The anticipation of the recent U.S. Supreme Court decision is over. Whether the decision, in one’s opinion, is wrong or right, it is now the law of the land, at least with respect to the initiative and the mandate, but not the Medicaid expansion.

What does this mean for lawyers? Their clients who have been hesitant to jump into the worlds of value-based purchasing, accountable care organizations (ACOs), shared savings and the transformation from fee-for-service to payment for quality and cost-effectiveness will now have to seriously consider making their move into this new world. As a result, their lawyers will have to be prepared to guide them through the legal minefields which await. Whether one’s clients are businesses touched by the mandate or are trying to be players in the new health care marketplace, the die has been cast.

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