One Big Beautiful Bill Act and Healthcare: Medicare, Medicaid, and ACA Impact; Navigating New Requirements

Ms. Carey's practice spans the health care landscape, with a particular focus on regulatory compliance, reimbursement and related health care issues. She provides clients with practical and value-additive counsel, leveraging her extensive legal experience and background working at managed-care organizations to offer key insights into developing best reimbursement practices. She regularly works with various health care providers, from independent practitioners and start-ups to large health systems, long-term care providers, and substance abuse treatment and behavioral health providers. Ms. Carey's practice extends to drafting policies and procedures for health systems and academic medical centers, including different state life-sustaining treatment and graduate medical education policies. She is regularly called upon to address health system issues requiring a deep technical knowledge of health care programs, such as COVID and telemedicine flexibilities, CMS waiver appeals and adding new service lines to comply with enrollment regulations.

Ms. Castles advises clients on complex health care and life science regulatory compliance issues in transactions, investigations, and litigation matters, including issues that are international in scope, relate to significant regulatory enforcement, and present potential reputational concerns. She helps clients implement response strategies for novel and emerging public health threats, including COVID-19. She assists clients in developing specialized testing, front line support services, and digital health initiatives, including needed regulatory waiver strategies and impact on corporate practice of medicine, HIPAA/HITECH, and other state and federal regulations and guidance. Ms. Castles assisted clients in obtaining first-of-its-kind "hospital without walls" waivers from CMS (Centers for Medicare & Medicaid Services). She also advises clients on health reform strategies that include assistance with CMMI (Center for Medicare and Medicaid Innovation) pilot program participation and value-based and risk-based payment arrangements.