Healthcare providers, payers, biopharmaceutical and medical device manufacturers, pharmacy benefit managers, agents/brokers, digital health companies and healthcare startups rely on Ross for expert strategic counseling on legislative, regulatory and administrative processes, including novel coverage and reimbursement matters before the Centers for Medicare & Medicaid Services. He has substantial experience in Medicare and Medicaid law, including advising clients on all facets of the Medicare Prescription Drug Benefit (Medicare Part D), the Medicare Advantage program (Medicare Part C), the 340B Drug Pricing Program and Medicaid managed care. He is a co-author of the firm's Medicaid & the Law blog, www.medicaidandthelaw.com, which highlights and explains current legal and policy issues in the Medicaid program. He represents his clients before the United States Congress in drafting Technical Assistance and legislative amendments, and before the Centers for Medicare & Medicaid Services (CMS) and other components of the U.S. Department of Health and Human Services (HHS) where he regularly achieves successful policy and regulatory changes on behalf of his clients.
In addition to managing the D.C. Office branch of the Foley Hoag Foundation, Ross provides regular pro-bono advice to healthcare organizations serving disadvantaged populations, including Community of Hope in Washington, D.C. and the Tennessee Justice Center in Nashville, TN. Ross is an Adjunct Professor of Law at Vanderbilt Law School where he teaches Medicare and Medicaid law.
Prior to joining Foley Hoag, Ross worked in a variety of public sector settings, including serving in the Office of the General Counsel (OGC) at the U.S. Department of Health and Human Services and at the Health Resources & Services Administration (HRSA). Ross also previously served as a Research Associate at the George Washington University Milken Institute School of Public Health where he focused on healthcare legal issues involving the Medicare and Medicaid programs.
BIOPHARMACEUTICAL AND MEDICAL DEVICE MANUFACTURERS
Ross provides strategic counseling for both emerging and mature life sciences companies with regard to coverage, coding, and reimbursement under the Medicare, Medicaid, and 340B programs. Representative experience includes:
PAYERS AND PHARMACY BENEFIT MANAGERS (PBMs)
Ross advises health plans and PBMs on all aspects of compliance and strategy with respect to the Medicare Prescription Drug (Part D) and Medicare Advantage (Part C) programs, as well as Federal and state rules and regulations regarding Medicaid fee-for-service and Medicare managed care. Representative experience includes:
HEALTHCARE PROVIDERS AND HOSPITALS
Providers looking to successfully navigate the complex web of state and Federal regulatory requirements look to Ross for a variety of legal needs. Representative experience includes:
OTHER REPRESENTATIVE EXPERIENCE