Clients benefit from my analytical, strategic, and creative problem-solving skills.
Caroline Farrell provides legal and regulatory counseling as well as investigation, litigation, and transactional support to healthcare payers, providers, suppliers, trade associations, and other healthcare businesses, including private equity and other healthcare investors. With vast experience in Medicare, Medicaid, and the Affordable Care Act, she also advises clients on federal healthcare program reimbursement, compliance, fraud and abuse matters and government investigations.
For over a decade, Caroline served as the lead attorney advising the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health & Human Services on complex and high-profile Medicaid and Medicare initiatives, offering providers, health plans and businesses a deep understanding of how to navigate the complex laws and evolving policies underpinning Medicare and Medicaid, including the many opportunities for innovation under both programs.
During her tenure at CMS, she represented the organization on issues of national importance in the Medicare and Medicaid programs, including advising CMS on issues related to the Affordable Care Act’s Medicaid expansion; the innovative programs sponsored by the Center for Medicare and Medicaid Innovation (CMMI); and Medicaid initiatives related to health equity and social determinants of health.
Caroline has extensive experience reviewing complex agreements for CMS, including the Special Terms and Conditions for Medicaid demonstration projects and waivers, participation agreements for CMMI models, and the three-way contracts for Medicare-Medicaid Plans under the capitated model of the Financial Alignment Initiative to better integrate care for dual-eligible beneficiaries. Her administrative law acumen enables her to provide clients with unique insights into complicated and ambiguous laws and processes that CMS is charged with implementing.
While in law school, Caroline interned for the Honorable Richard D. Bennett of the U.S. District Court for the District of Maryland as well as the United States Attorney’s Office for the District of Maryland.