The Business of Healthcare.

I understand the business of health care and provide expert strategic ERISA guidance on behalf of risk bearing organizations. Plus, most of my clients become good friends.

"Absent a free and transparent market, health care will continue to be a cesspool of government waste."

With twenty-eight years of self funded health care experience, I have seen every iteration of health care cost containment. I work with stop-loss carriers, self-funded employers and healthcare start ups  across the U.S. to navigate legal issues, accurately gauge risk, and remain well informed and advised in what represents twenty percent of the US GDP.

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10 years as in house counsel

Served as both associate general counsel and general counsel to provider sponsored HMO's

$7. 7Billion Advised

Trusted by Plan Sponsors

70+ Clients

Serving ERISA Plan Sponsors, MGUs and Stoploss carriers across the US

Expert Guidance, Tailored Solutions

Out-of-Network ER Negotiations

Support in resolving high-stakes, out-of-network billing disputes—protecting plans and minimizing exposure.

ERISA Compliance & Legal Guidance

Stay compliant with federal law while designing and maintaining financially prudent employer-sponsored health plans.

Stop-Loss Carrier Consulting

Legal strategy and consulting for stop-loss carriers on exclusions, reimbursement disputes, and claims risk.

Reference-Based Pricing Support

Guidance and defense for RBP organizations navigating legal, billing, and compliance challenges.

Plan Design

Custom legal review and consulting on plan terms, fiduciary responsibility, and regulatory risk exposure.

Policy Advisory & Public Affairs

Strategic support for navigating federal/state health policy, with experience on Capitol Hill via SIIA.

The Work Beyond the Work

01
On the Air

Appeared as a healthcare law expert on the Austin, Texas CBS affiliate which won the Edmund Murrow Television award for investigative journalism for exposing hospital collection practices I have apperred on a number of podcasts to assist in translating complex ERISA policy for everyday people and industry leaders alike.

02
Publications

Sunday Morning Bathroom Read, Consumer Reports, Wall Street Journal, Catalyst for Payment Reform, SIIA Self Insurer and other trade publications.

03
Speaking Engagements

I have served on a number of multiple panels, events, and keynotes including SIIA and other policy summits covering such topics and charity care, price transparency and direct contracting.

04
Boards / Advisory Roles

2019-2024:
SIIA Government Relations and Price Transparency Committee and RIP Medical Debt
2024-Present
Homa Health

05
Former Division III Athlete and U.S Masters Swimmer

I am a swimmer at heart and my motto is that I will never finish last. I have competed in the US Master's National Championships (50 yard free) and recently finished El Cruce which is an open water swim between Isla Mujeres and Cancun, Mexico.