Drawing upon nearly 12 years of experience in a series of federal government health policy positions, Philo Hall brings insight into the legal, policy, budgetary, and political factors influencing federal agency decision making.
Philo’s experience includes:
- Counseling health plans, providers, manufacturers, and related investors on complex reimbursement issues arising under Medicare and Medicaid law and policies
- Advising health systems, health plans, and providers on the legal and regulatory matters arising under the transition to value-based care reimbursement and accountable care
- Providing interpretive and practical advice regarding the oversight and compliance requirements unique to Medicare Advantage and Medicare Prescription Drug plans, as well as responding to related federal sanctions
- Advising health care providers, health-related companies, financial institutions, and investors of health care industry trends and relevant federal and state public policy developments
- Aiding health care providers, health plans, and related companies in the development and operation of out-of-network billing arrangements to assure compliance with federal and state laws
- Advising public and private clients in the development of legislative and regulatory advocacy strategies involving government health programs, including assisting with the development and implementation of public stakeholder engagement efforts
- Counseling clients and conducting regulatory due diligence in connection with various strategic transactions, such as mergers, acquisitions, and affiliations