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Nicole Jobe

Partner

St. Louis
314 552 6592 314 552 6592 direct


Nicole advises health care providers and health plans on structuring transactions and analyzes health care regulatory issues with an eye toward effective, proactive compliance that meets the clients' business needs. She has extensive experience on various regulatory issues related to Medicare and Medicaid matters, health insurance, HIPAA, and fraud and abuse.

Nicole takes a lead role in structuring complex payor and provider relationships. She creates and regularly advises clients on operational and regulatory issues related to clinically integrated networks, messenger model networks, governmental and commercial accountable care organizations, Medicare Advantage plans, Medicaid managed care plans, HMOs, health insurance companies, and direct-to-employer networks. Nicole also has experience with acquisitions of health plans and health care providers. She drafts risk-sharing agreements, provider agreements, and downstream service agreements for providers, health plans and vendors across the country.

Previously, Nicole served as an in-house attorney for a regional skilled nursing and assisted living facility operator. In that role, she led numerous health care transactions ranging from operation transfers to real estate and health-care receivable financings. She also secured licensing and certificates of need.

Nicole has recently been directly involved in advising health care systems during the COVID-19 pandemic as they cope with unprecedented financial and operational challenges. In particular, Nicole has helped health care providers navigate the complicated regulatory and liability questions connected to the millions of dollars in relief funds provided by the CARES Act and has answered general operational questions related to the COVID-19 pandemic.

Blogs

Upcoming Changes to Various Federal Laws Impacting the Health Care Industry

OIG Publishes New “Featured Topic” on Managed Care Oversight

Subjective Intent in False Claims Act: Navigating Ambiguity in Health Care Reimbursement Claims

Diagnosing a proposal to eliminate non-competes: Five ways it impacts the health care industry

Five considerations for health care providers’ marketing of Medicare Advantage Plans

Civil Monetary Penalties for non-compliance with the Hospital Price Transparency Rule have arrived

OIG issues fraud alert warning practitioners of risks with telemedicine arrangements

DOJ and OIG ramp up enforcement of risk adjustment coding: 5 compliance tips for providers

A new theory of liability under the Anti-Kickback Statute: “File access theory”

What you need to know about CMS’s recovery of COVID-19 Accelerated and Advance Payments