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Part of Our Ongoing Healthcare Transactions Series.

Healthcare transactions involving operations in Michigan require a close look at state-specific regulatory issues that go well beyond federal compliance. Michigan’s licensure, Medicaid, Certificate of Need (CON), and corporate practice of medicine (CPOM) rules can significantly influence deal structure, timing, and post-closing operations.

Understanding these regulatory triggers—and planning for them early—can help avoid costly delays, preserve reimbursement streams, and ensure a smooth transition of operations. This post outlines the key Michigan-specific issues to watch in any

Part of our Healthcare Transactions Series

A well-structured deal can fall apart—or create serious financial exposure—if regulatory issues are overlooked. From hidden Medicare liabilities to illegal ownership structures, healthcare transactions carry unique regulatory risks that don’t exist in most other industries.

In this installment of our healthcare transactions series, we walk through seven critical regulatory issues buyers and sellers need to manage in any healthcare M&A deal. We’ll also share actionable tips for keeping your transaction compliant, efficient, and on track to close.

The Stark Law and Anti-Kickback Statute (AKS) are two of the biggest landmines

Structuring a healthcare M&A transaction is not just a legal formality—it is a strategic decision that affects liability exposure, regulatory compliance, tax outcomes, and long-term operational success. Whether a deal is structured as an asset purchase, stock purchase, or merger, each option carries distinct advantages and risks. This post examines the key factors that drive transaction structuring

This post is part of our ongoing healthcare transactions series, where we provide practical insights to help buyers and investors navigate complex healthcare deals.

 1. Prioritizing Business and Operational Goals

Before selecting a structure, buyers and sellers must clearly

Due diligence is a critical step in any healthcare transaction, but it does not have to be prohibitively expensive. While thorough financial, legal, and regulatory review is necessary to mitigate risk, buyers can take a strategic and cost-conscious approach without compromising quality.

This post is part of our ongoing healthcare transactions series, where we provide practical insights to help buyers and investors navigate complex healthcare deals. Here, we explore how to streamline due diligence while managing costs effectively.

Not all due diligence issues carry the same level of risk. Rather than conducting an exhaustive review of every document, buyers should focus their resources on high-impact areas

Due diligence is the backbone of successful healthcare transactions. Whether acquiring a medical practice, healthcare facility, or other type of healthcare business, a thorough legal and financial review is essential to avoid compliance pitfalls and financial risks. Overlooking a single issue—such as improper Medicare billing or an undisclosed liability—could lead to costly consequences, including legal exposure and regulatory fines.

This post is the first in our series on healthcare transactions, where we will explore key legal and financial considerations for buyers and sellers in the healthcare industry. Stay tuned for upcoming posts on structuring deals, navigating regulatory approvals, and mitigating post-transaction risks.

What Is Due

Management Services Organizations (MSOs) have become an essential tool for structuring healthcare businesses, particularly in states with strict corporate practice of medicine (CPOM) laws. By providing administrative and management services to healthcare providers, MSOs allow physicians and other healthcare professionals to focus on patient care while separately managing business operations.

However, MSO structures must be carefully designed to mitigate legal risks, including CPOM restrictions, fee-splitting prohibitions, and—when government healthcare programs are involved—compliance with the Anti-Kickback Statute and Stark Law. Below, we outline key legal considerations and best practices for structuring an MSO in compliance with federal and state

Skilled Nursing Facilities (SNFs) must navigate an increasingly complex regulatory environment, and the latest changes from the Centers for Medicare & Medicaid Services (CMS) are no exception. As part of its ongoing efforts to enhance transparency and oversight, CMS has updated Form CMS-855A, requiring SNFs to undergo an off-cycle revalidation by May 1, 2025.

Failure to comply with these new requirements could jeopardize Medicare billing privileges, disrupt cash flow, and force facilities into a costly reapplication process. Below, we break down what’s changing, how to stay compliant, and steps your facility should take now to avoid any billing suspensions.

Why the Change? Increased Scrutiny on SNF Ownership

CMS has intensified its focus

Expanding or modifying healthcare services in Michigan often requires compliance with Certificate of Need (CON) regulations. These rules are designed to control costs and ensure equitable access to services, but the application process can be complex and time-sensitive. At Mooradian Law, we help healthcare providers navigate the CON process efficiently, minimizing risks and delays. This guide provides an overview of Michigan’s CON program and how to streamline your application. 

Michigan’s CON program ensures that healthcare services are developed based on community needs while controlling costs and preventing duplication. Healthcare providers must