Ivette Sanchez

Experience

• Represented a New York managed long-term care plan in responding to a subpoena and civil investigative demand.
• Advised New York managed long-term care plans in responding to audits from the Office of the Medicaid Inspector General.
• Advised New York managed care plans regarding multiple regulatory compliance issues, including marketing, encounter data submissions, and provider contracting.
• Represented a New York home health care provider in a False Claims Act qui tam litigation.
• Advised a New York dual eligible special needs plan in sale transaction.
• Advised large human services provider on termination of City of New York contract.
• Advised coalition of intellectual and developmental disabilities providers on regulatory guidance related to a New York managed care product in development (“Specialized I/DD Plans – Provider Led” or “SIP-PLs”).
• Advised a management services organization on establishing operations in the New York market.
• Represented a Massachusetts health plan in responding to a subpoena related to the federal Anti-Kickback Statute.
• Drafted value-based contracts for IPAs and population health management and care management providers.
• Drafted memorandum regarding not-for-profit health plan transaction structuring under Massachusetts law and requirements of the state Office of the Attorney General.
• Assisted private equity firms with health care transactions in a variety of industries including medical device, home health, hospice, behavioral health, veterinary, and management services, and perform associated research and analysis regarding compliance with state and federal law.
• Advised a variety of clients regarding Medicare and Medicaid reimbursement requirements, including management services organizations, electronic health records vendors, managed care plans, digital health providers, and medical device companies.
• Researched state Medicaid reimbursement requirements for newborn hearing screening tests.
• Provided advice to a national pharmacy store chain in managing a Corporate Integrity Agreement.
• Researched requirements in state law to obtain informed consent for release of laboratory’s genetic testing results.
• Researched requirements in state law for ordering provider requirements for laboratories.
• On pro bono matters, she has prepared a fiscal sponsorship agreement for an arts organization for individuals with disabilities and assisted low-income New Yorkers with preparing tax returns as part of the Food Bank for New York City’s Volunteer Income Tax Assistance Program.