Kyle Vasquez maintains a national health care practice and provides pragmatic legal and compliance support to a wide range of health care clients. He utilizes his background in health law and his prior experience as a health care consultant to develop creative approaches to complex issues. Kyle provides 340B drug pricing program, reimbursement, licensing/certification, DEA and other regulatory support to a broad set of health care entities including academic medical centers, multi-hospital health systems, community hospitals, FQHCs, institutional and retail pharmacies, and physician practices, among others.

Kyle’s areas of focus include:

• Providing 340B regulatory, compliance, audit, repayment, self-disclosure, litigation and contract support to Covered Entities, Contract Pharmacies, and other key stakeholders.
• Advising on multi-state telehealth and telepharmacy matters, including assisting with state licensing, controlled substance and DEA obligations. 
• Counseling various provider types on complex healthcare reimbursement and cost report matters, including Medicare, Medicaid, and private payor reimbursement, to ensure consistent cash flow and compliance with applicable rules.
• Assisting multiple provider/supplier types with provider enrollment, licensing and certification matters.
• Structuring and negotiating a variety of transactions, including provider-based conversions, physician practice acquisitions, joint ventures, joint operating agreements, mergers, and acquisitions.
• Assisting providers with administrative appeals, reconsideration requests, and other litigation strategies regarding adverse government agency findings.
• Assisting with self-disclosures, government audits, and appeals of audit findings.
• Assisting providers and pharmacies with complex payor credentialing and negotiation matters, including navigating HEAT Zones credentialing issues and negotiating 340B drug pricing program, mail order, and central fill terms with the nation’s largest PBMs.
• Assisting pharmacies with compliance and dispute matters pertaining to PBM restrictions, including mail order restrictions.
• Advising providers and pharmacies on a variety of litigation options pertaining to health plans, PBMs and government agencies.