Government Relations & Public Policy

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Our firm has a long history of successfully working with clients to achieve health care reform through statutory and regulatory changes at both the federal and state level. Our attorneys and federal health policy specialists work together to produce optimal results for our clients.

Federal Reform Through Advocacy

We have enhanced our Washington, D.C. office with a team of non-lawyer experts that possesses decades of health care expertise and a wealth of direct experience with federal health policy, with a consistent track record of success on behalf of health care clients.

Using a combination of strategic planning, economic analysis, coalition building, and issue development & monitoring, our team lobbies Congress and federal government agencies. We don’t just open doors. We also provide education and analysis to solve the real problems that the public and industry need to solve complex health care problems.

Our government relations professionals have advocated on behalf of clients before the White House, Congress, the Centers for Medicare and Medicaid Services (CMS), the U.S. Food and Drug Administration (FDA), the Medicare Payment Advisory Commission (MedPAC), and others.

Bringing together an understanding of the political, economic and legal implications of current health care policy and other ongoing federal initiatives, the following is a brief list of issues on which our government relations team has successfully worked:

Medicare & Medicaid Funding, Payment & Compliance

  • Center for Medicare and Medicaid Innovation initiatives and demonstration projects
  • Annual Recurring Payment Rule impact analyses & draft comment letter assistance
  • Value-based purchasing and value-based payment matters
  • Bundled payment proposals
  • Agency for Healthcare Research and Quality
  • Medicare area wage index legislation and regulatory analysis
  • Conditions of participation
  • Disproportionate share hospital (DSH) payment levels
  • HIPAA compliance
  • Notice of non-compliance and recovery audit contractor (RAC) audits
  • Transplant facility compliance
  • Graduate medical education (GME) payment problems
  • Medicare Advantage
    • Clinical trial copayments for related services
    • Call Letter/Payment notice analysis
    • Plan bid consulting
    • Star rating system implementation
  • Telehealth innovation
  • Local insurance coverage decisions, coding, general coverage consulting
  • Client utilization surveys and provider impact analyses
  • Physician self-referral
  • Provider scope of practice

Health Information Technology

  • Electronic health records (EHR)
  • “Meaningful use”
  • Health information technology (HIT) bonus payments
  • Oversight

Pharmaceuticals and Medical Devices

  • FDA approval
  • CMS coverage
  • Drug dosage payment issues
  • Average sales price (ASP) reporting and reform

California State Legislative and Regulatory Policy

When California’s governor or legislature propose omnibus health initiatives, there are often unintended consequences that, if not addressed early in the process, often take many years to rectify. Our attorneys help health care providers identify the possible consequences of new legislation. We also support lobbyists for health systems and trade associations in explaining needed changes to regulators, state Legislatures and Congress with the aim of shaping legislation to our clients’ benefit. We have drafted key legislation on behalf of our health care clients. In addition, government officials often contact our attorneys to provide input on proposed regulatory changes.

Health Care Reform

For media inquiries, please contact Barrett McBride at bmcbride@health-law.com or 916.456.5855.