Key Experience

  • Represents multihospital health care systems, academic medical centers, device manufacturers and health technology companies.
  • Head of the health care and life sciences section and member of the regulatory practice steering committee.

Practice

John Jacob’s practice includes counseling, compliance, reimbursement, and litigation regarding Medicare and Medicaid regulatory and policy matters. He advises hospitals, device manufacturers and other health industry entities on the numerous regulatory and policy issues that they face in their daily operations, including:

  • A wide range of complex reimbursement and compliance issues, including an extensive practice in federal court and before administrative tribunals, including the Department of Health and Human Services’ (HHS) Provider Reimbursement Review Board (PRRB)
  • Legislative and regulatory policy analysis and advocacy
  • Potential fraud and abuse and overpayment matters and disclosures
  • Federal investigations
  • Due diligence and strategic analysis associated with health care and life sciences transactions and business arrangements
  • Hardship applications and appeals related to the failure to attest to meeting the meaningful use of electronic health records and required quality reporting standards.

Representative Work

  • One of four court-appointed Plaintiffs’ Coordinating Counsel (PCC) and lead negotiator of the settlement of the In Re Medicare Reimbursement Litigation, a consolidated litigation that included nearly 300 cases and nearly 700 hospitals challenging their Medicare disproportionate share hospital (DSH) payments. The parties eventually reached a historic settlement with the Medicare program and were paid more than $666 million in overdue Medicare payments—at the time, the single largest reimbursement settlement in the history of the Medicare rogram.
  • Representing a major Prospective Payment System-exempt dedicated cancer center with successfully resolving TEFRA (Tax Equity and Fiscal Responsibility Act) adjustment requests before the MAC (Medicare Administrative Contractor) and Centers for Medicare & Medicaid services and with appeals before the PRRB.
  • Providing strategic guidance and compliance counsel to a dedicated cancer center, including innovative ideas for advancement, collaboration and expansion of the center’s mission.
  • Representing a market-leading device manufacturer with Medicare, privacy and other compliance issues.
  • Representing a large device manufacturer with response and interviews associated with civil and criminal investigations into the practices of a contracted doctor.

Speeches

Public Service and Affiliations

Recognition