Healthcare Policy

Overview

BakerHostetler’s Healthcare Policy team combines the efforts of experienced health law practitioners and policy professionals on behalf of clients seeking to resolve or avert public policy concerns through legislative or administrative action. We serve as partners and counselors for our clients as they navigate today’s complex and rapidly changing healthcare industry environment.

A Full Range of Capabilities

We approach our clients individually to craft a strategy for advocacy. This involves spending time with the client’s team to identify priorities, strengths, and issues of concern. Our team employs a strategy that engages members and staff from both sides of the political aisle and invites all interested parties to participate in crafting a legislative, regulatory, or administrative solution that both addresses the client’s concerns and adheres to sound principles of government policy. Policy achievements are accomplished through bipartisan advocacy efforts.

Our team develops strategic plans tailored to specific legislative and administrative goals. The team includes numerous former senior executive branch officials and former Capitol Hill staff members. Our extensive knowledge base and government contacts allow us to navigate the political waters in Washington, D.C., and beyond for healthcare industry clients interested in influencing the direction of change.

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Our team understands the core healthcare issues that drive our clients’ strategies, and we work seamlessly to provide health policy-focused services and solutions for a wide variety of clients, including:

  • Academic Medical Centers
  • Hospitals
  • Physician Groups
  • Home Health and Hospice Care
  • Dental Practices
  • Long-term Care Providers
  • Medical Device Companies
  • Pharmaceutical Manufacturers
  • Suppliers of Healthcare-related Goods
  • Trade Associations
  • Pharmacies
  • Dialysis Centers
  • Biologics and Cosmetics

Select Experience

  • Represent the nation’s leading pediatric hospital association in their efforts to develop special national network options in Medicaid policy for children with complex conditions; called the Advancing Care for Exceptional Kids Act of 2015 (HR 546/S 298), a bipartisan legislative initiative.
  • Represent hospitals in Texas and Washington State in challenging a CMS interpretation of the hospital-specific DSH reimbursement limit relative to the calculation of Medicaid shortfall.
  • Represent hospitals before Congress relating to Medicaid, CHIP, state-needed payments, and other government program reimbursement matters.
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Experience

  • Represent the nation’s leading pediatric hospital association in their efforts to develop special national network options in Medicaid policy for children with complex conditions; called the Advancing Care for Exceptional Kids Act of 2015 (HR 546/S 298), a bipartisan legislative initiative.
  • Represent hospitals in Texas and Washington State in challenging a CMS interpretation of the hospital-specific DSH reimbursement limit relative to the calculation of Medicaid shortfall.
  • Represent hospitals before Congress relating to Medicaid, CHIP, state-needed payments, and other government program reimbursement matters.
  • Routinely work with CMS, HRSA, CMM, and FDA to present client concerns, provide regulatory comments, and draft policy.
  • Advise pharmaceutical, medical device, and biologic manufacturers as well as private equity funds on recent FDA policy actions.
  • Represent clients in 340B and other reimbursement-related matters.

Recognition

  • Recognized as one of the top law firms for client service, BakerHostetler was named to the 2019 BTI Client Service 30 for the fifth consecutive year.

News

Publications

Blog

In The Blogs

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Health Law Update
Two rules both alike in dignity: CMS and ONC release proposed rules to advance interoperability
April 8, 2019
On Feb. 11, 2019, two Department of Health and Human Services (HHS) agencies, the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare and Medicaid Services (CMS), released their...
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Health Law Update
Deter Workforce Snooping in Electronic Medical Records Through Education and Training
April 5, 2019
On March 6, 2019, the U.S. Department of Justice (DOJ) announced that Linda Sue Kalina pled guilty to wrongfully disclosing the protected health information (PHI) of another individual in violation of the Health Insurance Portability and...
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Health Law Update
Clearly Defined HIPAA and FERPA Policies May Help Covered Entities in Defending a Claim for Unemployment Compensation
February 19, 2019
Recently, in Dantry v. Unemployment Compensation Board of Review, No. 1665 C.D. 2017 (Pa. Cmwlth. 2019), the Commonwealth Court of Pennsylvania reversed the order of the Unemployment Compensation Board of Review (Board) which had affirmed...
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Health Law Update
Senate Democrats recently introduced the Stop Price Gouging Act
By Christian B. Jones, Nicholas C. Mowbray, Lee H. Rosebush
February 15, 2019
Senate Democrats recently introduced the Stop Price Gouging Act (S. 378), which seeks to place an excise tax on pharmaceutical companies in proportion to price spikes on prescription drugs. The bill generally requires a company to justify...
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Health Law Update
PE Investment in Physician Practice Management ? What's to Come in 2019?
By Jessie M. Gabriel, Adam D. Gale, Laurice Rutledge Lambert, Jennifer P. Whitton
February 13, 2019
Private equity (PE) investors entered the physician practice management (PPM) market in 2011, and eight years later the PPM sector continues to be a ripe middle market for PE investors looking to diversify their portfolios. However, as the...
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