Emily Moseley helps healthcare companies stay on the right side of laws and regulations related to Medicare Advantage, Medicare Part D and Medicaid Managed Care. Working closely with health plans, Emily counsels them on all aspects of compliance and how to navigate the legal and regulatory risks. An experienced litigator and certified mediator, Emily is well-prepared to support clients should a conflict arise.
An ounce of prevention is worth a pound of cure.
Emily helps health plans promote regulatory and legal compliance while keeping their operations and vendor relationships effective. Assisting in negotiations between health plans and their subcontractors, Emily drafts contracts that meet both regulatory mandates and her clients’ business needs. She helps make sure that everyone on the team understands how to put those contracts into place and keep operations above board.
To lay a strong foundation, Emily builds and implements comprehensive compliance programs and policies for her clients, and trains health plan boards of directors, senior executives, and compliance teams. She audits compliance programs and also assists health plans preparing for and during CMS program audits. She also handles the regulatory work for successful applicants to sponsor plans.
Steering clients clear of legal pitfalls, Emily helps health plans comply with HIPAA privacy and security policies, and ensures they don’t run afoul of healthcare anti-fraud laws such as the False Claims Act and Anti-Kickback Statute.
No stranger to conflict resolution
For all the best efforts to ensure compliance, clients sometimes need to instigate or react to disputes. An experienced litigator, Emily has represented companies in healthcare regulatory matters, litigation, and governmental investigations. She is also certified by the North Carolina Dispute Resolution Commission as a Superior Court Mediator.
When she joined Strategic Health Law, Emily brought a strong background handling civil litigation and complex business disputes related to healthcare, intellectual property, and corporate governance. Prior to that, Emily practiced in the Raleigh, NC office of Wood Jackson, LLC (now Morningstar Law Group) and Kilpatrick Stockton LLP (now Kilpatrick Townsend & Stockton LLP) as a member of the complex business litigation and healthcare teams.
Liberty and justice for all
Emily’s sustained and meaningful commitment to pro bono service has helped in a small, but important way, to bridge the growing “justice gap” between the legal needs of low-income individuals and the capacity of the civil legal assistance system to meet those needs. She has also successfully represented a number of voting rights cases in North Carolina.
By helping protect the rights and interests of those who can’t afford a private attorney, who feel that the legal system is closed to them, Emily hopes to restore their trust not only in our justice system, but in government. Sharing her experience and insight with other attorneys, Emily also enjoys teaching CLE programs on ethical issues in pro bono service.
Emily was named as an inductee to the Inaugural Pro Bono Honor Society Inductees by the N.C. Pro Bono Resources Center and was recognized by the N.C. Supreme Court for donating more than 50 hours of legal services in 2016. Among other pro bono service, Emily regularly volunteers with Lawyer on the Line and serves on the NCBA pro bono committee.
Emily has an AV® peer rating through Martindale-Hubbell, their highest ranking possible. Lawyers’ Weekly named her a “Woman of Justice,” in recognition of her extensive and dedicated pro bono practice.
Emily volunteers for Lawyer on the Line and is a member of the North Carolina Bar Association Pro Bono Committee. Over the years, she has also been involved in Ronald McDonald House of Chapel Hill, including acting as Board President.
Emily is a member of the North Carolina Bar Association and editor of the member newsletter for the Alternative Dispute Resolution Section. As a member of the American Heath Lawyers Association (AHLA), she co-chairs the Medicare Advantage and Part D Affinity Group.
Education and Honors
Emily graduated from Vanderbilt Law School, where she served as the Executive Research Editor for the Vanderbilt Journal of Transnational Law. She earned her B.A. from Pomona College, cum laude, and received the W.T. Jones Prize in Philosophy.
“Oversight, Enforcement, And Plan Sponsor Liability,” Chapter, Regulation of Medicare Part D Plans
Plans and Providers in the Changing Health Care Delivery Environment
American Health Lawyers Association Executive Summary
Introductory Guide to the Fundamentals of Medicare Parts C and D
AHLA Payers, Plans, and Managed Care Practice Group
Medicare Advantage Plan-Provider Relationships: Legal and Regulatory Considerations
North Carolina Society of Health Care Attorneys
A Casual Conversation: The Window of Opportunity Opens for Success in 2018
Strategic Health Law
Navigating Your Clients Through Change and an Uncertain Regulatory Environment
2017 Blue National Summit
Value-Based Purchasing and Value-Based Insurance Design
2016 Blue National Summit
Medicare Advantage and Part D: Plan- Provider Relationships in Light of Recent CMS Enforcement Actions
Trends in CMS Audits and Enforcement Actions Against Medicare Advantage and Part D Plans
HCCA Managed Care Conference
Recent CMS Enforcement Actions Against Medicare Advantage and Part D Plans and Sanctions for Subcontractor Conduct
2015 Blue National Summit
Navigating in the Cloud Across Borders: Challenges for Business
NCBA 2015 Business Law and International Law and Practice Sections Joint Annual Meetings
The HIPAA Security Rule: Cloudy Skies Ahead?
Seminar on Medical Records Law in North Carolina