The health care industry continues to be among the hottest sectors for mergers, acquisitions, joint ventures and other transactions. Health reform, new payment models and reimbursement pressures are driving vertical integration among providers (in some cases with insurers) aimed at providing better care more efficiently, and horizontal integration that leads to economies of scale and capitalizes on industry experience. Yet, the challenges of these deals can be significant. Obtaining licensing approvals, certificates of need and state attorney general sign-off can be daunting.
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