Jeff Wurzburg

Jeff J. Wurzburg

Senior Counsel
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Jeff J. Wurzburg focuses his practice on regulatory, compliance, reimbursement and policy issues facing health plans and providers, with vast experience in Medicare, Medicaid and the Affordable Care Act. He regularly advises clients on federal health care program reimbursement, compliance, state and federal fraud and abuse laws, and government investigations.

Jeff assists clients in navigating health care policy and enforcement trends. He monitors federal and state health care legislation and rulemaking, and communicates policy developments to a diverse range of clients that are relevant to their operations. He works with clients to comply with regulations and policy developments, and assists with implementing strategies to improve operations. Jeff is regularly advising clients on regulatory matters relating to delivery system reform, reimbursement, telehealth, licensure and COVID-19.

Jeff J. Wurzburg focuses his practice on regulatory, compliance, reimbursement and policy issues facing health plans and providers, with vast experience in Medicare, Medicaid and the Affordable Care Act. He regularly advises clients on federal health care program reimbursement, compliance, state and federal fraud and abuse laws, and government investigations.

Jeff assists clients in navigating health care policy and enforcement trends. He monitors federal and state health care legislation and rulemaking, and communicates policy developments to a diverse range of clients that are relevant to their operations. He works with clients to comply with regulations and policy developments, and assists with implementing strategies to improve operations. Jeff is regularly advising clients on regulatory matters relating to delivery system reform, reimbursement, telehealth, licensure and COVID-19.

Jeff previously served as an attorney in the U.S. Department of Health and Human Services (HHS) Office of the General Counsel in Washington, D.C., where he advised the Centers for Medicare & Medicaid Services and the Center for Medicare & Medicaid Innovation. He advised on a wide ranging portfolio that included Affordable Care Act regulations, guidance and litigation and the development and testing of innovative health care payment and service delivery models. His unique experience makes him well suited to provide sophisticated counsel to clients on implementation, compliance matters and strategic opportunities related to the Affordable Care Act and health care reform.

Jeff serves as a Vice Chair of Educational Programming for the American Health Law Association Payers, Plans, and Managed Care Practice Group. He is a Co-Chair of the American Bar Association Health Law Section Health Reform Task Force, Vice Chair of the Managed Care Interest Group and Co-Chair of the Washington Health Law Summit. He is a member of the State Bar of Texas Health Law Section Council.

Jeff has presented at national conferences and conducted webinars on Medicare and Medicaid, health care reform, value-based reimbursement, network adequacy, Affordable Care Act litigation and premium stabilization programs.

Jeff began his career on Capitol Hill and worked for Senator Evan Bayh and was a legal fellow for Representative Henry Waxman.

Jeff's representative experience includes:

  • Counsels clients on Medicare and Medicaid reimbursement and compliance matters
  • Provides health care counsel in complex litigation and government investigations
  • Served as health plan counsel on secondment and advised on Medicare Advantage and Medicare Supplement regulations and requirements
  • Attorney with the U.S. Department of Health and Human Services Office of the General Counsel, Centers for Medicare & Medicaid Services Division (CMSD), Program Review Group
  • Worked closely with CMS on a variety of program review matters related to the implementation of the Affordable Care Act (ACA), including regulations and guidance related to 1332 waivers, Affordable Insurance Exchanges, network adequacy, the premium stabilization programs and insurance affordability programs
  • Assisted with litigation involving the ACA, such as King v. Burwell, House v. Burwell and matters relating to the risk adjustment and risk corridors programs
  • Advised the Center for Medicare and Medicaid Innovation on the development and testing of innovative health care payment and service delivery models
  • Served as an Associate Deputy General Counsel in the Office of the General Counsel at the Department of Defense, where he worked on civil litigation related to the operation of the military detention facility at Guantanamo Bay, Cuba
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CREDENTIALS
Education
  • LL.M., Health Law and Policy, American University, Washington College of Law, 2012
  • J.D., Drake University Law School, 2005
  • B.A., Political Science, Indiana University, 2003
Bar Admissions
  • District of Columbia
  • Texas
  • Virginia
Professional Affiliations
    • Member, American Health Law Association
      • Vice Chair of Educational Programming, Payers, Plans, and Managed Care Practice Group (2019-Present)
      • Chair, Payers, Plans, and Managed Care Practice Group, Managed Care Contracting Affinity Group (2018-2019)
      • Vice Chair, Payers, Plans, and Managed Care Practice Group, Medicare Advantage and Part D Affinity Group (2017-2018)
    • American Bar Association, Health Law Section
      • Co-Chair, Health Reform Task Force
      • Co-Chair, Washington Health Law Summit (2019-2021)
      • Vice Chair, Managed Care Interest Group
      • Vice Chair, Emerging Issues in Healthcare Law Conference (2016-2019)
    • State Bar of Texas, Health Law Section
      • Member of Health Law Section Council
    • Member, Leadership San Antonio, Class 45
    • Member, San Antonio Bar Association
    • Director, The Health Cell
Awards & Recognitions
    • Named, 40 Under 40 Honoree, San Antonio Business Journal (2021)
    • Recipient, Anti-Defamation League Daniel R. Ginsberg National Leadership Award
    • Named, The Best Lawyers in America, Ones to Watch, Health Care Law (2022)