Troy Barsky is a partner in Crowell & Moring's Washington, D.C. office and serves as a member of the firm’s Health Care Group Steering Committee, where he focuses on health care fraud and abuse, as well as Medicare and Medicaid law and policy. Troy counsels all types of health care entities, including hospitals, group practices, and health plans on the physician self-referral law (Stark Law) and the Anti-Kickback Statute, innovative health care delivery models, such as Accountable Care Organizations (ACOs), and Medicare & Medicaid payment and coverage policy. Troy additionally represents various health care entities in the regulatory aspects of health care transactions, including compliance, corporate structuring, diligence, licensure, and credentialing. He also defends clients seeking resolution of government health care program overpayment issues or fraud and abuse matters through self-disclosures and negotiated settlements with the U.S. Department of Justice, U.S. Health & Human Services Office of the Inspector General, and the Centers for Medicare & Medicaid Services (CMS).
Troy is also managing director of Crowell Health Solutions (CHS), a strategic consulting firm that helps health care organizations and technology companies improve patient care and health outcomes, advance health equity, and lower health care costs through solutions like digital health innovations and value-based health care models.
In 2017 and 2018, Troy was listed in Chambers USA as up & coming in health care. Chambers listed Troy as a Band 3 practitioner in health care in 2019, and as Band 2 since 2020.
Troy has extensive health care government experience, serving at the U.S. Department of Health & Human Services (HHS) for 11 years, from 2002 to 2013. Prior to joining the firm, Troy was the director of the Division of Technical Payment Policy at CMS from 2009 to 2013, where he was responsible for Stark law policy and other Medicare payment issues. He implemented important sections of the Affordable Care Act, including the creation, development, and operation of the CMS Voluntary Self-Referral Disclosure Protocol (SRDP). Troy was also a key team member in the development of the Medicare Shared Savings Program and Medicare ACOs, including the issuance of fraud and abuse waivers associated with this program. Additionally, he advised the Center for Medicare & Medicaid Innovation (CMMI) in the development and testing of new demonstrations and models. Troy also wrote and issued Stark advisory opinions; developed Medicare technical payment policy in areas such as the timely filing of Medicare claims, and assignment and reassignment; and reviewed waiver requests by hospitals to move from their designated Organ Procurement Organization (OPO).
Prior to joining CMS, Troy served in the HHS Office of the General Counsel, CMS Division, Program Integrity Group from 2002 to 2009. In that role, he focused on Medicare and Medicaid fraud and abuse. Specifically, Troy was the program integrity senior litigation attorney, where he focused on pharmaceutical and medical device False Claims Act matters. Additionally, Troy gained high-level experience regarding the collection of Medicare overpayments. Troy represented CMS in administrative matters before the HHS Departmental Appeals Board regarding Medicaid taxes and donations and intergovernmental transfers. He also extensively advised CMS on Medicare & Medicaid payment policy.
Insights
Speeches & Presentations
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"What to Expect in Health Care in 2023: On the Hill, at Home and Abroad," Crowell & Moring Webinar, 2022.
(December 13, 2022).
Speakers: Troy A. Barsky, Kate Beale, Jodi G. Daniel, James G. Flood, Stacie Heller, Janet C. Walker, and Patricia Wu.
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"Aetna/CVS Health and Crowell & Moring Seminar: Hot Regulatory Issues in Health Care - Value-Based Care and Fraud and Abuse," Crowell & Moring Webinar, 2022.
(July 13, 2022).
Speakers: Troy A. Barsky and Savanna Williams.
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“COVID-19 Vaccination for Health Care Workers: Review of CMS Emergency Regulation and Answering Common Questions," Crowell & Moring Webinar
(November 12, 2021).
Speakers: Troy A. Barsky, Janet C. Walker, Lidia Niecko-Najjum, and Tyler Brown.
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"Health Care Investigations: FCA and Beyond," Investigations: Readiness and Response Webinar Series
(April 29, 2021).
Presenters: Troy A. Barsky, Michael Shaheen, Roma Sharma, and Payal Nanavati.
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"Anti-Kickback Statute and Stark Law Reform: New Opportunities for Value-Based Care," Healthcare Ounce of Prevention Seminar (HOOPS) 2021: Health Care in the Biden Era
(February 25, 2021).
Presenters: Troy A. Barsky and Barbara H. Ryland.
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"Transition 2021: The Future of Health Care under a Biden Administration," Crowell & Moring Webinar
(January 12, 2021).
Presenters: A. Xavier Baker, Troy A. Barsky, Jodi G. Daniel, James G. Flood, and W. Scott Douglas.
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"Election 2020: The Impact on Health Care," Crowell & Moring Webinar
(October 23, 2020).
Presenters: A. Xavier Baker, Troy A. Barsky, Jodi G. Daniel, Alexis J. Gilman, and James Flood.
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"Health Care Fraud and Abuse Laws: What In-house Counsel Need to Know and How to Respond to an Investigation," ACC and Crowell & Moring Seminar, New York, NY
(June 27, 2019).
Speakers: Brian McGovern, Troy A. Barsky, Rebecca Monck Ricigliano, and John E. Davis.
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"HHS’s Regulatory Sprint to Coordinated Care," AHLA,
(March 21, 2019).
Presenter: Troy A. Barsky.
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“Stark Law Basics,” AHLA,
(September 26-28, 2018).
Presenter: Troy A. Barsky.
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"Think Tank Session: Keeping Your Health System Safe From Fraud And Abuse Risk: Compliance Risks, Government Enforcement Priorities And Changes To Fraud And Abuse Laws And Regulations," Healthcare Law & Compliance Institute, Dallas, TX
(March 4, 2018).
Presenters: Troy A. Barsky and William S.W. Chang.
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"Investigations 201: Health Care Fraud and Abuse Investigations," Crowell & Moring Webinar
(February 7, 2018).
Presenters: Troy A. Barsky and Laura M. Kidd Cordova.
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"Are We There Yet? Reconciling New Payment Models with Existing Fraud and Abuse Laws," AHLA,
(June 27, 2017).
Presenter: Troy A. Barsky.
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“Are We There Yet? Legal Barriers to Care Transformation and the Road forward to Reconcile New Payment Models and Existing Fraud and Abuse Laws,” AHLA,
(June 25-28, 2017).
Presenter: Troy A. Barsky.
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"Mega Rule Opportunities and Information About the Final Requirements for Participation," American Society of Consultant Pharmacists Webinar
(October 20, 2016).
Presenters: Troy A. Barsky and Roma Sharma.
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"Health Care Reform and Fraud and Abuse: An Overview of Potential Challenges and Opportunities," The American Society of Consultant Pharmacists (ASCP) Webinar
(September 27, 2016).
Co-Presenter: Stephanie D. Willis and Troy A. Barsky.
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"The Evolving Role of the Office of Inspector General in Alternative Payment Models," National Accountable Care Congress, Los Angeles, CA
(November 16, 2015).
Panelist: Troy A. Barsky.
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"Stark Primer," AHLA,
(September 25-27, 2015).
Presenter: Troy A. Barsky.
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"Compliant Physician Transactions in a Population Health World," American Health Lawyers Association Annual Meeting and In-House Counsel Program, Washington, D.C.
(June 28-July 1, 2015).
Speaker: Troy A. Barsky.
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"Health Care," OOPS 2015, Crowell & Moring's 31st Annual Ounce of Prevention Seminar, Washington, D.C.
(May 5-6, 2015).
Moderator: David J. Ginsberg; Panelists: David C. Hammond, Troy A. Barsky, and James G. Flood.
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"Health Care Industry Webinar Series Fraud and Abuse: Compliance Risks in 2015," Crowell & Moring Webinar
(March 12, 2015).
Presenters: John T. Brennan Jr., Troy A. Barsky, and Meredith Larson.
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"Health Care Industry Webinar Series Fraud and Abuse: Compliance Risks in 2015," Crowell & Moring Webinar
(March 12, 2015).
Presenters: John T. Brennan Jr. and Troy A. Barsky.
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"Providers becoming Payors and Payors becoming Providers – Key Legal Considerations," Crowell & Moring's Healthcare Ounce Of Prevention Seminar (HOOPS), Washington, D.C.
(October 27-28, 2014).
Presenters: Troy A. Barsky and Kevin B. Kroeker.
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“Trends in Health Care Fraud and Abuse: A Legislative and Administrative Perspective,” AHLA,
(June 29 – July 2, 2014).
Presenter: Troy A. Barsky.
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"Federal Health Care Programs: New FCA Enforcement Risks in a Post-ACA World," OOPS 2014, Crowell & Moring's 30th Annual Ounce of Prevention Seminar, Washington, D.C.
(May 13-14, 2014).
Moderator: Robert T. Rhoad; Presenters: Jacinta Alves and Troy A. Barsky.
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"Emerging Fraud and Abuse and Antitrust Risks for Health Plans Under the ACA," Crowell & Moring's Healthcare Ounce Of Prevention Seminar (HOOPS), Los Angeles, CA
(May 13, 2014).
Presenters: Troy A. Barsky and Katherine I. Funk.
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“Life Cycle of an ACO: Construction, Compliance, and Contracting,” AHLA,
(April 13-15, 2014).
Presenter: Troy A. Barsky.
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"False Claims Act and Health Plan Risk," Crowell & Moring's Healthcare Ounce of Prevention Seminar (HOOPS)
(January 30, 2014).
Presenters: Robert T. Rhoad and Troy A. Barsky.
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"Developing Consumer Marketing Materials in the New ACA Regulatory Environment," American Health Lawyers Association Webinar
(December 9, 2013).
Presenters: Troy A. Barsky and A. Xavier Baker.
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"Integrity in an Era of Healthcare Reform: Better Health, Lower Cost, Less Fraud?" AHLA In-House Counsel Program and Annual Meeting, San Diego, CA
(June 30-July 3, 2013).
Presenter: Troy A. Barsky.
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"Physician Organizations Bootcamp Webinar and Roundtable Discussion Series: The Anatomy of Physician Integration, Part III—Fraud and Abuse," AHLA Webinar
(June 11, 2013).
Presenter: Troy A. Barsky.
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"Legal & Policy Issues Related to ACO Formation by Independent Physician Groups," America's Health Insurance Plans ACO Summit
(May 15, 2013).
Presenters: Arthur N. Lerner and Troy A. Barsky.
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"Accountable Care Organizations (ACOs)/Healthcare Reform," Health Care Compliance Association (HCCA) Compliance Institute
(April 23, 2013).
Panelists: Troy A. Barsky, Shawn DeGroot, and Frank Sheeder; Moderator: John Falcetano.
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"Stark Self-Disclosure," American Health Lawyers Association (AHLA) Institute on Medicare & Medicaid Payment Issues
(March 20-22, 2013).
Speakers: Troy A. Barsky and Thomas S. Crane.
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"Stark Self-Disclosure Protocol Roundtable Discussion Take 2," AHLA Public Interest Committee
(October 3, 2012).
Participants: Troy A. Barsky, Curt Chase, S. Craig Holden, Robert Homchick, Joseph Hudzik, Clevonne (Vonne) Jacobs, Rebekah Latchis, Katherine Lauer, Catherine Martin, Kevin McAnaney, Michael Paddock, Margaret Peyton, Albert Shay, Sanford (Sandy) Teplitzky, and Joel Wakefield.
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"Public Interest Dialogue: To Disclose or Not Disclose — Stark Law Disclosure," AHLA Annual Meeting
(June 26, 2012).
Speakers: Troy A. Barsky and Albert W. Shay.
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"CMS Voluntary Self-Referral Disclosure Protocol," Institute on Medicare & Medicaid Payment Issues
(March 29, 2012).
Speakers: Troy A. Barsky and Thomas S. Crane.
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"Fraud and Abuse Law Waivers," Ushering in Accountable Care — Progress and Future under the Affordable Care Act, Catholic University, Columbus School of Law
(February 10, 2012).
Speakers: Troy A. Barsky, Susan DeSanti, Douglas Hastings and Art Lerner, Robert Louthian, and Tom Scully.
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"Overview of the Medicare Shared Savings Program Final Regulations, Part III: CMS & OIG Final Interim Rule on Program Waivers," American Health Lawyers Association Webinar
(November 3, 2011).
Speakers: Troy A. Barsky, Julie Kass, Vickie Robinson; Moderator: Daria Niewenhaus.
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"Emergence of Self-Reporting Obligations: Self-Disclosure under the OIG and CMS Protocols," AHLA Annual Meeting
(June 27-29, 2011).
Speakers: Troy A. Barsky, Steven Clifton, S. Craig Holden, and Tony Maida.
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"Fraud & Abuse Issues," AHLA, The Nuts and Bolts of Accountable Care: ACOs and Beyond
(March 29, 2011).
Speakers: Troy A. Barsky and Robert Homchick.
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"CMS Voluntary Self-Referral Disclosure Protocol," AHLA Hospitals & Health Systems Law Institute
(February 10-11, 2011).
Speakers: Troy A. Barsky and Bob Wade.
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"Legal & Practical Issues for New Business Models in a More Integrated Delivery System," AHLA Hospitals & Health Systems Law Institute
(February 10, 2011).
Speakers: Troy A. Barsky, Mark Thompson, and Christine White.
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"The New Reality of Stark Self-Disclosures: What to Do and Not Do," AHLA Webinar
(November 19, 2010).
Speakers: Troy A. Barsky, Roy Albert, Lisa M. Ohrin; Moderator: Julie Kass.
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"Workshop Regarding Accountable Care Organizations and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback, and Civil Monetary Penalty (CMP) Laws," Centers for Medicare & Medicaid Services
(October 5, 2010).
Speakers: Troy A. Barsky (Co-Moderator), Vicki Robinson (Co-Moderator), Ivy Baer, Jonathan Diesenhaus, Jeffrey Micklos, Robert Saner, Chester "Chet" Speed, Nora Super, Tom Wilder, and Marcie Zakheim.
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"Stark in the Dark & Out of the Closet: The Discovery of Unintentional Violations and the New Potential for Voluntary Disclosure," AHLA/HCCA Fraud and Compliance Forum
(September 27-28, 2010).
Speaker: Troy A. Barsky, Steven E. Clifton, and Julie E. Kass.
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"Advanced Stark in the Aftermath of Healthcare Reform," AHLA Annual Meeting
(June 28-30, 2010).
Speakers: Troy A. Barsky and S. Craig Holden.
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"Stark Law & the Impact of Healthcare Reform," 28th Annual Convention of the American Association of Physicians of Indian Origin
(June 24, 2010).
Speaker: Troy A. Barsky.
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"Stark Developments," AHLA/HCCA Fraud and Compliance Forum
(October 4-6, 2009).
Speakers: Troy A. Barsky and Julie E. Kass.
Publications
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"Hospital at Home Programs Extended, But Final Push Is Needed," Crowell & Moring’s Health Law Blog
(January 25, 2023).
Authors: Troy A. Barsky and Arielle Carani.
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"Top Healthcare Policy Developments in 2023; Register for Crowell Health Solutions Webinar," Crowell & Moring’s Health Law Blog
(December 13, 2022).
Authors: Jodi G. Daniel, Troy A. Barsky and Allison Kwon.
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"CMS Innovation Center Redesigns Direct Contracting Entity Model, Launches ACO REACH," Crowell & Moring’s Health Law Blog
(March 15, 2022).
Authors: Troy A. Barsky, Janet C. Walker, Savanna Williams and Stacie Heller.
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"How Health Cos. Have Responded To Anti-Kickback Reform," Law360
(January 20, 2022).
Authors: Troy A. Barsky, and Barbara H. Ryland.
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"CMS Innovation Center Announces New Strategic Direction Under the Biden Administration," Crowell & Moring’s Health Law Blog
(October 21, 2021).
Authors: Jodi G. Daniel, Troy A. Barsky and Janet Walker.
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"CMS Completes Sprint to Modernize the Stark Law-Part III," AHLA
(March 1, 2021).
Author: Troy A. Barsky.
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"CMS Completes Sprint to Modernize Stark Law—Part II," AHLA Connections
(February 1, 2021).
Authors: Troy A. Barsky and Roma Sharma.
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"OIG Sends a Special Fraud Alert on Speaker Programs," Crowell & Moring’s Health Law Blog
(November 25, 2020).
Authors: Troy A. Barsky, Michael Shaheen and Lidia Niecko-Najjum.
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"Health Care – Will Health Care Be Healthier in 2020?" Crowell & Moring's Regulatory Forecast 2020
(February 26, 2020).
Contributors: A. Xavier Baker, Christopher Flynn, and Troy A. Barsky.
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"Texas v. U.S.: Potential Impacts on Health Care Innovation and Fraud and Abuse Prevention," AHLA News and Analysis
(November 18, 2019).
Authors: Alice Hall-Partyka and Troy A. Barsky.
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"OMB Concludes Review of Proposed Rules for Modernizing Physician Self-Referral and Anti-Kickback Regulations," Crowell & Moring's Health Law Blog
(October 4, 2019).
Authors: Troy A. Barsky and Stephanie D. Willis.
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"Health Care – In Search of Value," Crowell & Moring's Regulatory Forecast 2019
(February 27, 2019).
Contributors: Stephanie D. Willis and Troy A. Barsky.
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"2019 Physician Fee Schedule Rule Modifies Stark Regulations to Reflect Statutory Changes," Crowell & Moring's Health Law Blog
(November 7, 2018).
Authors: Troy A. Barsky, Stephanie D. Willis and G. Meredith Parnell.
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"Health Care – An Evolving But Still Uncertain Environment," Crowell & Moring's Regulatory Forecast 2017
(May 2017).
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"CMS Delays Implementation of Episode Payment Models (EPMs)" Crowell & Moring's Health Law Blog
(March 24, 2017).
Authors: Troy A. Barsky and Joseph Records.
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"OIG Issues Advisory Opinion Rejecting the Labeling of Test Tubes at No Cost," Crowell & Moring's Health Law Blog
(February 22, 2017).
Authors: Troy A. Barsky and Roma Sharma.
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CMS Publishes Interim Final Rule to Address Third-Party Payment of Insurance Premiums by Medicare-certified Dialysis Providers
(December 27, 2016).
Authors: A. Xavier Baker and Troy A. Barsky.
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"CMS Renews Focus on Third-Party Payment of Insurance Premiums Steering Medicaid & Medicare Eligibles into Marketplace Plans," Crowell & Moring's Health Law Blog
(August 25, 2016).
Authors: A. Xavier Baker and Troy A. Barsky.
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"Medicaid Managed Care Final Rule: Prevention of Fraud, Waste, and Abuse," Crowell & Moring's Health Law Blog
(August 4, 2016).
Authors: Troy A. Barsky and Roma Sharma.
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"In Advance of Senate Finance Committee Hearing on Stark Law Next Week, the Committee Releases Stark Law White Paper," Crowell & Moring's Health Law Blog
(July 7, 2016).
Authors: Jacinta Alves and Troy A. Barsky.
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"OIG Updates Policy on Permissive Exclusions Based On Fraud and Kickbacks," Crowell & Moring's Health Law Blog
(April 28, 2016).
Authors: John Brennan, Troy A. Barsky, and Harsh P. Parikh.
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"IRS Denies Tax-Exempt Status to Non-MSSP ACO," Crowell & Moring's Health Law Blog
(April 26, 2016).
Authors: Jennifer A. Ray and Troy A. Barsky.
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"Next Generation ACO Model Enters its Second & Final Application Cycle," Crowell & Moring's Health Law Blog
(March 23, 2016).
Authors: Troy A. Barsky and Stephanie D. Willis.
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"CMS Proposes New ACO Performance Measures," Crowell and Moring's Health Law Blog
(March 3, 2016).
Authors: Troy A. Barsky and Roma Sharma.
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"$9.9 Million Settlement To Resolve Allegations That Hospital System Overpaid Physicians Approved by Georgia Federal Court," Crowell & Moring's Health Law Blog
(February 24, 2016).
Authors: Harsh P. Parikh, Jennifer Williams, Troy A. Barsky, and John Brennan.
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"South Florida Hospital System Settles Stark Allegations for $69.5 Million," Crowell & Moring's Health Law Blog
(November 17, 2015).
Authors: Troy A. Barsky and Roma Sharma.
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"South Florida Hospital System Settles Stark Allegations for $69.5 Million," Crowell and Moring's Health Law Blog
(November 17, 2015).
Authors: Troy A. Barsky and Roma Sharma.
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"DOJ's Memo on Individual Accountability Tears at the Corporate Veil," Crowell & Moring's Health Law Blog
(September 24, 2015).
Authors: John Brennan, Troy A. Barsky, and Stephanie Willis.
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"CMS Proposes To Modify 'Two-Midnight Benchmark' To Broaden Exceptions for Part A Payments for Short Inpatient Stays," Crowell & Moring's Health Law Blog
(July 16, 2015).
Authors: Harsh P. Parikh, Troy A. Barsky, and Peter Roan.
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"Previewing the Final Rule Implementing Changes to Medicare Shared Savings Program," Crowell & Moring's Health Law Blog
(June 11, 2015).
Authors: Troy A. Barsky and Stephanie D. Willis.
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"OIG Teams Up With Private Sector to Provide Guidance to Health Care Governing Boards," Crowell & Moring's Health Law Blog
(May 12, 2015).
Authors: Troy A. Barsky and Stephanie D. Willis.
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"Next Generation ACO Model Sets Tone for CMS's Push Toward Value-Based Payment," Crowell & Moring's Health Law Blog
(March 19, 2015).
Co-Authors: Troy A. Barsky and Stephanie Willis.
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"Regulatory Forecast 2015: What Corporate Counsel Need to Know for the Coming Year," a Crowell & Moring LLP publication
(January 2015).
Contributor.
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"Payer-Provider Consolidation Post-ACA Comes With New Risks," Law360
(January 14, 2015).
Co-Authors: Troy A. Barsky and Katherine I. Funk.
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"Federal Funds, States, and Health Care Reform: Innovation and Opportunity in 2015," Crowell & Moring's Heath Law Blog
(January 5, 2015).
Co-Authors: Troy A. Barsky, Teresa Miller, and Joseph Records.
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"OMB Reviewing Regulations on Third-Party Payments to QHPs," Crowell & Moring's Health Law Blog
(March 10, 2014).
Author: Troy A. Barsky.
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"Health Care Reform & Academic Medical Centers: How to Thrive in a Changing Environment"
(January 2014).
Co-Authors: Troy A. Barsky and Ashley N. Southerland.
Client Alerts & Newsletters
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"President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions,"
Health Care Alert
(January 25, 2023).
Contacts: Stacie Heller, Troy A. Barsky, Jodi G. Daniel, Allison Kwon
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"CMS Issues “In Lieu of” Services Guidance to Address Health-Related Social Needs in Medicaid Managed Care,"
Health Care Alert
(January 18, 2023).
Contacts: Troy A. Barsky, Janet C. Walker, Allison Kwon
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"White House Looks to CMMI to Test New Ways to Lower Drug Prices,"
Health Care Alert
(November 7, 2022).
Contacts: Troy A. Barsky, Stacie Heller, Eunice LaLanne
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"Crowell & Moring and Crowell Health Solutions Host a Forum to Discuss Trends in Value-Based Care and Health Technology Innovation,"
(November 2, 2022).
Contacts: Jodi G. Daniel, Troy A. Barsky, Janet C. Walker, Allison Kwon
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"Payers, Providers, and Patients – Oh My!: Crowell Health Solutions Mini-Series Part 1 - The Intersection of Technology and Value-Based Care,"
Podcast: Payers, Providers, and Patients – Oh My!
(April 25, 2022).
Contacts: Payal Nanavati, Joe Records, Troy A. Barsky
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"Payers, Providers, and Patients – Oh My!: Reflecting on the First Year of the 2020 Stark & AKS Regulations,"
Podcast: Payers, Providers, and Patients – Oh My!
(January 14, 2022).
Contacts: Payal Nanavati, Joe Records, Troy A. Barsky, Roma Sharma
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"Supreme Court Upholds CMS COVID-19 Vaccine Mandate,"
Health Care Alert
(January 14, 2022).
Contacts: Troy A. Barsky, Janet C. Walker, Savanna Williams
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"Supreme Court to Hear CMS COVID-19 Vaccine Mandate Case — Meanwhile, CMS Releases Updated Guidance for Health Care Facilities,"
Health Care Alert
(January 6, 2022).
Contacts: Troy A. Barsky, Janet C. Walker, Savanna Williams
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"CMS Releases Rule Requiring COVID-19 Vaccinations for Health Care Workers,"
Health Care Alert
(November 5, 2021).
Contacts: Troy A. Barsky, Janet C. Walker, Lidia Niecko-Najjum, Savanna Williams
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"Biden’s First 100 Days: Developments to Date and What Lies Ahead,"
Administrative Law Alert
(May 7, 2021).
Contacts: James G. Flood, Michael K. Atkinson, Tim Shadyac, Troy A. Barsky, Byron R. Brown, Caroline E. Brown, Robert A. Burton, Matthew Cohen, Kelly T. Currie, Jodi G. Daniel, W. Scott Douglas, Carina C. Federico, Paul Freeman, Thomas P. Gies, Alexis J. Gilman, Christine B. Hawes, Robert Holleyman, Stacie Heller, S. Starling Marshall, Shelley Su, Jeane A. Thomas, CIPP/E, Scott L. Winkelman, Tiffany Wynn, Kate Beale
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"President Biden Signs American Rescue Plan Act of 2021, sets in motion historic expansions of the ACA, Medicaid and other important health policy related changes among sweeping pandemic relief provisions,"
Administrative Law Alert
(March 12, 2021).
Contacts: Troy A. Barsky, James G. Flood, Christopher Flynn, Paul Mourning, Roma Sharma, W. Scott Douglas, Stacie Heller, Tim Shadyac
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"OIG Issues Final Rule to Update AKS Safe Harbors: Part II,"
Administrative Law Alert
(February 25, 2021).
Contacts: Troy A. Barsky, Jodi G. Daniel, Michael Shaheen, Lidia Niecko-Najjum, Joe Records, Matthew Vicinanzo
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"Biden Day Seven – President Biden Takes Executive Action to Strengthen the Affordable Care Act and Other Healthcare Programs,"
Biden 2021 Series
(January 28, 2021).
Contacts: Troy A. Barsky, James G. Flood, W. Scott Douglas, Stacie Heller, Tim Shadyac
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"Congress Passes Combined COVID-19 Relief and Omnibus Spending Bill,"
(December 23, 2020).
Contacts: Troy A. Barsky, Peter Eyre, James G. Flood, Glenn D. Grant, Olivia Lynch, S. Starling Marshall, Amy Laderberg O'Sullivan, Paul J. Pollock, Michael E. Samuels, Tim Shadyac
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"CMS Issues Sweeping Reform to Modernize the Stark Law: Part I,"
Health Care Alert
(November 30, 2020).
Contacts: Troy A. Barsky, John T. Brennan Jr., Lidia Niecko-Najjum, Roma Sharma
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"HHS Begins Delivery of Cares Act Provider Relief Funding – What Providers Should Consider,"
Health Care Alert
(April 13, 2020).
Contacts: Troy A. Barsky, James G. Flood, Brian Tully McLaughlin, Matthew Vicinanzo, David W. O'Brien
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"Guide to the COVID-19 Crisis Stark Waivers,"
Health Care Alert
(April 9, 2020).
Contacts: Troy A. Barsky, John T. Brennan Jr., Kelly Hightower Hibbert
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"Follow Up: White House Expands Invocation of Defense Production Act Authorities as Part of COVID Response,"
Government Contracts Bullet Points
(March 30, 2020).
Contacts: Jonathan M. Baker, Troy A. Barsky, Alan W. H. Gourley, J. Chris Haile, John E. McCarthy Jr., Stephanie L. Crawford
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"Follow Up: White House Issues Order under Defense Production Act as Part of COVID Response,"
Government Contracts Bullet Points
(March 27, 2020).
Contacts: Jonathan M. Baker, Troy A. Barsky, Alan W. H. Gourley, J. Chris Haile, John E. McCarthy Jr., Stephanie L. Crawford
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"Follow Up: White House Issues Order under Defense Production Act as Part of COVID Response,"
Government Contracts Bullet Points
(March 23, 2020).
Contacts: Jonathan M. Baker, Troy A. Barsky, Stephanie L. Crawford, Alan W. H. Gourley, J. Chris Haile, John E. McCarthy Jr.
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"HHS Lifts Major Barriers to Telehealth to Help Reduce the Spread of COVID-19,"
Health Care Alert
(March 20, 2020).
Contacts: Troy A. Barsky, Jodi G. Daniel, Barbara H. Ryland, Joe Records, Roma Sharma, Michelle Chipetine
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"White House Issues Order under Defense Production Act as Part of COVID Response,"
Government Contracts Bullet Points
(March 19, 2020).
Contacts: Jonathan M. Baker, Troy A. Barsky, Alan W. H. Gourley, J. Chris Haile, John E. McCarthy Jr.
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"DOJ Announces $3B in False Claims Act Recoveries,"
Health Care Alert
(January 10, 2020).
Contacts: Troy A. Barsky, Brian Tully McLaughlin
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"Playing Catch-Up to Innovation and Value-Based Care: CMS and OIG’s Proposed Fraud and Abuse Regulatory Updates to Physician Self-Referral, Anti-Kickback, and Civil Monetary Penalty Laws,"
Health Care Alert
(October 16, 2019).
Contacts: Troy A. Barsky, Barbara H. Ryland
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"Payers, Providers, and Patients – Oh My!: Some Potential Impacts of Legal Challenges to the ACA,"
Podcast: Payers, Providers, and Patients – Oh My!
(August 21, 2019).
Contacts: Troy A. Barsky, Alice Hall-Partyka, Payal Nanavati, Joe Records
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"CMS Proposes Changes to its Stark Law Advisory Opinion Process,"
Health Care Alert
(August 13, 2019).
Contacts: Troy A. Barsky, Payal Nanavati
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"HHS Proposed Rule Takes Aim at Drug Rebates from Manufacturers to Health Plans/PBMs, Proposes Safe Harbors to Pass Savings to Consumers and Protect Some Manufacturer-PBM Payments,"
Health Care Alert
(February 1, 2019).
Contacts: Barbara H. Ryland, Todd D. Rosenberg, Troy A. Barsky, Roma Sharma
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"Charitable Donations Not Grounds for False Claims Act Liability, But Government Scrutiny Continues,"
Health Care Alert
(January 25, 2018).
Contacts: Brian Tully McLaughlin, Troy A. Barsky, John T. Brennan Jr., Lauren R. Nunez, Rochelle-Leigh Rosenberg
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"Unqualified Expert Witness Causes DOJ to Dismiss FCA Case,"
Health Care Alert
(November 17, 2017).
Contacts: David W. O'Brien, John T. Brennan Jr., Brian Tully McLaughlin, Troy A. Barsky
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"CMS Seeking Comments on the Future of Innovation Center,"
(September 22, 2017).
Contacts: Jodi G. Daniel, Troy A. Barsky
-
"Four Health Care Company v. John Doe Cases: Scare Tactics, Accidental Disclosures, Hacking, and Impersonation Lead to Loss of Anonymity,"
Health Care Alert
(August 3, 2017).
Contacts: Troy A. Barsky, Christopher Flynn, Clifford J. Zatz
-
"CMS Releases Updates to the Quality Payment Program,"
(July 17, 2017).
Contacts: Jodi G. Daniel, Troy A. Barsky, Joe Records
-
"Changes to the CMS Self-Referral Disclosure Protocol: Continuing Challenges & Issues Providers Need to Address Before Disclosure,"
Health Care Alert
(June 5, 2017).
Contacts: Troy A. Barsky, John T. Brennan Jr., Roma Sharma
-
"CMS Releases Final Rules on MACRA Quality Payment Program Implementation for 2017-Onward,"
Health Care Alert
(October 19, 2016).
Contacts: Jodi G. Daniel, Troy A. Barsky, Joe Records
-
"Where Fraud Leads, We Will Follow: DOJ to Heighten Focus on Corporate Health Care Fraud, Health Care Executives, and Adequacy of Compliance,"
White Collar Alert
(April 19, 2016).
Contacts: David W. O'Brien, John T. Brennan Jr., Troy A. Barsky, Stephen M. Byers, Kelly T. Currie, Nimrod Haim Aviad, Laura Schwartz
-
"The FCA Payback on Medicare Overpayments,"
Government Contracts Bullet Points
(March 7, 2016).
Contacts: Troy A. Barsky, Lorraine M. Campos, Barbara H. Ryland
-
"CMS Finalizes Rules for Reporting and Returning Overpayments,"
Health Care Alert
(February 29, 2016).
Contacts: Troy A. Barsky, Barbara H. Ryland
-
"Medicare Accountable Care Organizations: The Time is Now,"
Health Care Alert
(April 15, 2014).
Contacts: Troy A. Barsky, John T. Brennan Jr., Todd D. Rosenberg
-
"FTC's Unabated Focus on Competition Impacts Health Care Reform and Makes Deals Risky...But Not Impossible,"
Antitrust Law Alert
(March 3, 2014).
Contacts: Troy A. Barsky, Shawn R. Johnson
-
"CMS Proposes 'Not So Technical' Technical Changes to the Medicare Advantage and Medicare Part D Programs,"
Health Care Alert
(January 17, 2014).
Contact: Troy A. Barsky
-
"Landmark False Claims Act Judgment: What Hospitals and Healthcare Providers Should Know,"
Health Care Alert
(October 17, 2013).
Contacts: Troy A. Barsky, John T. Brennan Jr.
Press Coverage
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Law Firm Crowell & Moring Launches Health Consulting Practice
February 1, 2022 — Consulting.us
-
Crowell & Moring Launches New Health Care Consulting Firm
January 31, 2022 — Hospital & Healthcare Management
-
Crowell & Moring Launches Strategic Healthcare Consulting Firm
January 27, 2022 — Pharmaceutical Technology
-
Crowell & Moring Launches New Health Care Consulting Firm
January 26, 2022 — Law360
-
Crowell & Moring Taps Into Lucrative Health Care Market With Launch Of Consulting Arm
January 26, 2022 — The National Law Journal
-
Crowell & Moring Unveils Digital-Focused Health Care Consultancy
January 26, 2022 — Bloomberg Law
-
Crowell Opens Health Care Consulting Firm To Address Changing Sector
January 26, 2022 — Reuters
-
Rural ACOs That Received Loans From The CMS Succeeded
September 4, 2018 — Modern Healthcare
-
Medical Device Makers Eager To Weigh In On Anti-Kickback Law
August 28, 2018 — Bloomberg
-
Trump Administration Eyes Lifting Health Kickback Curbs
August 24, 2018 — Bloomberg
-
Doctors Say Fraud And Abuse Law Needs Major Surgery
July 31, 2018 — Bloomberg BNA
-
Feds To Take Another Look At Physician Fraud Law
June 22, 2018 — Bloomberg BNA
-
Physicians Could Benefit From Changes To Anti-Fraud Law
May 9, 2018 — Bloomberg BNA
-
Fraud Laws Stymie Doctor Pay Models
March 26, 2018 — Bloomberg BNA
-
Medicare Chief Open To Reforming Payment Regulation
January 25, 2018 — Bloomberg BNA
-
Streamlined Self-Disclosure Process Still Burdensome for Doctors
April 10, 2017 — Bloomberg BNA Health Law Research Center
-
Feds Show Desire for Accountability with Dallas Hospital Indictments
December 6, 2016 — Modern Healthcare
-
AHA Sends Trump A Wish List of More Lax Laws and Regulations
December 1, 2016 — Modern Healthcare
-
Now It's Personal: Top Execs Made To Pay For Companies' False Claims
October 1, 2016 — Modern Healthcare
-
Editor’s Corner: Stark Law Overhaul Long Overdue
July 19, 2016 — Fierce Healthcare
-
Take Compensation Pieces Out of Stark Law, Legal Experts Tell Senators
July 13, 2016 — Medtech Insight
-
Is Congress Really Putting Stark Law Changes on the Table?
July 13, 2016 — Bloomberg BNA
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Providers, Legal Experts Urge Changes to Stark Law
July 12, 2016 — Fierce Healthcare
-
Senate Finance Eager to Revise Physician Self-Referral Law
July 12, 2016 — Bloomberg BNA
-
Stark Law Overhaul Gains Traction on Capitol Hill
July 12, 2016 — Law360
-
Senate Panel Urged to Ease Stark Law Bans on Physician Compensation Schemes
July 12, 2016 — Inside Health Policy
-
Will Medicare’s Physician Payment Overhaul Drive More Docs to Hospitals?
April 27, 2016 — Modern Healthcare
-
'SGR Fix' Law Adds Program-Integrity Tools, Exempts Gainsharing From Penalties
April 20, 2015 — Report on Medicare Compliance
-
ACO Compliance Is Spotty as Waiver Rule Is Extended; COs Navigate Other Challenges
November 3, 2014 — Report On Medicare Compliance
-
Feds Could Get More Aggressive with False Claims Act in 2014
January 13, 2014 — Modern Healthcare
Firm News & Announcements
August 18, 2022 |
The Best Lawyers in America 2023 Recognizes 54 Crowell & Moring Attorneys, Three Selected as Lawyer of the Year |
June 1, 2022 |
Chambers USA 2022 Ranks 70 Crowell & Moring Lawyers and 37 Practice Areas Among Best in U.S. |
January 26, 2022 |
Crowell & Moring Unveils Crowell Health Solutions |
August 19, 2021 |
The Best Lawyers in America 2022 Recognizes 53 Crowell & Moring Attorneys, One Selected as Lawyer of the Year |
May 20, 2021 |
Chambers USA 2021 Ranks 63 Crowell & Moring Lawyers and 30 Practice Areas Among Best in U.S. |
April 23, 2020 |
Chambers USA 2020 Ranks 53 Crowell & Moring Lawyers and 21 Practice Areas Among Best in U.S. |
December 16, 2019 |
DEAL NOTE: Crowell & Moring Advises Humana Inc. on Acquisition of Enclara Healthcare |
April 29, 2019 |
Chambers USA 2019 Ranks 53 Crowell & Moring Lawyers and 21 Practice Areas Among Best in U.S. |
May 9, 2018 |
Chambers USA 2018 Ranks 52 Crowell & Moring Lawyers and 24 Practice Areas Among Best in U.S. |
May 26, 2017 |
Chambers USA 2017 Ranks 53 Crowell & Moring Lawyers and 23 Practice Areas Among Best in U.S. |
July 12, 2016 |
Crowell & Moring Partner Troy Barsky Testifies Before Senate Finance Committee on Stark Law |
January 13, 2015 |
Crowell & Moring Releases Third Annual Litigation Forecast Report and Inaugural Regulatory Forecast |
June 3, 2013 |
Crowell & Moring Bolsters Health Care Group with Two High-Level Partner Additions |