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 helps her clients navigate the legal and regulatory risks while meeting their business objectives. Also an experienced litigator, 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. 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 undertakes the contracting, negotiation, and regulatory work required to start and to successfully sponsor new health plans. Assisting in negotiations between health plans and their key subcontractors, Emily prepares contracts that meet her clients’ business needs and regulatory mandate. Emily also builds and implements comprehensive compliance programs and policies for her clients, and trains health plan boards of directors, senior executives, and compliance and legal teams.
Steering clients clear of legal pitfalls, Emily provides legal and guidance regarding HIPAA privacy and security requirements, healthcare anti-fraud laws such as the False Claims Act and Anti-Kickback Statute, and other laws affecting health plans, such as the Telephone Consumer Protection Act. When the need arises, Emily undertakes investigations on behalf of health plans. She audits compliance programs and also assists health plans preparing for and during CMS program audits.
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 combines her regulatory expertise with Strategic Health Law’s litigation team to maximize leverage and results for managed care companies.
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. She was previously certified by the North Carolina Dispute Resolution Commission as a Superior Court Mediator.
Liberty and justice for all
Lawyers’ Weekly named Emily a “Woman of Justice,” in recognition of her extensive and dedicated pro bono practice and she was an inductee to the Inaugural Pro Bono Honor Society Inductees by the N.C. Pro Bono Resources Center, earning her recognition by the N.C. Supreme Court. 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. 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.
Emily has an AV® peer rating through Martindale-Hubbell, their highest ranking possible. She was recognized in 2018 as a Best Lawyer in America.
Emily volunteers with and provides pro bono legal services to Legal Aid of North Carolina, the UNC Cancer Project, Call 4All, and the Carrboro Refugee Support Center, and is co-chair of the North Carolina Bar Association Pro Bono Committee. She also serves on the vestry of the Chapel of the Cross. 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 is co-chair of the NCBA Pro Bono Committee. 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.
Navigating Regulatory Changes Faced by Medicare Part D and Medicare Advantage Plans under CMS’ May 2019 Final Rule
AHLA PG Briefing
“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
Hot Topics for Health Plan Counsel
2019 AHLA In-House Counsel Program
Don’t Make a Federal Case of It: Identifying and Managing Legal Risk While Supporting Innovation
2019 Blue National Summit
New Year: New Medicare Advantage, Part D, Medicaid Managed Care, and Affordable Care Act
The Opioid Crisis: Creating Opportunity and Managing Risk
AHLA's Institute for Health Plan Counsel
The Opioid Public Health Emergency: A Call To Action for Health Plans
2018 Blue National Summit
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