Jennifer Bolton represents a cross section of health care providers, including hospitals, physician groups and other entities affiliated with the health care industry with respect to fraud and abuse, physician contracting, managed care contracting, value-based contracting, and corporate compliance.
Today I focus my practice on three main areas, leveraging more than 18 years of experience in both the law firm and medical center arenas to assist clients in maintaining compliance with the complex and continually evolving federal and state health care laws and regulations.
I have worked with both hospitals and physician clients on navigating relationships between the two to ensure that the proposed arrangements are compliant with the Federal Anti-Kickback Statute, Federal Stark Law as well as New York Stark Law. I have structured deals to ensure that both the business needs of the parties are met while remaining legally compliant.
With the implementation of the Affordable Care Act, I have been busy representing hospitals entering into agreements covering Health Exchanges. I regularly work with hospitals on negotiating with third-party payors.
I have represented academic medical centers, medical schools and residency and fellowship training programs with respect to graduate medical education issues, including institutional and program accreditation, compliance with Accreditation Council for Graduate Medical Education requirements and preparation and review of affiliation, integration and resident agreements.
Most recently, I worked on a challenge to an expedited withdrawal of accreditation for an institution, which successfully led the ACGME to reverse its initial decision and award full accreditation.
I see the relationship between providers and payors changing in terms of negotiations and reimbursement with the implementation of the Affordable Care Act.
Benjamin N. Cardozo School of Law, J.D.
Columbia University School of Public Health, M.P.H.
University of Michigan, B.A., cum laude