March 27, 2023

Volume XIII, Number 86

Advertisement

Christine Burke Worthen

Christine provides legal and strategic advice to hospitals, health systems, physician practices and behavioral health providers, as well as post-acute care and other ancillary providers. She has broad experience working on matters pertaining to Medicare reimbursement, participation in CMS Innovation Center payment models, managed care contract negotiations, and value-based payment arrangements with insurance companies, self-insured employers, and Medicare Advantage plans. She also provides counsel on the regulatory, operational, and financial considerations necessary to navigate the evolving payment landscape, to secure sustainable fee for service agreements and to navigate the various components of risk, ranging from pay for quality, to shared risk, and ultimately to full risk.

Christine also addresses privacy and security issues under HIPAA and the Part 2 regulations that may arise when integrating, using, and sharing claims and clinical data. She advises on other areas of concern for providers such as payer policies and price transparency as well as the reimbursement, licensing, and other regulatory issues involved in deploying telehealth as a strategy for population health arrangements. She also represents providers in payment disputes under their commercial contracts.

In addition to her healthcare practice, Christine has more than 20 years of experience providing ERISA counsel to employers for their defined benefit and defined contribution retirement plans, nonqualified deferred compensation plans, and their self-insured and fully insured welfare benefits plans. She has represented clients in government audits by the IRS and the Department of Labor, and assisted clients with other regulatory aspects of self-insured health plans, such as HIPAA, COBRA, Mental Health Parity, the No Surprises Act, and the Affordable Care Act. She also offers guidance on the federal tax issues facing tax-exempt hospitals.

Articles in the National Law Review database by Christine Burke Worthen