Joel L. Michaels advises clients on health care insurance and health care delivery system organization, financing and regulation. He provides legal counsel to national and regional health insurers across the United States, in addition to advising pharmacy benefit managers, specialty health care service vendors and national health care associations. He served as the partner-in-charge of the Washington Health Industry Advisory Practice Group for over 15 years and also co-chaired the Firm's Insurance / Payers Affinity Group during that same period. He is one of the few health care attorneys nationwide to receive the top-tier recognition by Chambers in both the transactional and health care regulatory categories.
Joel assists clients in health insurance regulatory issues at the state and federal levels, including the new demands presented by the Affordable Care Act. He also has been instrumental in developing new payment and provider contracting strategies that reflect value-based purchasing between payors and providers. His work has extended to today’s cutting-edge issues related to prescription drug pricing and the challenges they present to health insurers and pharmacy benefit managers. He has a long-standing relationship with the Blue Cross Blue Shield Association and works closely with the Pharmaceutical Care Management Association. He also helps clients develop viable organizational and contractual arrangements, including transactions involving the sale of stock, merger or transfer of assets, corporate reorganizations, and provider joint ventures. Joel’s knowledge of federal government programs—including his familiarity with Medicare Advantage, Medicare Part D, Medicaid and the Federal Employees Health Benefits Program—is an integral part of the service he provides to clients.
Joel also works with clients on complex litigation matters in the health insurance industry, including payment and claims-processing disputes between health plans and providers. He draws on his experience with a wide variety of state health insurance and federal laws that affect provider/health plan relationships as a critical component for the advice he provides clients.
Joel has served as an adjunct member of the American University, Washington College of Law school faculty where he has taught courses on managed health law issues. He is also an adjunct faculty member of the Arizona State University Sandra Day O’Connor College of Law where his course focus is on health insurance reform and the law.