Jan Newsom has extensive experience in health care law with a focus on health care regulatory and administrative matters. She concentrates on Medicare and Medicaid reimbursement and compliance issues, HIPAA and HITECH Act obligations, Stark law and fraud and abuse compliance, anti-kickback, illegal remuneration and compensation matters. She also has substantial experience in welfare benefit plan design for insured and self-insured employers as well as for health insurers and HMOs, focusing on managed care and wellness program implementation and liability concerns, administrative matters and dealings with regulatory agencies.
Ms. Newsom's work with regulators regularly includes the federal Centers for Medicare and Medicaid Services (CMS), the Texas Department of Insurance, the Texas Medical Board, Texas Department of State Health Services, and the Texas Health and Human Services Commission, among others. Her practice includes utilization management, quality assurance and incentive programs, peer review, licensing and credentialing and third party administration matters.
Ms. Newsom writes and advises extensively on implementation issues under the new federal health reform laws (Affordable Care Act) for both employers and for health insurers and HMOs. She represents third-party payors, hospitals, physician groups, long term care facilities, home health agencies and other providers of care. Her work includes preferred provider network formation and related integrated delivery system issues, including drafting and negotiation, insurance and health maintenance organization regulatory and licensing representation, and the formation and contracting for Texas non-profit health corporations certified by the Texas Medical Board. She teaches Health Law in a graduate level program in Health Administration, and lectures regularly on health law topics.
Education
- J.D., The University of Texas School of Law, 1971
- B.A., The University of Texas at Austin, 1969
Bar Admissions
Admitted To Practice
- U.S. District Court for the Northern District of Texas
Publications & Presentations
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"Texas Insurance Practice"
(4/10/2013)
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Co-Author,
"
New HIPAA Rule Tightens Obligations
,"
Locke Lord LLP
(January 31, 2013)
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Co-Author,
"
Locke Lord QuickStudy: Health Reform Considerations for Employers Preparing for Open Enrollment
,"
Locke Lord
(August 8, 2012)
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Co-Author,
"
Locke Lord QuickStudy: Supreme Court’s ACA Ruling Upholds Individual Mandate
,"
Locke Lord
(June 28, 2012)
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Co-Author,
"Locke Lord QuickStudy: Final ACO Rules Released,"
Locke Lord
(October 31, 2011)
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Author,
"Locke Lord QuickStudy: Texas Senate Bill 7 Provisions on HCC and TIHCQE,"
Locke Lord
(July 27, 2011)
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Co-Author,
"Locke Lord's QuickStudy: CMS Releases Proposed ACO Rules,"
Locke Lord
(April 1, 2011)
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Co-Author,
"Client Alert: Health Reform Starts a New Phase,"
Locke Lord
(May 13, 2010)
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Co-Author,
"Client Alert: Under Federal Health Care Reform,"
Locke Lord
(May 6, 2010)
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Speaker,
"Presentation: A First Look at Health Care Reform - What Employers Need to Know,"
Locke Lord CLE Series
(April 28, 2010)
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Co-Author,
"Client Alert: DOL Issues Model CHIPRA Notice Regarding Premium Assistance,"
Locke Lord
(February 25, 2010)
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Co-Author,
"Client Alert: New Enforcement of Medicare Secondary Payor Reporting Looming; Will Impact Liability Insurers,"
Locke Lord
(September 30, 2009)
Events
- 2012 Employee Benefits Today – Issues and Problems in the Current Economic Environment: Series XXIV (September 13, 2012)
- 2011 Employee Benefits Today - Issues and Problems in the Current Economic Environment: Series XXIII (September 21, 2011)
- Panelist, 2010 Employee Benefits Today (September 29, 2010)
- Panelist, A First Look at Health Care Reform: What Employers Need to KnowPanelist, Dallas, TX (April 28, 2010)
- Panelist, Employee Benefits Today
- Panelist, Employee Benefits Today - Issues and Problems in the Current Economic Environment: Series XX (October 2008)
- Lecturer, Business Contracting Issues in Health Care (October 2008)
- Panelist, Employee Benefits in Texas - Issues and Problems in the Current Economic Environment - Series XIX (September 26, 2007)
- Panelist, Employee Benefits in Texas, Issues & Problems in the Current Economic Environment, Series XVIII (October 3, 2006)
Professional History
- Senior Counsel, Locke Lord LLP
- Adjunct Professor, University of Texas at Dallas, Graduate School of Management
- Former Senior Vice President and General Counsel, Blue Cross and Blue Shield of Texas
Professional Affiliations & Achievements
- Member, American Health Lawyers Association
- Member, State Bar of Texas and Health Law Section
- Member, Dallas Bar Association, Past Chairman, Health Law Section
- Named, The Best Lawyers in America, Health Care Law (2013)
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