Overview

Health care is perhaps the most dynamic, complex and heavily regulated industry in our country. As the Affordable Care Act takes effect and health care providers, suppliers and payors adapt to a new and still uncertain environment, experienced legal counsel will be more important than ever.

We represent several hundred physicians and numerous hospitals on an on-going basis throughout the southeast. Many health care clients also call upon our lawyers for special projects dealing with a broad range of issues.

We provide a wide-range of health care related legal services, including:

  • Antitrust advice and litigation
  • Managed care contracting
  • Information systems
  • Development and operation of integrated delivery systems and other health care joint ventures
  • Mergers, acquisitions and consolidations
  • Payor/patient/provider relationships
  • Physician/hospital relationships
  • Long-term care
  • Various health care litigation matters
  • Regulatory matters
  • Certificate of need proceedings 
  • Medical staff matters
  • Tax advice for tax-exempt and taxable organizations
  • Securities advice and representation for public and private organizations
  • Various licensure matters
  • Reimbursement planning
  • Creation and maintenance of compliance programs
  • Health care fraud and abuse matters
  • Risk management issues
  • Provider/payor disputes
  • Professional disciplinary proceedings
  • Legislative advice and representation*
  • Physician referral issues
  • Advice on accreditation matters
  • Alternative dispute resolution
  • Defense of False Claims claims
  • Various employment and benefits advice in the health care sector
  • Privacy breaches in health care sector

Experienced advice for critical decisions

Nexsen Pruet supports our clients with attorneys located throughout the southeast who are experienced in all areas of law concerning the regulation, delivery, and financing of health care services. We provide advice on an on-going basis to several major provider networks in South Carolina. In addition, Nexsen Pruet provides counsel to hospitals and physicians relating to the sale of physician practices. 

Our health care lawyers are frequent speakers at seminars on topics such as physician/hospital relationships, managed care contracting, formation of integrated delivery systems and physician hospital organizations, and other regulatory topics.

In addition, the Firm's service to its health care clients is enhanced because the health care team is able to draw upon the knowledge of other specific teams, such as corporate, finance, litigation, labor and employment, legislative and regulatory, tax, and employee benefits.


For more information on our Health Care Team, contact Matthew Roberts, Health Care Team Leader, at 803.253.8286 or by email.

*Nexsen Pruet’s staff includes experienced, registered lobbyists. 

Experience

Media

Insights

Videos/Podcasts

Podcasts

  • Our guest this week, Dr. Caughman Taylor, has spent nearly 4 decades dedicated to improving the lives of children in South Carolina. As the senior medical director at Prisma Health Children’s Hospital and Chair of the Palmetto Health-USC Medical Group Department of Pediatrics, Dr. Taylor shares his insights with Tina and Matthew on the benefits of a freestanding Children’s hospital and what sets Prisma Children’s hospital apart. Tune in now!

  • On episode 58, Allendale County Hospital CEO Lari Gooding joins Tina and Matthew to discuss the county-owned, non-profit hospital that has been serving Allendale and Hampton counties for nearly 70 years. We dive into the difficulties of rural health care, strategic partnerships and that help provide and expand health care services, and vaccinations in rural communities. Listen now!

  • This week, Tina and Darra welcome Dr. Graham Adams, CEO of the South Carolina Office of Rural Health, a statewide non-profit dedicated to improving health care in rural and under-served communities. They chat about the challenge of health care providers remaining viable while serving rural communities, how the SCORH addressed the pandemic, and the future of rural hospitals. Tune in now!

  • Randy Covington, award winning television news journalist and Director of Special Projects and Newsplex at the University of South Carolina School of Journalism and Mass Communications, joins Heather and Matthew for episode 56 of Taking the Pulse. As a television veteran with nearly 30 years of experience, Randy shares his thoughts on the unparalleled media coverage during the pandemic and the dramatic changes taking place in the industry. Tune in now!

  • Did you know that colorectal cancer is the second leading cause of death in men and women in the United States? To get some insight into colon cancer’s widespread impact on Americans and other digestive issues, Heather and Darra welcome renowned Gastroenterologist Dr. March Seabrook. He shares important information about colon cancer, including brand new screening recommendations, as well as discusses reflux, indigestion and heartburn and what lifestyle and genetic factors can impact these conditions. Tune in now!

  • For epsiode 54, Heather and Darra chat with Hope Barber, the owner of one of South Carolina’s favorite restaurants, Bowens Island. They dive into how COVID has drastically changed the restaurant industry, including shut downs, staffing shortages, masking, vaccinations, and much more! Tune in now to hear from this long running, family-owned restaurant.

  • Current trends in the health care industry could soon create dramatic changes in how health care is provided and delivered. Matthew and Heather welcome this week’s guest, PYA Principal Orlando Alvarez, to get his insight on pressing issues like consolidation, value-based care, downside risk, consumerism, tech use with rural providers, and much more. Listen now!

  • For international nurse’s week, Heather and Darra sat down with two health care heroes who have been serving on the frontlines of the pandemic in rural South Carolina at McLeod-Loris Hospital. Layla Soles and Kaila Bonnett share their challenges, successes, and overall experience of caring for COVID-19 patients during the pandemic. Tune in now for their first-hand accounts.

  • The rapid changes and complexities of the healthcare industry can be difficult to follow. This week’s guest, Kevin Locke, leads a national health care consulting practice with decades of experience advising his clients on evolving trends in the industry. Tune in to hear Kevin, Matthew, and Heather take a deep dive into the most important trends impacting healthcare such as provider consolidation, the shift from volume based care to value based care, and much more. Listen now!

  • For our 50th episode, Heather and Darra sat down with Reverend Stacy Lawton, an unsung COVID hero who serves as a Clinical Staff Chaplain at MUSC. Reverend Lawton shares the details of how COVID has drastically changed her job, the challenges of administering support to patients under COVID protocols, and how hospital chaplains are maintaining their own energy and mental health. Tune in now!

  • This week, Heather and Matthew chat with Dr. Steve Skinner of the Greenwood Genetic Center, a nonprofit that provides clinical genetic services, diagnostic lab testing, and much more. We dive into how the center has evolved over the past four decades, the unique services they provide, and the future of genetic testing and research. Tune in to epsiode 49 now!

  • With heart disease causing nearly 655,000 deaths in the United States each year, cardiovascular health has never been more important. Dr. Brent McLaurin, a skilled cardiologist and Medical Director of an internationally acclaimed research program, joins Heather and Darra to talk all things heart health. Tune in to episode 48 to learn about Anderson Heart, cardiac trends, and how COVID-19 infections may impact a patient’s cardiac health in the long term.

  • For this week’s episode, Heather and Matthew chat with Carl Humphries and Dr. Heather Leisy from HopeHealth, a Federally-Qualified Health Center providing care to patients across multiple South Carolina counties. We discuss HopeHealth’s unique structure, the range of services they provide to more than 50,000 patients, and the future of community health centers post-COVID. Listen now!

  • On episode 46, Heather and Matthew welcome back South Carolina’s epidemiologist Dr. Linda Bell to discuss the vaccine rollout in South Carolina. They dive into vaccine phases, efficacy, safety, strains and much more. Tune in now to hear from an expert in all things regarding the pandemic!

  • This week, Heather is joined by co-hosts and attorneys Matthew and Darra for a deep dive into the most important topics impacting the health care industry in the Carolinas and beyond. Listen now for their insights on pressing issues that providers and health care professionals need to know, from shifts to value-based care and price transparency to the continued growth of telehealth.

  • On our latest episode, Heather and Darra welcome Dr. Hugh Durrence, a physician who has been working non-stop to help his community fight COVID-19. We dive into his greatest challenges over the past year, how Liberty is providing the vaccine as a family practice, and his designation by the Board of Medical Examiners to help develop the Protocol for Administration of Vaccines by Pharmacists. Tune in now for Dr. Durrence’s insightful perspective!

  • On episode 43, Heather and Matthew welcome AnnMargaret McCraw to the studio, a health care reform advocate and CEO of Midlands Orthopaedics and Neurosurgery. AnnMargaret shares her passion for creating meaningful health care reform as well as her insights on cost transparency, ensuring quality care, and telehealth services. Listen now!

  • Newberry County Sheriff Lee Foster joins Heather and Matthew on episode 42 to discuss the ongoing struggles of his personal fight with COVID and the many challenges of leading a department during the pandemic. Tune in to hear Sheriff Foster’s insights and the details of his ordeal now.

  • This week, Heather and Matthew are joined by a leader in the infectious disease community, Dr. Krutika Kuppalli of MUSC. Dr. Kuppalli, a COVID-19 expert witness to the United States Congress, provides her perspective and shares her vast knowledge on vaccine timelines and effectiveness, new COVID variants, super spreader events like the super bowl, and much more. Tune in now!

  • On epsiode 40, Heather and Darra are joined by Dr. Kyle Guyton, a Pediatrics Specialist and Co-Owner of SouthernMed. We dive in to how his practice has changed during the pandemic, his participation in a COVID vaccine trial, and his views on in-person and virtual learning as a Lexington School District One board member. Tune in now!

  • Joining Heather and Matthew for episode 39 is John Carrington, the Founder and CEO of ZVerse, a South Carolina 3D printing company taking the PPE industry by storm. John discusses how he quickly pivoted ZVerse to meet the demands of the pandemic and became a critical supplier of face shields. Tune in now to hear ZVerse's success story, the latest on PPE and more!

  • For episode 38, Heather and Matthew welcome back our first ever guest: Thornton Kirby of the South Carolina Hospital Association. As President & CEO of SCHA, Thornton has been helping lead the health care industry and SC during the pandemic. Tune in to hear his unique insights on everything from supplies and hospital capacity to the possible salvation on the top of everyone’s mind- the vaccine. Listen now!

  • On this week’s episode, Heather and Matthew welcome Jed Suddeth of Suddeth Health Care Solutions and Dr. Mac Knight of the Coker Group. As heads of numerous health care businesses throughout their careers, Jed and Dr. Knight have been at the forefront of creating innovative health care reform to decrease costs and build a more value based care delivery platform. Tune in to learn about their important efforts to help patients by improving the health care system now!

  • Joining Heather and Darra to kick off season 2 of Taking the Pulse is Mako Medical VP of Operations Steve Hoover. We dive in to how the diagnostic lab has rapidly expanded to meet the demands of COVID-19 testing since we last spoke to Mako in July, news on the new COVID variant in the United States, the current vaccine roll out, and much more. Tune in now!

  • On episode 35, Heather and Matthew chat with Lauren Sausser, an award winning health care journalist and features editor for The Post and Courier. They discuss how COVID-19 has impacted journalism, Lauren’s recent COVID coverage, and the role of the media during the pandemic and ongoing vaccination roll outs. Tune in now for more!

  • This week, Heather and Matthew are joined by the Free Medical Clinic Executive Director Freddie Strange, a life-long health care worker known for his hands-on care and leadership. We discuss how the Free Medical Clinic provides high quality health care to South Carolina’s working poor as well as the pandemic’s impact on the non-profit and those they serve. Listen now!

  • On episode 33, Heather and Darra welcome back South Carolina Superintendent of Education Molly Spearman to discuss how the Palmetto State has met the challenge of maintaining instruction during the fall semester as the pandemic continues. We dive into case numbers, testing strategies within schools, rural broadband services, and much more. Tune in now!

  • Heather and Darra welcome back South Carolina’s epidemiologist Dr. Linda Bell to discuss the pandemic’s continued stronghold within South Carolina. They cover rising COVID cases throughout the state, virtual and in person schools, vaccine timelines and distributions, and more. Tune in to hear from an expert in all things regarding the pandemic now!

  • On this week’s episode, Heather and Matthew welcome Lara Hewitt of the South Carolina Hospital Association and Andy Hartung of Self-Regional Healthcare. As heads of a state-wide healthcare association and a medical center, Andy and Lara have been on the frontlines of ensuring that SC healthcare systems have been safe and prepared during the pandemic. Tune in to hear about the impact of unexpected healthcare partnerships, PPP procurement, the future of the vaccine in the palmetto state, and much more!

  • This week, Tina and Matthew are joined by Brian Morris, President of Fulcrum Risk Solutions, a full service brokerage firm dedicated to providing holistic risk management and insurance strategies to their clients. We discuss how Fulcrum assists medical practices and other employers as well as COVID-19’s impact on risk management, insurance, benefits and more- listen now!  

  • On episode 29, Tina and Darra speak with Dr. Addison Livingston,  the owner of Hawthorne Pharmacy and Medical Equipment, a local drugstore that has been serving the midlands for nearly 70 years. We dive in to how the pharmacy sector has evolved in response to COVID-19, the clinical care side of the industry, emerging trends, and much more. Listen now!

  • This week, Tina and Matthew sit down with South Carolina BlueCross BlueShield executives Matt Shaffer and Dr. Shawn Stinson to discuss how the state’s largest health insurance provider has weathered the pandemic. We cover long-term changes to the industry, innovative strategies to assist the community, and much more- tune in now!

  • On Episode 27, Heather and Matthew are joined by Deputy Chief Legal Officer Brandon Neal and Assistant General Counsel Mindy Staley of Novant Health. They dive into how the award winning integrated network of hospitals has continued to succeed during the pandemic, the consolidation of hospital systems, and working in the legal department of a healthcare provider. Tune in now!

  • For episode 26, Heather and Matthew welcome South Carolina Department of Health and Human Services Director Josh Baker to discuss how the agency oversees health care benefits for the state and COVID-19’s impact on their services. Tune in now to hear about telehealth, the CARES Act, and more!

  • Heather and Darra chat with Dr. Anne Cook of AnMed Health, an internal medicine physician with nearly 40 years of experience and a member of the South Carolina Board of Medical Examiners. Dr. Cook walks us through what it’s like to work on the frontlines of the pandemic, how medical workers are protecting their mental health, the expansion of telemedicine, and regulatory challenges during the COVID-19 public health emergency. Tune in now!

  • On episode 24, Heather and Darra welcome back Representative Murrell Smith to discuss the most recent South Carolina legislative session. We dive into how the Statehouse addressed CARES Act funding, the absentee voting process, rural broadband access, the budget for 2021, and much more – listen now!

  • For episode 23, Heather and Matthew are joined by Bobby Williams, the co-founder and CEO of Lizard’s Thicket, a local restaurant chain known for its southern home-style food and hospitality. We discuss how the family owned business has adapted to the pandemic, the future of the restaurant industry amid COVID-19, and Bobby’s role as Chair of the South Carolina Restaurant and Lodging Association. Listen now!

  • Heather and Matthew sit down with Community Integrated Management Services CEO Peter Leventis to discuss how the independent association, which is made up of 14 federally qualified health clinics, provides care to more than 350,000 patients across South Carolina. We dive into what CIMS is doing to adjust their services during the COVID-19 pandemic, the role of community health centers in health care systems, and more. Listen now to episode 22 of Taking the Pulse!

  • On this episode, Heather and Matthew dive into the valuation sector with guest Will Hamilton, a health care valuation consultant with BuckheadFMV. We discuss the importance of fair market valuation in the health care industry and how it has exploded in growth, the financial impact COVID-19 has had on health care providers and how it affects valuations, and more. Listen now!

  • For episode 20, Heather and Matthew are joined by special guests Angela O’Neal, attorney and Director of Nextra Solutions, along with the legendary Dawn Staley, Coach of the University of South Carolina Women’s Basketball team. We discuss how COVID-19 has dramatically altered the sports industry, what leagues at the college and professional levels are doing to safely bring back games, and how the pandemic and recent social justice movement has impacted athletes. Tune in for all that and more!

  • For episode 19, Heather and Matthew sit down with Dr. Bill Massey, the Chief Scientific Officer of Vikor Scientific, to learn about the specifics of COVID-19 testing and how the pandemic has forced the life science company to quickly pivot their business. Dr. Massey, a world renowned neuropharmacologist and pharmacogeneticist, discusses how Vikor has dramatically increased their workforce and equipment capacity, recent developments in the types of tests and their efficiency, and the state of testing and tracing in South Carolina. Tune in now!

  • Heather & Darra dive in with South Carolina Superintendent of Education Molly Spearman to discuss the challenge of operating schools and maintaining instruction during the pandemic. Tune in as we cover strategies for reopening, the delivery of broadband services for virtual learning, how educators and administrators are adjusting, and much more. Listen now!

  • Heather and Darra sit down with South Carolina Senator and Senate Majority Leader Shane Massey to discuss how the pandemic is impacting the Statehouse- from reopening procedures for schools and plans for absentee voting, to creating a new budget for the state and much more. Hear Shane provide insight on what the South Carolina legislature plans to address during their September session as the COVID-19 pandemic continues – listen now!

  • On this episode, Heather, Matthew and Darra dive into the current landscape of the health care industry and the trends and changes Matthew and Darra are seeing as they serve clients amid the pandemic. They provide insight on how COVID-19 has forced organizations outside of the health care system into participating in major health care decisions, the upward trend in employers closely monitoring employee’s health, the consolidation of providers, and what organizations are doing to stay innovative and agile. Listen now!

  • For episode 15, we’re joined by Sisters of Charity Foundation of South Carolina President Tom Keith. Tom and hosts Heather and Matthew discuss how the non-profit world has reacted to COVID-19 and what the Sisters of Charity Foundation is currently doing to support organizations throughout South Carolina. Tom gives insight into how the pandemic has altered how the Foundation assists communities, including the formation of new partnerships and quickly awarding nearly 30 grants to address COVID-19 related problems. Listen now to hear how Sisters of Charity has adjusted, it’s rich history, the future of non-profit and public health partnerships, plus much more.

  • Heather + Darra sat down with South Carolina Department of Alcohol and Other Drug Abuse Services Executive Director Sara Goldsby to discuss how the stress and isolation of the COVID-19 pandemic has taken a toll on mental health and exacerbated substance abuse issues in individuals throughout the state. We discuss exactly what DAODAS is and their resources for SC citizens, how they've used telehealth to maintain their services and social media to track alcohol and drug abuse trends, and demographic changes in overdoses since the pandemic began. Stream the full episode now. 

  • We jumped into the frontlines of health care workers with this episode, where Heather and Matthew interview Dr. Mitch Nimmich about what it's like to treat COVID-19 patients at Lexington Medical Center. We discuss how his team is doing - and what they are doing to make critical care patients feel more comfortable, even in the isolation of the COVID ward. Dr. Nimmich shares how he and the medical staff manage the stress associated with a quarantined unit, plus much more.

  • Heather and Darra sit down with Dr. Ada Stewart, a physician at Eau Claire Cooperative Health Center around the Midlands, to discuss the impact that COVID-19 has had on her patients and treatment experiences. They discuss Dr. Stewart's service to largely underserved communities around South Carolina, her growing up without a physician or access to health care, and how she came to work become a doctor. Dr. Stewart is driven by a desire to serve others, and we couldn't think of a more inspiring individual who embodies that service. Listen now!

  • For episode 11, we're joined by Presbyterian Communities of South Carolina CEO Rev. Dr. Franklin Fant, and Nexsen Pruet health care attorney Alice Harris makes her Taking The Pulse debut. Dr. Fant, Heather and Alice discuss COVID19's impact on senior living facilities, especially in a place like Presbyterian Communities, which offers a huge range of services for senior citizens (assisted living, independent living, health care and hospitality services, and more).

  • For ep. 10 of Taking the Pulse, Heather + Matthew sat down with Representative Murrell Smith to discuss COVID-19's impact at the statehouse - everything from how the legislature has (and will) manage the pandemic, to its impact on the state's budget, Medicaid in S.C., and much more. We discuss a few pieces of legislation that are currently in motion (like liability protection) and the status of S.C. schools returning in the fall. We dive into all that and MUCH more - listen now!

  • Heather and Matthew sit down with Mako Medical COO Josh Arant to learn about how COVID-19 sparked innovation for an N.C.-based medical manufacturer. Business was booming - then COVID hit, bringing production to a near stand-still. Now, Mako is producing COVID-19 tests in record numbers, and business is booming in ways Josh never could have imagined a year ago. We chat about the process of becoming licensed to produce these tests, what the current virus testing market looks like, as well as a bit more about Mako's work as a stateside medical product manufacturer.

  • Heather + Darra sat down with South Carolina Research Authority (SCRA) Executive Director Bob Quinn to discuss how COVID-19 has sparked innovation among SCRA member companies, and the impact they are having on S.C.'s health and life science industries. We discuss exactly what the SCRA is (and how you can get involved with them), how SCRA start-ups are chosen, and even some several SCRA success stories. Tune in

  • In this episode, Heather & Darra sit down with Dr. Gerry Harmon, President-Elect of the American Medical Association and Vice President of Medical Affairs at Tidelands Health in Murrells Inlet. They discuss the impact of COVID-19 on health care providers, both locally in South Carolina and nationally. We'll get into how associations like the AMA - and health care systems - are supporting patients and frontline health care workers, the prioritization and allocation of PPE and critical health care devices, and how health inequities have been exasperated by the pandemic.

  • Matthew & Heather dive in with South Carolina's epidemiologist Dr. Linda Bell to discuss COVID-19's stronghold in South Carolina. Tune in as we discuss the upward trend in positive cases, why we've seen that trend, where testing and vaccines stand, and MUCH more. Dr. Bell reinforces best  practices for preventative safety and her recommendations for all South Carolinians. Listen now!

  • On Episode 5 of Taking the Pulse Podcast, Matthew Roberts & Heather Matthews interview SCBIO President + CEO Sam Konduros about South Carolina's pharmaceutical and life sciences industries - and their current economic impact on the state, as well as their potential impact on the knowledge economy. Sam also shares great stories about how Palmetto State companies in those sectors have stepped up in the battle against COVID-19. Hear that and much more - listen now.

  • Heather and Darra speak to South Carolina Medical Association's GC & SVP of Advocacy & Communications Richele Taylor about many of the challenges and changes she's seeing throughout South Carolina's health care system as a result of COVID-19. Everything from the telehealth boom to the battle between public health vs. economic  impact. Richele also shares some interesting - and uplifting - stories about physicians introducing innovative practices to comfortably and safely treat patients.

  • Nexsen Pruet Health Care attorney Darra James Coleman makes her co-host debut, joining Heather Matthews for an interview with Palmetto Care Connections CEO Kathy Schwarting, MHA. The trio discuss the rise of telehealth - as well as its inherent challenges. They also chat about rural healthcare access, and how telehealth can help bridge that divide. Listen for all that, and much more, now.

  • Heather and Matthew kick off Episode 2 of Taking The Pulse with Charles Williams, President + CEO of Regional Medical Center. Williams has the unique insight as the leader of not only a rural hospital system, but also one of - if not the - largest employer in the region. The trio dive into the impact of COVID-19 on RMC's staff and patients, how RMC is supporting its employees, and even the impact of COVID-19 on rural and minority communities. Hear that, and much more, on this episode of Taking The Pulse: A Health Care Podcast.

  • In the inaugural episode of Taking The Pulse, hosts Heather Matthews and Matthew Roberts chat with Thornton Kirby, President and CEO of the South Carolina Hospital Association. They talk to Thornton about the impact of COVID-19 on the health care system - everything from supplies and inventory to personnel - and what it will take for the industry to bounce back. Stream the full episode now.

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