Elizabeth B. Lippincott

A skilled communicator, tough negotiator, and insightful business advisor, Elizabeth Lippincott founded Strategic Health Law to help healthcare companies manage risk and maintain compliance, particularly around Medicare Advantage and Medicare Part D.

Elizabeth has worked with health plans as both in-house and outside legal counsel for over 17 years. She understands the law doesn’t happen in a vacuum, and always approaches legal issues with business realities in mind.

Your guide in the Medicare maze

Before establishing her own firm, Elizabeth served in the legal department at Blue Cross and Blue Shield of North Carolina, where she led the regulatory implementation of Medicare Part D. Familiar with the ins and outs of the program since its inception, Elizabeth continues to closely analyze and study the legal and regulatory developments as this program evolves. She is highly regarded as an authority on Medicare plans, and co-edited the Thomson Reuters essential, in-depth review, Regulation of Medicare Part D Plans, with Strategic Health Law attorney Lauren Haley.

With that perspective, she positions her clients to meet both compliance requirements and business objectives when she represents applicants for Medicare Advantage and Part D initial contracts with the Centers for Medicare & Medicaid Services (CMS), and for service area expansions and new product offerings.

She applies her extensive knowledge of the intersecting issues and competing interests to develop compliant contract templates for health plans that contract with Medicare to use with healthcare providers, administrative services vendors, agents and brokers, and employers offering Employer Group Waiver Plans (EGWPs).

Making the complex comprehensible

Elizabeth provides hands-on support to her clients, such as in-person and computer-based Medicare compliance training for board members, senior executives, managers, and employees. Clients remark on Elizabeth’s ability to synthesize complex legal issues and explain them in straightforward language, and through captivating presentations. The same clear communication is evident in the contract templates, policies, and procedures she develops. As strategic counsel, she is candid in her assessments and lays out well-conceived, comprehensive, feasible action plans.

The “Velvet Hammer”

An effective contract negotiator, Elizabeth represents the interests of healthcare companies in complex contract negotiations involving health plans with government contracts. When it comes to contracts with PBMs, providers, and outsourcing vendors, she understands the needs and drivers of the various stakeholders at the table, and knows when to push and where to give, regularly achieving concessions that reflect her clients’ top priorities. Inspired by her tough yet affable demeanor, one of Elizabeth’s clients gave her the nickname, the “Velvet Hammer.”

Previous Experience

Prior to focusing exclusively on healthcare law, Elizabeth practiced corporate and securities law with a law firm in Raleigh, North Carolina. Elizabeth began her legal career clerking for the Hon. Joel F. Dubina on the U.S. Court of Appeals for the Eleventh Circuit.

Professional Affiliations

Elizabeth chaired the American Health Lawyers Association’s Medicare Advantage and Part D Affinity Group from 2014 to 2016.

Education and Honors

Elizabeth graduated Order of the Coif in 1997 from Vanderbilt Law School, where she was Executive Editor of the Vanderbilt Law Review. She also holds a Masters in Theological Studies from Vanderbilt Divinity School, through a Law and Ethics dual degree program. Elizabeth received her B.A. from UCLA in Political Science, graduating Phi Beta Kappa and summa cum laude.

Thought Leadership

Publications

May, 2016
Regulation of Medicare Part D
Thompson Reuters
January, 2013
The OIG 2013 Work Plan: Compliance Priorities for Sponsors of Part C and Part D Plans

AHLA Payers, Plans, and Managed Care Practice Group 

Co-author: Elizabeth Lippincott
November, 2010
Introductory Guide to the Fundamentals of Medicare Parts C and D
AHLA Payers, Plans, and Managed Care Practice Group
Co-author: Elizabeth Lippincott, Emily Moseley
June, 2010
CMS Rule Finalizes Proposals to Strengthen Requirements and Oversight for Medicare Advantage and Part D Plans

AHLA Medicare Part D Task Force and Payers, Plans, and Managed Care Practice Group Member Briefing
Co-author: Elizabeth Lippincott
January, 2010
CMS Proposes New Rules That Would Alter the Regulatory Landscape for Medicare Advantage and Part D Plans
AHLA Medicare Part D Task Force and Payers, Plans, and Managed Care Practice Group Member Briefing
Co-author: Elizabeth Lippincott
December, 2009
Case Summary of Northern Michigan Hospitals Inc.; Gifford Medical Center Inc. v. Health Net Federal Services LLC f/k/a health Net Federal Services Inc.
AHLA Payers, Plans, and Managed Care
Author: Elizabeth Lippincott

Presentations

May 1, 2018
Two Kinds of Disasters for Medicare Advantage and Part D Plans: Responding to Natural Disasters and Avoiding Legal Disasters Associated with Risk Adjustment
2018 Blue National Summit
January 31, 2017
Surviving a CMS-Mandated Independent Validation Audit: 150 Days and Counting
2017 HCCA Managed Care Conference
May 16, 2016
Choose Wisely: Best Practices for Selection, Contracting, and Oversight of a Medicare Advantage Risk Adjustment Vendor
2016 Blue National Summit
April, 2015
Recent CMS Enforcement Actions Against Medicare Advantage and Part D Plans and Sanctions for Subcontractor Conduct
2015 Blue National Summit

Co-presenter: Elizabeth Lippincott, Emily Moseley
February, 2013
Tough Questions Under the CMS Compliance Program Guidelines
HCCA Managed Care Conference
Presenter: Elizabeth Lippincott
September, 2012
Compensating Providers Under Medicare Parts C&D: What are the Legal Parameters?
2012 Blue National Summit
Presenter: Elizabeth Lippincott
March, 2012
Introduction to Medicare Parts C and D
AHLA Institute on Medicare & Medicaid Payment Issues
Presenter: Elizabeth Lippincott
February, 2012
Draft CMS Compliance Program Guidelines for Medicare Advantage Organizations and Prescription Drug Plans – Highlights and Discussion
HCCA Managed Care Conference
Co-author: Elizabeth Lippincott
March, 2011
Fundamentals of Medicare Part C
AHLA Institute on Medicare & Medicaid Payment Issues
Presenter: Elizabeth Lippincott
February, 2011
How to Prepare For, Survive, and Learn From a CMS Compliance Program Audit
HCCA Managed Care Conference
Presenter: Elizabeth Lippincott
November, 2010
Compliance Plan Effectiveness Audits: Preparing Your Part D Plan
Atlantic Information Service Webinar
Co-presenter: Elizabeth Lippincott
November, 2010
Fundamentals of Medicare Parts C and D
AHLA Payers, Plans, and Managed Care Law Institute
Presenter: Elizabeth Lippincott
July, 2010
Medicare Advantage and Part D Plans: Operating an Effective Compliance Program
World Congress 6th Annual Leadership Summit on Medicare
Presenter: Elizabeth Lippincott
Elizabeth Lippincott | Founding Member | Strategic Health Law

Managing Member .

919-967-9845
elippincott@strategichealthlaw.com
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