Joshua Skora focuses his practice on representing public and closely-held health care companies, including durable medical equipment suppliers and manufacturers, pharmacies, home health and hospice agencies, home infusion providers, ambulatory surgical centers, laboratories, diagnostic testing facilities, telemedicine providers, behavioral health and substance abuse providers, skilled nursing facilities, long-term care facilities, and other ancillary health care providers.
As outside general counsel for many clients, Joshua collaborates with attorneys across the firm to address a wide range of client needs both domestically and internationally. His counsel is highly regarded for his comprehensive grasp of business and litigation risks, navigating the intricate regulatory landscape of health care, and effectively addressing regulatory challenges.
Joshua advises clients on intricate corporate and regulatory matters and disputes, including fraud, waste, and abuse issues, compliance strategies, contract negotiations, reimbursement matters, Medicare/Medicaid enrollment, audits and appeals for overpayments, internal investigations, payor disputes, and inquiries from federal and state regulatory bodies.
In addition to his regulatory practice, Joshua maintains an active role in transactional matters, guiding clients through acquisitions, sales, corporate reorganizations, and joint ventures.
Joshua’s experience has been recognized by peer-reviewed industry guides, including Chambers USA:
“Joshua is absolutely exceptional. He dug deep into the issues to uncover the core problem, built a strategy and road map to get us to the goal, and then delivered.”
“Joshua is very creative, knowledgeable and all-around excellent.”
“Joshua helps me understand the effects of regulation on our business.”
代表的な経験
- 世界有数のコネクテッド・メディカル・デバイス・ヘルス企業であるResMed社への売却において、睡眠、呼吸器、心臓疾患の大手独立診断検査機関（IDTF）であるVirtuOX社を代理した。
- 北米で睡眠療法、呼吸療法、消毒製品を製造・販売する子会社を持つ持株会社React Health Holdings, LLCを以下の案件で代理：
- Acquisition of Medi-Lynx Cardiac Monitoring, LLC, a Texas-based remote cardiac monitoring service provider and Medicare-enrolled independent diagnostic testing facility.*
- ワシントン州に本社を置く人工呼吸器メーカー、Ventec Life Systems, Inc.を合併。
- Negotiated terms and closed an investment by Palm Beach Capital.
- Acquisition of Watermark Medical, Inc., a Medicare-enrolled independent diagnostic testing facility.*
- One Equity Partnersによる投資の条件交渉とクロージングを行った。
- 医療機器メーカーDrive DeVilbiss社の睡眠部門資産の買収において、フロリダ州を拠点とする呼吸機器メーカー3B Medical社を代理した。
- Successfully resolved False Claims Act allegations against a durable medical equipment supplier in Vermont, negotiating Vermont’s first Medicaid Corporate Integrity Agreement.*
- Settled qui tam lawsuit under the federal False Claims Act involving alleged fraudulent billing practices, avoiding a Corporate Integrity Agreement with the DOJ.*
- Represented a consortium of durable medical equipment suppliers in challenging Medicare rates for ventilators.*
- Secured summary judgment for a durable medical equipment supplier in a federal class-action lawsuit related to the Telephone Consumer Protection Act.*
- Represented a durable medical equipment supplier in successful protests of the Department of Veterans Affairs contract award and subsequent solicitation terms to the Government Accountability Office and the Court of Federal Claims.*
- Represented pharmacies in disputes with pharmacy benefit managers for improper audit deficiencies and network terminations. Obtained temporary restraining orders and injunctions enjoining pharmacy benefit managers from terminating contracts.*
- Represented targets, subjects, and witnesses in Operation Brace Yourself.*
- Represented VieMed in response to a U.S. Department of Health and Human Services Office of Inspector General Audit Services audit and administrative appeals. Successfully reduced the error rate from 98% to zero.*
- Represented health care providers in response to data breaches and security incidents.
*フォーリー入社前の担当案件。
称賛と評価
- Recognized, Chambers USA, Healthcare in Texas (2021-2025)
- Recognized, Best Lawyers in Dallas, D Magazine (2020-2021)
講演活動
- Speaker, “Medtrade Preview: Joshua Skora on Implementing a Payer Playbook,” HME News (March 2024)
- Speaker, “Operation Brace Yourself: Lessons Learned from the Trenches and Best Practices to Avoid Investigations Predicated on Third-Party Malfeasance,” Medtrade Advisory Board (October 2018)
出版物
- Co-author, “Medicare: Prescriptions Now May Be Used to Support Medical Necessity of Durable Medical Equipment,” Health Care Law Today (October 2, 2024)
フォーリーがChambers USA 2025で上位にランクイン
