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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 h

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 i

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 regulations.

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 on