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

Ms. Carey brings extensive experience advising healthcare clients on a wide range of regulatory, transactional, and reimbursement issues. She partners with a wide range of clients, from independent providers and ambulatory surgery centers to academic medical centers and private equity investors, to navigate the evolving healthcare landscape. Ms. Carey’s practice is particularly focused on the development and operation of ambulatory surgery centers, certificate of need applications, and value-based care arrangements. She also advises clients in emerging areas such as artificial intelligence in healthcare, palliative care, and the creation of new physician residency and anesthesia assistant programs. Ms. Carey’s deep knowledge of the corporate practice of medicine, Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, and state-specific fee-splitting laws enables her to structure transactions that are both compliant and commercially strategic. Her transactional work is informed by a nuanced understanding of payer-provider dynamics, sharpened by her previous roles at Anthem and other managed care organizations.

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.