with Both
May 07, 2015Emerging Trends in Health Care Reimbursement and Affiliation Strategies Client Seminar
- Client Advisories
March 27, 2024Health Care Alert: HHS Finalizes Changes to Part 2 to Align with HIPAA
December 01, 2023Health Care Alert: OIG Releases NEW Compliance Guidance
December 29, 2022Health Care Alert: New Year's Resolution #1 - Review Your Patient-Facing Web and App Platforms
November 14, 2022Health Care Alert: Three Important Issues for Providers to Consider When Offering Telehealth Services
October 04, 2022Health Care Alert: Proposed 2023 Medicare Physician Fee Schedule - Provider Bottom Lines Meet Government Reimbursement Limitations
February 01, 2022Health Care Client Alert: Private Duty Nursing, Windshield Time, and Wage and Hour Issues: The Russian Roulette No Employer Wants to Play
January 03, 2022Health Care Client Alert: Dear New Year, Please Keep My Health Care Business from Breaches
December 02, 2021Health Care Alert: COVID-19 Vaccine Mandates Paused by the Courts for Many
November 04, 2021Health Care Alert: CMS Announcement Requiring Medicare Providers to Vaccinate Employees Excludes Physician Practices
September 28, 2021Client Alert: HRSA Announces 60-Day Grace Period for Round 1 of Provider Relief Fund Reporting
August 26, 2021Healthcare Alert: State Medical Board of Ohio Updates Telemedicine Enforcement Date
June 29, 2021Healthcare Alert: Impacts to Health Care Providers as Ohio Governor Lifts State of Emergency
June 15, 2021Healthcare Alert: Provider Relief Fund Reporting Updates Announced
April 08, 2021Client Alert: Updates to the Ohio Nurse Practitioner Standard Care Arrangement
December 08, 2020Health Care Alert: Bittersweet News as CMS Publishes Final 2021 Medicare Physician Fee Schedule
November 12, 2020Client Alert: COVID-19 Vaccine Billing Codes Released
October 09, 2020Health Care Alert: HHS Announces Phase III of CARES Act Funding
September 21, 2020Health Care Alert: HHS Rolls Out CARES Act Provider Relief Funds Final Reporting Data Elements
July 27, 2020Client Alert: CARES Act Funding Made Available to Dentists
June 26, 2020Client Alert: The Affordable Care Act is Back Before the Supreme Court - What's This Fight All About?
April 28, 2020Health Care Alert: Important HHS Payment Option Updates
April 23, 2020Health Care Alert: HHS Stimulus Payment Terms and Conditions Attestation Portal Now Open; More Funding Forthcoming
April 13, 2020Health Care Alert: HHS Stimulus Payments Have Terms and Conditions
March 31, 2020Health Care Alert: CMS Offers Accelerated Payments to Help Providers with COVID-19 Cash Flow Issues
August 22, 2018Client Alert: Providers Have Until October 1st to Request to Enter Targeted Review Process
June 23, 2017Quick Comparison of Senate Draft v. House Health Care Bill to Repeal and Replace
May 19, 2017Proposals for the Repeal/Replacement of Obamacare in a Nutshell
March 22, 2017Update: Ohio's Price-Transparency Statute Litigation
March 08, 2017Republicans Roll Out the American Health Care Act - Employer Priorities
March 01, 2017Changes to the Regulations Affecting Advanced Practice Nurses Under Ohio HB 216
February 09, 2017Are You Ready To Comply With The Four New Conditions Of Participation For Home Health Agencies?
February 09, 2017Will You Have To Provide Price Estimates To All Of Your Patients?
February 09, 2017Have You Checked Your CMS Open Payments Record Recently?
February 09, 2017Health Care Reform Update
February 09, 2017Compliance Update
November 18, 2016Arbitration Provisions in Residency Agreements - Will CMS Ban LTC's from Entering into Pre-Dispute Arbitration?
November 14, 2016Where are we going with "Repeal and Replace"?
November 08, 2016OPPS Final Rule Regarding Changes to Provider-Based Billing
September 02, 2016ACA Interpreter Rules About to be Animated
June 10, 2016CMS Re-Opens Applications For Participation in End-Stage Renal Disease Payment Model
May 17, 2016Physicians Have a Second Option for Space Sharing
May 16, 2016Adventures In HIPAA (Continued)
April 21, 2016Opportunity to Comment to CMS on Provider-Based Billing Moratorium
March 08, 2016New CMS Programs in 2016 Continue to Encourage and Reward Quality Outcomes
February 23, 2016Behavioral Health Considerations Applicable to Recent HIPAA Modifications
December 14, 2015When Can Minors Consent
November 19, 2015Health Care Insurance - Five Critical Facts to Help You Pick a Plan
October 15, 2015Medicare Open Enrollment Is Open!
October 08, 2015Brouse McDowell Business Minutes - Physician Employee Agreements Part 2
October 06, 2015The Beginning of the End of Fee-for-Service Payments
September 08, 2015More Booby Traps or Much Needed Relief? Proposed Changes to the Stark Law
September 03, 2015Brouse McDowell Business Minutes - Physician Employee Agreements Part 1
August 31, 2015Home Health Employee Monitoring Update
July 17, 2015The ACA employer mandate: reduce employee hours to less than 30! Right?
June 25, 2015Brouse McDowell Business Minutes - Non-Compete Clauses
June 11, 2015Saying It's So Doesn't Make It So
March 12, 2015Visa Bulletin March 2015, A Little Bit Of Sunshine
February 12, 2015CMS Will Cover Annual Lung Cancer Screening
February 03, 2015RA & ZPIC Audits: Know the Playbook and Prepare your Team
January 13, 2015Keeping Up to Date on the Changing Health Care Environment
May 28, 2014CMS formally extends deadlines for "Meaningful Use" Compliance
May 02, 2014DATA BREACHES!
March 01, 2013Major Changes to HIPAA Rules
- Articles
October 01, 2021How the Ciox Case Changed Medical Record Requests
June 06, 2020Starting a Nurse Practitioner Clinic: Legal Considerations
July 01, 2019Ransomware and HIPAA - A Primer
March 01, 2019Illegal or Just Ill-conceived? Site Neutrality and the Legal Battle to Stop Its Implementation
January 29, 2019Chapter 10: "Fraud and Abuse Update"
January 15, 2019Cybersecurity Program Safe Harbor - A Physician's Perspective
December 26, 2018Expanded Medicare Reimbursement for Virtual Care Likely in 2019
October 16, 2018AMCNO Medicare Update: Providers Have Until October 1st to Request to Enter Targeted Review Process
August 01, 2018Don't Forget to Check (And Re-Check): The Medicare Exclusion Status of Employees and Contractors
November 01, 2017Ohio Supreme Court Expands Physician Protections Under The Ohio "Apology Statute"
September 01, 2017Will Physicians Face Another Decrease In Payments?
July 01, 2017Volume to Value: The Physician Practice's Alphabet Soup
June 16, 2017Have You Had Your Estate Plan Recently Revisited?
April 09, 2017Complying with the New Conditions of Participation for Home Health Agencies
January 27, 2017Healthcare Regulatory Enforcement Alive and Well
November 10, 2016When It's Not Business As Usual: Maintaining Patient Care During Bankruptcy
September 16, 2016A Checklist for MACRA
July 28, 2016Moving from Volume to Value - An Overview of the Payment Methods under the Proposed MACRA Rule
June 02, 2016What's New in the Second Phase of OCR HIPAA Audits
June 01, 2016Indemnification provisions - Before you sign a contract, take time to understand indemnification clauses
March 23, 2016Health Care Legislative Update: Winds of Change Impact Mid-Level Providers
March 01, 2016Doctor? It's Time for your Annual Check Up...
January 04, 2016The PhRMA Code of Conduct and Its Impact on Physicians
November 01, 2015S.B. 110, New Rules for Physician Assistants and Nurse Practitioners, Effective 10/15/2015
September 01, 2015Helping Your Patients Get There: What You Need to Know About Offering Patient Transportation
July 09, 2015Working on wellness - Companies must be thoughtful in how wellness programs are offered
April 24, 2015Healthcare Providers, Beware of New OARRS Requirements!
March 02, 2015Adding Telemedicine to Your Practice
February 27, 2015Immigration information - How employers can boost success rates when hiring foreign workers
May 01, 2014Common Compensation Models in Hospital Physician Employment Agreements
July 01, 2013Practical Considerations for Employers in Selecting Non-Physician Providers
- Blogs
Health Care Compliance Checkup Blog
May 2, 2023Compliance Checkup: DOJ Updates to Corporate Compliance Program to Impact Health Care Providers
July 20, 2021Compliance Checkup: CMS Releases the Proposed 2022 Medicare Physician Fee Schedule
June 15, 2021Compliance Checkup: New Rule Pertaining to Information blocking and its Effect on Health Care Providers
Corporate T.I.P.S. Blog
April 13, 2021Compliance Checkup: Takeaways from the Stark Law and Anti-Kickback Statute Final Rules
March 31, 2021Corporate TIPS and Compliance Checkup: Privacy Law Concerns with Virus Vaccine Tracking
February 9, 2021Compliance Checkup: Major Proposed Changes to HIPAA
December 29, 2020Compliance Checkup: Year End 2020 - No Looking Back
September 30, 2020Compliance Checkup & Corporate TIPS: OCR Agrees to $1.5 Million Settlement with Orthopedic Clinic for HIPAA Breach
September 30, 2020Compliance Checkup & Corporate TIPS: OCR Agrees to $1.5 Million Settlement with Orthopedic Clinic for HIPAA Breach
August 4, 2020Compliance Checkup: CARES Act Funding - Reporting Requirements Coming Soon
April 16, 2020Corporate TIPS and Compliance Checkup: CCPA v. HIPAA - CCPA Gets Tested in the Health Care Space
April 16, 2020Corporate TIPS and Compliance Checkup: CCPA v. HIPAA - CCPA Gets Tested in the Health Care Space
March 10, 2020Compliance Checkup: An Effective Compliance Program - Open Communication Lines, An Ounce of Prevention
February 18, 2020Compliance Checkup: How to Wisely Discount Your Services
January 21, 2020Compliance Checkup: Is Your HIPAA Compliance Plan Effective?
January 7, 2020Compliance Checkup: Completing a Risk Analysis - What You Need to Know to Secure Your Practice in 2020
December 10, 2019Compliance Checkup: Your 2020 Compliance Checklist
November 19, 2019Compliance Checkup: Are You Ready for Price Transparency?
October 29, 2019Compliance Checkup: Out With the Old, In With the New... Medicare ID Numbers
October 8, 2019Compliance Checkup: Record Number of Health Care Data Breaches Recorded by the Office for Civil Rights in July 2019
September 24, 2019Compliance Checkup: Part Two: Does Your Practice Need to Comply with the General Data Protection Regulation?
September 10, 2019Compliance Checkup: Part One: Does Your Practice Need to Comply with the General Data Protection Regulation?
August 27, 2019Compliance Checkup: Affirmative Action: Is your health care entity subject to affirmative action laws?
August 6, 2019Compliance Checkup: Handling Reimbursement from Non-Contracted Payors
July 18, 2019Compliance Checkup: Mastering HIPAA Part 4 - Mailing Protected Health Information
June 18, 2019Compliance Checkup: Mastering HIPAA Part 3 - Sending Electronic Protected Health Information
June 4, 2019Compliance Checkup: Impact of Ohio's Medical Marijuana Law on Employers
May 21, 2019Compliance Checkup: How Technology Can Positively Affect Compliance: An Interview with an Innovator
May 7, 2019Compliance Checkup: Going Green? What to do with all of the Paper
April 23, 2019Compliance Checkup: Going Viral - Not Always A Good Thing
April 9, 2019Compliance Checkup: Mastering HIPAA: Part 2 - Analyze First, Panic Second
March 26, 2019Compliance Checkup: Key Questions for Medical Directors
March 12, 2019Compliance Checkup: Mastering HIPAA: Part 1 - The Best Offense is a Good Defense
February 26, 2019Compliance Checkup: One Small Step, Big Consequences - Regular Exclusion List Screenings
February 12, 2019Compliance Checkup: What Do You Know About Section 1557?
- Podcast
December 09, 2021Podcast: Health Care Checkup - Are You Properly Covered?
October 04, 2021Podcast: Health Care Checkup - Estate Planning for Physicians: It's More Than Just Your Dying Wishes
July 26, 2021Podcast: Health Care Checkup - Coding and Documentation Compliance With the New E&M Guidelines
April 26, 2021Podcast: Health Care Checkup - Physician Emotional Intelligence and Avoiding Hot Water: Part II of II
March 22, 2021Podcast: Health Care Checkup - Physician Emotional Intelligence and Avoiding Hot Water: Part I of II
February 22, 2021Podcast: Health Care Checkup - Minimizing HIPAA Breach Penalties
February 04, 2021Podcast: Health Care Checkup - Accounting For Your Provider Relief Funds
December 07, 2020Podcast: Health Care Checkup - Legal Barriers Affecting Physician Mental Health
October 21, 2019Podcast: Health Care Checkup - Major Changes to Stark and Anti-Kickback Law Proposed
June 20, 2019Podcast: Health Care Checkup - Understanding CMS's Interoperability and Patient Access Proposed Rule
June 06, 2019Podcast: Health Care Checkup - Eliminating Kickbacks in Recovery Act
May 02, 2019Podcast: Health Care Checkup - Ohio Health Law Update
April 04, 2019Podcast: Health Care Checkup - Ohio Cybersecurity Program - A Physician's Perspective
March 21, 2019Podcast: Health Care Checkup - Relaxing Requirements for Virtual Care
March 14, 2019Podcast: Health Care Checkup - Dissecting the ACO Final Rule
March 07, 2019Podcast: Health Care Checkup - Nurse Practitioner Clinics