Stephanie Gross

Partner
Co-Chair, Reproductive Health Practice
Los Angeles: 310.551.8179
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San Francisco: 415.875.8509

“The way we pay for health care is changing, but the rules that govern payment arrangements aren’t keeping up. When providers approach me with creative ideas for aligning incentives around quality and value, I help implement their vision while managing risk.”

Stephanie Gross is a transactional and regulatory attorney whose knowledge of fraud and abuse law and managed care regulation allows her to help providers navigate a changing health care landscape. She frequently advises her clients on unique issues in the Medicare Advantage space and the regulation of value-based payment arrangements.

Stephanie assists hospitals, health systems, medical groups, skilled nursing facilities, and other providers, as well as health services companies and digital health companies, in navigating payor relationships in their day-to-day operations, as well as entering into strategic partnerships and major transactions, including mergers and acquisitions. This involves counseling on fraud and abuse issues, including compliance with federal and state anti-kickback and self-referral laws, as well as state insurance licensing requirements, the corporate practice of medicine, and general corporate and regulatory compliance matters. Stephanie also frequently drafts and negotiates professional service and related agreements and assists clients in obtaining financing to meet their goals.

Stephanie’s health policy background predates her legal career; shortly after the passage of the Affordable Care Act, she served as a program analyst with the Center for Consumer Information and Insurance Oversight within the Centers for Medicare & Medicaid Services (CMS). In that role, she drafted portions of the first regulations establishing health insurance exchanges under the new law and played a lead role in operationalizing the health plan certification process. This experience gave her a valuable perspective on how CMS approaches the countless policy issues impacting provider operations and payment arrangements.

  • Super Lawyers, Northern California
  • Rising Star, 2020-2022

  • American Health Lawyers Association
  • Vice Chair, Educational Programming, Delivery and Payment Reform Affinity Group

  • California Society for Healthcare Attorneys