Jena Grady is an associate in Nixon Peabody’s Healthcare practice group.
Before joining NP, Jena worked at the Arizona Department of Health Services Division of Behavioral Health Services and assisted with the creation of the $500 million RFP seeking a managed behavioral healthcare organization to in part deliver integrated care to individuals with serious mental illness in one of the largest public behavioral health systems in the country. She uses her public behavioral health experience to assist providers to navigate complex regulatory and legal issues that arise while delivering behavioral health and integrated care including, but not limited to, substance use record disclosures, licensing requirements and reimbursement challenges.
I advise clients on Medicare and Medicaid compliance issues, scope of work and licensing issues. I also provide guidance to clients on how to comply with the Anti-Kickback Statute, the federal Stark law and state law equivalents.
I assist clients in healthcare transactions including joint ventures and contractual arrangements. I also work with private equity firms seeking investments within the healthcare field including mental health.
I assist healthcare providers and business associates, including electronic health record vendors and health information exchanges, comply with HIPAA. I also provide guidance on state and federal requirements governing the privacy of mental health information.
With the continuing push to pay for value rather than volume, I expect clinical providers to initiate and develop relationships with community service providers in order to address health-related social needs that affect healthcare costs and outcomes.
Arizona State University, B.A., cum laude
Arizona State University, MHSM
Loyola University Chicago School of Law, J.D., Health Law Certificate, cum laude
New York City Healthcare associate Jena Grady is quoted in this article covering potential impacts of the proposed Mental Health Matters Act. Jena notes that the Department of Labor’s ability to impose civil monetary penalties for the first time on plan sponsors and administrators may be the most significant parity-related element of the pending legislation, and she also discusses a tri-agency report submitted to Congress this year documenting the state of behavioral health parity.
New York City Healthcare associate Jena Grady is quoted in this article on Medicare coverage gaps for substance use disorder treatment. Jena explains why there’s a lack of access for Medicare recipients compared with commercial insurance plans and Medicaid, and how the Biden administration is pushing to close those gaps in its 2023 budget proposal.
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