A. Xavier Baker, Partner Washington, D.C.
xbaker@crowell.com
Phone: +1 202.624.2842
1001 Pennsylvania Avenue NW
Washington, DC 20004-2595

A. Xavier Baker is a partner in Crowell & Moring's Health Care Group and is located in the Washington, D.C. office. He focuses his practice on complex regulatory counseling and litigation matters, fraud and abuse issues, internal investigations, health care transactions and contracting, health reform initiatives and compliance under the Affordable Care Act (ACA), and other matters for health insurers, health care providers, and other health care entities. Xavier has experience in a variety of areas of health care law, including contract negotiations with the federal employee health benefits program, Medicaid fraud litigation, provider contracting, and privacy matters.

Recent representative engagements:

  • Analysis of emerging regulatory issues under the Patient Protection and Affordable Care Act on behalf of health insurers including medical loss ratio compliance risks, compliance with the annual excise tax on health insurers, premium increase and rate review, and other emerging issues.
  • Advising a Medicaid managed care organization regarding potential fraud and abuse by providers including investigations and litigation.
  • Overseeing a multistate review and revision of a health plan's provider contracts.
  • Providing general counseling, regulatory analysis, and support for health plan pharmacy benefit management subcontracting.
  • Counseling health plans on Medicare secondary payer obligations.
  • Assisting health plans with identifying and handling potential federal program overpayments and compliance issues.
  • Advising Federal Employee Health Benefits Program carriers on compliance and contracting issues.
  • Representing a Medicaid managed care organization in administrative disputes and litigation with a State concerning actuarial soundness of capitation rates, government contracting, and related performance and transition of care issues.
  • Analyzing the Clinical Laboratory Improvement Amendments for health plans and providers.
  • Conducting an internal investigation regarding compliance with Medicare Part D and other issues on behalf of a healthcare provider's Special Litigation Committee in response to a shareholder derivative suit.

In addition, Xavier has an active pro bono practice, focused on providing legal services to asylum seekers. In 2012, Xavier successfully represented a Rwandan immigrant seeking political asylum. Previously, Xavier assisted a special advisory committee regarding the D.C. Medical Liability Captive Insurance Company.

Xavier maintains an active role in the legal community. He is a member of the Hispanic National Bar Association, the Hispanic Bar Association of D.C., in which he serves as a mentor to new attorneys and law students, the ABA Health Law Section, and the American Health Lawyers Association.

Xavier graduated from Duke University School of law in May 2004 and from Boston College in 2001, where he obtained a master's degree concurrently with his undergraduate degree. Prior to Crowell, Xavier worked at a prominent D.C. law firm for five years and at a litigation boutique in Minneapolis for two years. He is admitted in the District of Columbia, Minnesota, and the Supreme Court of the United States.



Affiliations

Admitted to practice: District of Columbia, Minnesota

Professional Associations
American Health Lawyers Association
American Bar Association Health Law Section
Hispanic Bar Association of D.C.
Hispanic National Bar Association



Highlights, News & Knowledge


Speeches & Presentations



Publications



Client Alerts & Newsletters



In the News



Firm News & Announcements

Jan.04.2016 Crowell & Moring Elects Nine New Partners and Promotes 15 Associates to Counsel
Jun.10.2013 Deal Note: Crowell & Moring Client Cigna Announces PBM Partnering Agreement with Catamaran
Jan.17.2013 Crowell & Moring Elects Seven New Partners and Promotes Twelve Attorneys to Senior Counsel and Counsel Positions
Background image