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Oncology Transactions

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Baker Donelson's Health Care Transactions team guides oncology groups, platforms, and investors through these critical shifts by offering strategic, comprehensive legal counsel to drive value, preserve clinical autonomy, and navigate a transforming health care environment.

Overview


As oncology care enters a new era of innovation and investment, community practices face an evolving landscape. Driven by breakthroughs like Chimeric Antigen Receptor T-cells (CAR-T) cell therapy and bi-specific antibodies, rising drug costs, and policy changes, independent oncology practices are responding by expanding infusion services, precision medicine, clinical trials, and therapy suites in lower-cost outpatient settings. At the same time, major private equity-backed platforms, strategic acquirers, publicly traded companies, and vertically integrated models continue consolidating the market, reshaping how cancer care is structured and delivered. This environment presents both opportunity and complexity for practices seeking sustainable growth.

Baker Donelson's Health Care Transactions team guides oncology groups, platforms, and investors through these critical shifts by offering strategic, comprehensive legal counsel to drive value, preserve clinical autonomy, and navigate a transforming health care environment.

  • Strategic Transactions and Affiliations: We structure and negotiate sales, mergers, recapitalizations, affiliations, and joint ventures customized to oncology groups and private equity sponsors, balancing financial upside with physician governance and long term strategy.
     
  • Infusion and Outpatient Facility Development: We assist clients with stand-alone infusion center and ambulatory joint ventures, navigating licensing, referral rules, and ownership structures to maximize clinical throughput and financial efficiency.
     
  • Research, Clinical Trials, and Specialty Pharmacy: Our team supports negotiation and compliance for clinical research partnerships, sponsor contracts, and oncology-specific specialty pharmacy services.
     
  • Governance and MSO Structuring: We advise on the development of management services organizations (MSOs) and negotiate hospital affiliation agreements tailored for oncology providers, ensuring adherence to corporate practice of medicine (CPOM) rules, self-referral laws, anti-kickback regulations, and state licensing rules.

Baker Donelson partners with oncology groups to craft growth strategies that preserve autonomy, enhance patient access, and generate enduring value.

Results may vary depending on your particular facts and legal circumstances. Some of these matters were handled by a current Baker Donelson professional while associated with a prior firm.

  • Represented an oncology group in a transaction with a large oncology supergroup.

  • Represented a publicly traded oncology company in the acquisition of oncology practices.

  • Events Relevant to All Physician Specialties

  • "The Intersection of PE and MSOs, Part 1: Benefits and Pre-Transaction Considerations," CV Transforum Fall '24 Conference (October 2024)
  • "Private Equity Physician Deals: What Investors, Physicians, and Hospitals Need to Know in 2023," American Health Law Association (AHLA) Health Care Transactions 2023 Conference (April 2023)
  • "The Anatomy of a Private Equity Transaction and Process," 6th Annual Physician Transactions Conference: The Future of Healthcare Conference Series™ (March 2023)
  • "The (Still) Robust Market for Physician Groups," 6th Annual Physician Transactions Conference, The Future of Healthcare Conference Series™ (March 2023)
  • "The Anatomy of a Physician Group Transaction with Private Equity," 2022 Physician Transactions Conference (March 2022)
  • "Key Terms and Protections for Physicians in Sale Transactions," Physician Transactions Conference, The Future of Healthcare Conference Series® (February 2022)
  • "The Process of Undergoing a Strategic Medical Practice Transaction," 2021 Physician Transactions Conference (April 2021)
  • "Assessing Strategic Options and Practice Value in the Wake of the Pandemic," 2021 Physician Transactions Conference (April 2021)
  • "Exit Planning and Strategic Transactions for Physician Groups," AllianceBernstein (June 2020)
  • "Part 3: The Transaction Process, Key Protections for Physicians, and How to Prepare," Physician Group Transactions 2020 (May 2020)
  • "Part 2: Beyond the First Partnership – Second Bites and More," Physician Group Transactions 2020 (April 2020)
  • "Part 1: What's Going On, and What Do You Need to Know?," Physician Group Transactions 2020 (April 2020)

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