Andrew is a member of OFW’s Health Industry Policy and Regulatory Practice, where he helps health care clients solve legal challenges and realize opportunities in the Medicare and Medicaid regulatory environments. He has detailed knowledge of the agency decision-making process and possesses a deep understanding of the structure and legal considerations that government policymakers bring to bear in regulating more than a trillion dollars of federal health care spending.
Andrew’s practice draws on over a decade of experience as a litigation attorney representing the Centers for Medicare & Medicaid Services (CMS). In that role, he served as lead agency counsel to defend CMS, HHS, OMHA, and CCIIO rules and regulations across a wide array of national litigation. Andrew has handled cases involving cost-sharing reduction payments under the Affordable Care Act, organ procurement matters, emergency physician payments, Medicaid State Plan Amendments, IPPS and DSH payment adjustments, Medicare bad debt reimbursement, DMEPOS coding disputes, home health and hospice payments and appeals, and Part B Cost Plans. Through the optic of a veteran healthcare litigator, he has advised the Department of Justice as well as key policymakers across several government agencies to implement regulatory changes and respond to judicial decisions under the broad structure of the Administrative Procedure Act (APA).
Andrew also worked as a technical advisor to develop and launch the original models of the Bundled Payments for Care Improvement Initiative (BPCI) at the CMS Center for Medicare & Medicaid Innovation (CMMI). During his time at CMMI, he engaged diverse stakeholders in matters related to integrated delivery systems and healthcare payment reform, including both prospective and retrospective payment methodologies, quality monitoring and evaluation, and episode-based payment strategies.
Andrew brings his wealth of experience to assist health care delivery systems, physician groups, biopharmaceutical and medical device companies navigate the Medicare and Medicaid regulatory landscape effectively, and with confidence. His work includes analyzing novel coverage, coding and reimbursement issues, and developing sound legal strategies to help clients identify opportunities in a dynamic and fast-paced industry. He also provides counsel and advocacy on behalf of healthcare providers facing complex compliance, risk, and reimbursement issues before relevant regulatory bodies.
Andrew has served as a speaker and Faculty Member of the annual AHLA Institute on Medicare and Medicaid Payment Issues. He graduated from Wesleyan University with high honors and earned his J.D. from the University of North Carolina School of Law, and an M.P.H from the UNC Gillings School of Global Public Health. He is a member of the New York State Bar.