Michael R. Crowe

Mergers & Acquisitions

• Represented private equity company in acquisition of dozens of senior living communities in Texas. Facilitated transaction in discussions with state officials. Advised on and prepared documentation necessary for change of ownership, including disclosures.
• Advised dozens of other home health agencies, assisted living communities, skilled nursing facilities and durable medical equipment companies on acquisitions.

Medicaid/Insurance

• Advised local governments on formation of health maintenance organization (HMO) to participate in Medicaid and Children's Health Insurance Programs. Advised governmental entities on constitutional and statutory issues surrounding formation. Prepared formation documents and insurance filings and negotiated with state Medicaid officials to gain entrance to Medicaid and Children's Health Insurance Programs.
• Advised client on entrance into federally facilitated healthcare exchange for Texas under the Affordable Care Act.
• Represented healthcare providers in federal and state investigations and sanctions associated with regulatory deficiencies, conditions of participation, Medicare and Medicaid enrollment, Medicare and Medicaid reimbursement, false claims, anti-kickback and the Stark Law.
• Sued Texas officials and agencies on behalf of Medicaid providers, recipients and local governments to secure benefits.

Government

• Represented Texas-based hospital districts on most legal issues, including governance and government, management, Medicare and Medicaid reimbursement issues and physician contracting.
• Helped district in contested termination of management agreement reacquire oversight of its community hospital.