Jeff Wurzburg
Senior Counsel
Norton Rose Fulbright US LLP
Related services and key industries
Biography
Jeff J. Wurzburg focuses his practice on regulatory, compliance, reimbursement and policy issues facing providers and health plans, with vast experience in Medicare, Medicaid and the Affordable Care Act. He regularly advises clients on federal health care program reimbursement, compliance, state and federal fraud and abuse laws, and government investigations.
Jeff assists clients in navigating health care policy and enforcement trends. He monitors federal and state health care legislation and rulemaking, and communicates policy developments to a diverse range of clients. He works with clients to comply with regulations and policy developments, and assists with implementing strategies to improve operations. Jeff is regularly advising clients on regulatory matters relating to delivery system reform, reimbursement, telehealth, licensure and COVID-19.
Jeff previously served as an attorney in the U.S. Department of Health and Human Services (HHS) Office of the General Counsel in Washington, D.C., where he advised the Centers for Medicare & Medicaid Services and the Center for Medicare and Medicaid Innovation. He advised on a wide ranging portfolio that included Affordable Care Act regulations, guidance and litigation and the development and testing of innovative healthcare payment and service delivery models. His unique experience makes him well suited to provide sophisticated counsel to clients on implementation, compliance matters and strategic opportunities related to the Affordable Care Act and health care reform.
Jeff serves as a Vice Chair of Educational Programming for the American Health Law Association Payers, Plans, and Managed Care Practice Group. He is the Chair of the American Bar Association Health Law Section Managed Care Interest Group and a Co-Chair of the Health Reform Task Force. Jeff serves on the State Bar of Texas Health Law Section Council.
Jeff has presented at national conferences and conducted webinars on Medicare and Medicaid, health care reform, value-based reimbursement, network adequacy, Affordable Care Act litigation and premium stabilization programs. Jeff began his career on Capitol Hill and worked for Senator Evan Bayh and was a legal fellow for Representative Henry Waxman.
Professional experience
Collapse allLLM, Health Law and Policy, American University - Washington College of Law, 2012
JD, Drake Law School, 2005
BA, Political Science, English minor, Indiana University, 2003
Jeff was a Deans Fellow to Professor Corrine Parver while at American University Washington College of Law. While at Drake Law School, Jeff was involved in the American Constitution Society and the Student Bar Association. During his time at Indiana University, he was a member of Sigma Chi Fraternity.
- District of Columbia Bar
- Texas State Bar
- Virginia State Bar
- Counsels clients on Medicare and Medicaid reimbursement and compliance matters
- Provides health care counsel in complex litigation and government investigations
- Served as health plan counsel on secondment and advised on Medicare Advantage and Medicare Supplement regulations and requirements
- Attorney with the U.S. Department of Health and Human Services Office of the General Counsel, Centers for Medicare & Medicaid Services Division (CMSD), Program Review Group
- Worked closely with CMS on a variety of program review matters related to the implementation of the Affordable Care Act (ACA)
- Assisted with litigation involving the ACA, such as King v. Burwell, House v. Burwell, and matters relating to the risk adjustment and risk corridors programs
- Advised the Center for Medicare and Medicaid Innovation on the development and testing of innovative health care payment and service delivery models
- Served as an Associate Deputy General Counsel in the Office of the General Counsel at the Department of Defense, where he worked on civil litigation related to the operation of the military detention facility at Guantanamo Bay, Cuba
- Jeff began his career on Capitol Hill and worked for Senator Evan Bayh and was a legal fellow for Representative Henry Waxman.
- Chambers USA, Texas: Healthcare, Chambers and Partners, 2024
- 40 Under 40 Honoree, San Antonio Business Journal, 2021
- Recipient of Anti-Defamation League Daniel R. Ginsberg National Leadership Award
- The Best Lawyers in America, Ones to Watch, Health Care Law, Best Lawyers, 2021-2025
- "Don't You (Forget About Me) - Recent Requirements for Provider Directories in an Era of Consumer-Directed Health Care," AHLA Health Law Weekly, April 8, 2022
- Author, "CMS Telehealth Policy Can Benefit Vulnerable Communities," Law360, July 20, 2020
- "Protecting Patients from Surprise Medical Bills and the Role of Network Adequacy," AHLA Health Watch, 2020
- "The State of CPOM and the Law in Texas", San Antonio Medicine, October 2019
- Co-author, "The Joint Commission releases sentinel event statistics for first six Months of 2019," Norton Rose Fulbright Health Law Pulse, August 15, 2019
- "Déjà vu All Over Again: PPACA is Declared Unconstitutional", ABA eSource, January 2019
- "A New Era for Section 1332 of PPACA", ABA eSource, December 2018
- Co-author, "In Search of Certainty: An Update on the Exchanges", ABA eSource, October 2017
- Co-author, "Healthcare Reform: Considerations for Managed Care in a Time of Uncertainty", ABA eSource, March 2017
- Transforming the Patient Experience: The Continued Evolution and Integration of Clinical Care and Retail Settings, AHLA Health Plan Law and Compliance Institute, May 9, 2022
- Medicaid State of Mind–Fundamentals of America's Most Critical Coverage Source, AHLA Institute on Medicare and Medicaid Payment Issues, March 23, 2022
- Medicaid – Still the One: An Examination of Medicaid Fundamentals and its Critical Place in the American Health Care System, AHLA Fundamentals of Healthcare, November 7, 2021
- Medicaid Fundamentals – An Examination of the Nation's Largest Coverage Source and Why It Matters Now, American Health Law Association Fundamentals of Health Law Conference, November 11, 2020
- Surprise! A Look at the Hottest Topic In Health Care 2020: Network Adequacy and Surprise Billing, American Bar Association, January 14, 2020.
- Co-presenter, Washington healthcare update: Legislative, Regulatory, and Litigation Trends to Watch in 2020, Norton Rose Fulbright Sixteenth Annual Health Law Symposium, January 23, 2020
- Medicaid Fundamentals–A look at the Medicaid Program and Medicaid Law from the Federal Perspective: Past, Present, and Future, American Health Law Association Fundamentals of Health Law Conference, November 16, 2019
- Capitol Conversation, Austin Bar Association Health Law Section, October 29, 2019
- Texas Medicaid Supplemental Payments - The Law and Practical Implications, Texas Health Law Conference, October 6, 2019
- Legislative Outlook, Norton Rose Fulbright Healthcare Private Equity and M&A Conference, September 19, 2019
- Introduction to Medicaid - A 2019 Update on the Nation's Largest Coverage Source, ABA/Chicago Medical Society Physicians Legal Issues Conference, September 13, 2019
- State of Transition: A Look at the Movement to Value in 2019, University of Texas Health Law Conference, March 27, 2019
- Here We Go Again: ACA Dejá Vu, American Bar Association Emerging Issues in Healthcare Law Conference, March 15, 2019
- Direct to Employer Relationships 2019 – The New Thing or The New Coke?, American Health Law Association Physicians and Hospitals Law Institute, February 4, 2019
- Co-presenter, Washington healthcare update: A discussion on the mid-term Federal healthcare policy agenda, Norton Rose Fulbright Fifteenth Annual Health Law Symposium, January 24, 2019
- Medicaid Fundamentals–A look at the Medicaid Program: Past, Present, and Future, American Health Law Association Fundamentals of Health Law Conference, November 11, 2018
- What's Happening in D.C., Norton Rose Fulbright Healthcare M&A and Private Equity Conference, October 10, 2018
- Narrow and Tiered Provider Networks from a Legal and Data Analytics Perspective, American Health Law Association Annual Meeting, June 26-27, 2018
- Looking at the Road Ahead for Medicare and Medicaid; ACI Managed Care and Disputes Litigation Conference, May 18, 2018
- Co-presenter, Washington Healthcare Update: The Legal Landscape for the Healthcare and Life Science Industries After the First Year of the Trump Administration, Norton Rose Fulbright Fourteenth Annual Health Law Symposium, Austin, TX, January 25, 2018
- Narrow and Tiered Provider Networks: What Plans and Providers Need to Know, AHLA Webinar, December 13, 2017
- Shifting to Value-Based Reimbursement - The Current State of Play in Medicare and the Private Market, American Health Law Association Institute for Health Plan Counsel, November 14, 2017
- It's Complicated! The Current State of Healthcare Reform, Texas Health Law Conference, October 23, 2017
- United States Department of Health and Human Services: An Overview and Update on Federal Healthcare Reform, 2017 University of Texas System Legal Conference, September 29, 2017
- Risk Adjustment: Lessons for the Medicare Advantage and Commercial Markets, BlueCross BlueShield Association Legal Department National Teleconference Series, April 26, 2017
- A Market in Transition - The Evolution of Federal Regulatory Requirements for the Commercial Market in 2017, American Health Law Association Institute for Health Plan Counsel, December 9, 2016
- Health Reform 2016 - An Examination of the Transformation of Health Care Policy at the Federal Level and Insights Into Successful Navigation of the Changing Landscape, Texas Health Law Conference, October 10, 2016
- Defining Network Adequacy in the Age of the ACA, American Health Law Association Institute for Health Plan Counsel, October 27, 2015
- A Lone Star Look at the Affordable Care Act in 2015, Texas Health Law Conference, October 12, 2015
- What I Wish I Had Known, Department of Health and Human Services Office of the General Counsel New Attorney Training, August 12, 2015
- Five Principles for Representing High Profile Clients, Department of Health and Human Services Office of the General Counsel New Attorney Training, September 10, 2014 and April 28, 2015
- The Affordable Care Act – A 2015 Examination, 125th Annual Meeting of the Virginia Bar Association, January 24, 2015
- Health Reform Update, Virginia Bar Association 2014 Health Law Roundtable, November 14, 2014
- The Affordable Care Act: A Health Reform Update, Virginia Bar Association 2014 Annual Meeting, January 24, 2014
- The Affordable Care Act: An Introduction, 2013 Virginia Bar Association Health Law Roundtable, November 15, 2013
- American Health Law Association
- Vice Chair of Educational Programming, Payers, Plans, and Managed Care Practice Group 2019-2021
- Chair, Payers, Plans, and Managed Care Practice Group, Managed Care Contracting Affinity Group 2018-2019
- Vice-Chair, Payers, Plans, and Managed Care Practice Group, Medicare Advantage and Part D Affinity Group 2017-2018
- American Bar Association, Health Law Section
- Chair, Managed Care Interest Group
- Co-Chair, Health Reform Task Force
- Co-Chair, Washington Health Law Summit, 2019-21
- Vice-Chair, Emerging Issues in Healthcare Law Conference, 2016 - 2019
- State Bar of Texas Health Law Section
- Member of Health Law Section Council
- The Multi-Assistance Center at Morgan's Wonderland, Director
- Washington College of Law Health Law and Policy Alumni Advisory Council, Member
- Leadership San Antonio, Class 45
- San Antonio Bar Association
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CMS releases revised guidance on immediate jeopardy
Publication | December 09, 2024