CMS Final Interoperability and Prior Authorization Rule: Impacted Parties, API Implementation, Reporting Requirements

Ms. Leiter focuses on health information privacy, new data use cases, data policy and health regulatory issues. She advises academic medical centers, plans, providers and information technology companies on a wide range of compliance and policy issues for data not covered by the Health Insurance Portability and Accountability Act (HIPAA) and related state privacy laws. Before joining the firm, Ms. Leiter served as vice president and senior counsel to Executives for Health Innovation in Washington, D.C., where she helped develop a privacy framework to govern health data not covered by HIPAA.

Ms. Lucas has broad experience in healthcare compliance and regulatory issues. She frequently advises health plans across the country on compliance with the Consolidated Appropriations Act of 2021 (CAA), the Affordable Care Act (ACA), and government program rules. Ms. Lucas has experience in specific compliance issues involving Medicare Advantage Plans, Medicaid Managed Care Organizations, Marketplace products, and Employee Retirement Income Security Act (ERISA) plans and administrators. She has represented health plans in litigation and arbitration, including in matters relating to ERISA and government program compliance, contractual payment disputes with hospital systems and providers, and high volume claim disputes with out-of-network providers. She is also passionate about legal technology and develops innovative, cost-saving legal products using artificial intelligence, document automation, and knowledge management tools.

Ms. Moundas is co-head of the firm's digital health initiative and actively participates in the data, privacy & cybersecurity group. She provides strategic, regulatory, compliance, and transactional advice to healthcare clients, including health systems, hospitals, academic medical centers, long-term care providers, pharmaceutical companies, digital health companies, and investors. As part of her practice, Ms. Moundas also counsels clients on privacy, security and breach matters, and focuses on emerging issues in the digital health space. Prior to joining the firm, she worked for over five years in the U.S. Department of Health and Human Services Office of Inspector General. Ms. Moundas’ work focused on the oversight of certain aspects of federal reimbursement policy, federal fraud and abuse and program integrity initiatives, the Medicare administrative appeals process, as well as national health information technology initiatives.