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  • Education
    • J.D., University of Maryland School of Law, 2013, Health Law Certificate; Articles Editor for Journal of Health Care Law & Policy
    • B.A., University of California, Berkeley, 2002
Gabriel Scott has a deep understanding of the evolving health care regulatory environment and the changes occurring at both the national and state levels. Prior to joining Polsinelli, Gabriel spent several years in federal civil service and the private industry. His experience, with both payor and provider sides, allows him to offer a unique perspective to clients’ regulatory and transactional challenges. Gabriel previously worked at the Centers for Medicare and Medicaid Services (CMS), first in the Center for Medicare & Medicaid Innovation (CMMI) and later in the Division of Technical Payment Policy at the Center for Medicare. 

Gabriel has dealt with a variety of issues impacting health care providers, including:
  • Value-based payment efforts, such as the Bundled Payments for Care Improvement initiative (BPCI), Oncology Care Model (OCM), Comprehensive Care for Joint Replacement model (CJR), the Maryland All-Payer Model, and many others
  • Application of fraud and abuse waivers offered to participants in CMS demonstrations and models Compliance with the Stark Law and Anti-Kickback Statute 
  • Self-disclosure process through the CMS Self-Referral Disclosure Protocol (SRDP) 
  • Gain sharing programs and other performance-based provider payment mechanisms 
  • Medicare and Medicaid reimbursement issues 
His past experience includes time at the general counsel's office for a nationally recognized academic medical center in Baltimore, as well as employment at a national home health provider, where he offered support on compliance issues related to Joint Commission surveys and state health department inspections. These opportunities continue to serve as a useful foundation for Gabriel in order to better understand clients’ challenges within the complex framework of the health care system.
  • Analyzed Stark Law self-disclosures made under the CMS Self-Referral Disclosure Protocol, and prepared reports addressing the associated legal and policy issues.
  • Drafted several sections of preamble and regulatory text in CMS proposed and final annual payment rules, as well as standalone payment rules.
  • Wrote preamble and regulatory text in the CY 2017 PFS proposed and final rules, which address changes to Stark Law exceptions on unit-based lease and rental arrangements.
  • Drafted participation agreements and amendments for several CMMI models, including the BPCI initiative and OCM.
  • Designed and instituted provider screening policies for CMMI demonstrations and models.
  • Negotiated contracts and reimbursement rates with hospitals, nursing homes, providers, and insurers.
  • Prepared regional offices for Joint Commission and state health department compliance surveys and audits.
Past Events
EventsEvents
July 19, 2018