Anil Shankar is a partner with Foley & Lardner LLP. He focuses his practice on complex regulatory and reimbursement matters, with a particular focus on the Medicaid program and issues affecting safety net providers.
He has conducted extensive research and advised clients with regard to the implementation and development of Medicaid demonstration projects, and has analyzed opportunities for, and helped to implement, Medicaid supplemental payments.
Mr. Shankar routinely advises clients on new developments in the Medicaid program, including issues related to Medicaid managed care and to behavioral health services.
Mr. Shankar also advises clients on matters relating to the 340B drug pricing program. He is a member of the firm’s Health Care Industry Team.
During law school, Mr. Shankar worked as an extern for Justice Earl Johnson on the California Court of Appeal (Second District).
Mr. Shankar received his law degree from the New York University School of Law (J.D., 2008), where he received the John Bruce Moore award for his scholarship. He earned his M.A. from Stanford University in 2001 and his B.A. from the University Of California, Los Angeles in 2000.
Admissions : Mr. Shankar is admitted to practice in California.
Representative Matters :
- Foley represented Care 1st Health Plan, a California Medicaid and Managed Care HMO, and its shareholders in the share of stock to Blue Shield of a California for $1.2 Billion.
- Foley provided advise on various reimbursement and financing matters under Medicaid, the Section 1115 Medicaid Demonstration, and health care reform. Advice includes:
- the structuring of federal and local government financing mechanisms, ongoing compliance with Medicaid law and waiver terms and conditions, strategizing on future demonstration waiver program and funding streams, and financing and delivery organization issues associated with the Medicaid expansion population.
- Represented California Association of Public Hospitals and Health Systems (CAPH), on behalf of 20 public hospital systems, in the implementation of the Medicaid Bridge to Reform Demonstration under Section 1115 of the Social Security Act.
- Specific roles included negotiations and drafting of the implementing state statutes, policy guidances, Demonstration and waiver agreements with the Centers for Medicare and Medicaid Services and California Department of Health Care Services, and the structuring of federal and local government financing mechanisms, and ongoing compliance.
- The key Demonstration components include a reimbursement pool for uncompensated care costs for the uninsured, incentive payments for delivery system reform activities, and county programs providing coverage to low-income individuals under California’s early implementation of the Affordable Care Act Medicaid expansion.
- The matter is still ongoing, and, as the current waiver term end-date approaches, new efforts are underway with respect to an extension of the demonstration with new and innovative finance and service improvement components.
Rate : $$$$