Michael J. McDougall
Counsel
Michael has represented health care systems and hospitals in all phases of Medicare reimbursement litigation. He has counseled health plans in reimbursement and Medicare Advantage contract appeals before CMS Hearing Officers and managed Freedom of Information requests and appeals. His previous experience includes serving as an attorney advisor and Hearing Officer at the U.S. Department of Health and Human Services, Center for Medicare & Medicaid Services. In this role, Michael provided legal and technical support to the Provider Reimbursement Review Board, with a focus on the jurisdictional elements of PRRB appeals. As a Hearing Officer, he adjudicated Medicare Advantage and Part D plan contract appeals. Michael has deep insight on CMS and PRRB appeal procedures and decision-making processes.
Publications
- Co-author, “What High Court's ACA Ruling Means For Health Insurers,” Law360 (May 7, 2020)
- Co-author, “What High Court's ACA Ruling Means For Health Insurers,” Law360 (May 7, 2020)
- Profiled, “Health Hires: Ropes & Gray, K&L Gates, Abrams Fensterman,” Law360 (February 28, 2020)
- Profiled, “Ropes & Gray Signs Health Care Legal Team from Akin Gump,” Bloomberg Law (February 21, 2020)
Education
- JD, Suffolk University Law School, 2008
- BA (English), Tufts University, 2001