Dialysis, Nephrology & Vascular Access
Benesch’s Healthcare Practice Group has a specialized team of attorneys with unparalleled breadth and depth of experience in the dialysis, nephrology and vascular access industry. We regularly represent a variety of nephrology group practices, small and mid-size dialysis organizations, hospital-based dialysis programs, vascular access centers and access-focused ambulatory surgery centers, technology companies, medical supply and drug manufacturers and distributors, group purchasing organizations, ESRD networks, and industry trade groups.
Overview
Our dialysis, nephrology, and vascular access attorneys provide more than just legal advice, but instead serve as trusted counselors and business advisors to their clients—many of whom we have served for more than three decades. Our attorneys are at the forefront of tracking and responding to federal and state legislation and industry hot topics impacting the delivery of dialysis, nephrology, and access-related care. They regularly publish articles for Nephrology News & Issues and other trade publications and speak at industry-focused conferences, including those held by the Renal Physicians Association, Renal Healthcare Association, the Renal Executive Forum, the American Society of Diagnostic and Interventional Nephrology, the Outpatient Endovascular and Interventional Society, the Vascular Access Society of the Americas, and others. Collectively, this specialized group of attorneys has more than a century of experience serving this critical industry.
Our multidisciplinary team allows us to represent industry stakeholders on a wide range of transactional, regulatory, litigation, reimbursement, and fraud and abuse and investigative matters. We have highly experienced attorneys specializing in tax, labor and employment, real estate and construction, banking and finance, white collar defense, noncompetition law, and intellectual property that regularly address both “bet the company” and day-to-day needs of our clients.
We regularly represent clients in mergers and acquisitions, joint ventures, strategic alliances and affiliations, financing, management relationships, governance, tax exemption, fraud and abuse, responding to government investigations, physician relationships, accountable care and capitated care arrangements (including ESCO, KCF, CKCC, and commercial payor models), payor contracting, purchasing and vendor relationships, HIPAA and other privacy and security matters, executive compensation, restrictive covenant disputes, corporate compliance plans and training, medical staff organization matters, discipline and peer review, and litigation.
With Benesch’s national reach but regional rate structure, our experienced industry team adds value by understanding and addressing objectives and goals quickly and efficiently. Since we work with clients across the nation, we are also able to provide industry and market intelligence for our clients. Our ability to add value in these ways distinguishes Benesch from other firms.
Related Practices
High performance in practice
Ranked Nationally by Chambers® 2025
Ranked Top-Tier Nationally by Best Lawyers® Best Law Firms 2026
“Benesch has a strong nationwide team offering significant healthcare expertise. The team is highly capable across a range of regulatory matters with significant strength in CON approvals. The firm possesses additional strength in transactions, regularly handling complex acquisitions.”
– Chambers USA
Experience
Represented a regional dialysis provider in a $5 million joint-venture transaction with a national dialysis company. Advised the client on all stages of the deal, including structuring, regulatory review, negotiation of joint-venture and operating documents, and closing coordination. The engagement involved complex healthcare regulatory considerations, including joint-venture compliance, state facility-licensure strategy, and alignment with federal fraud and abuse frameworks.
Acts as General Counsel to the Renal Physicians Association.
Represented one of the nation’s largest nephrology group practices, in a strategic sale and long-term management agreement with an affiliate of Satellite Healthcare.
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Key Contacts

Scott P. Downing
Partner Chicago sdowning@beneschlaw.com
Jason S. Greis
Partner Chicago jgreis@beneschlaw.com
Frank Carsonie
Chair, Benesch Healthcare Practice Group; Columbus Partner-in-Charge Columbus fcarsonie@beneschlaw.com
Jake A. Cilek
Partner Chicago jcilek@beneschlaw.com