James M. Jorling

James "Jim" Jorling is a principal in Powers Pyles Sutter & Verville's healthcare practice.

As an experienced healthcare attorney, Jim understands the complex legal, regulatory, and business environments in which healthcare organizations operate. Jim is recognized for his ability to use this knowledge to assist clients through complex business challenges. In addition to counseling clients with respect to the impact of federal healthcare laws and regulations, Jim’s value lies in his ability to provide targeted and strategic advice on business transactions and regulatory issues. Jim’s healthcare experience includes advising on a range of matters affecting healthcare organizations.

Jim’s primary areas of expertise include Medicare (particularly Part B) and Medicaid reimbursement, fraud and abuse laws, Medicare Managed Care (Part D and Medicare Advantage, Part C), telemedicine regulation, pharmacy and pharmacy benefit management laws, 340B requirements, FDA device regulation, federal healthcare contracting, and healthcare reform, including accountable care organizations, disease and chronic care management, and demonstration projects.

Jim advises healthcare providers and related organizations of all types, including physicians and physician groups, hospitals, pharmacies, independent diagnostic testing facilities (IDTF), telehealth and telemedicine providers, specialty, mail and retail pharmacies, and DME suppliers. His advice includes regulatory guidance and handling healthcare transactions. Additionally, Jim advises on privacy and security laws, including state and HIPAA breach notification rules, business associate agreements, use of limited data, de-identification, use of data in clinical research, organized health care arrangements, and affiliated covered entities. He also works with clients on various transactions, including the establishment and purchase of healthcare businesses, asset and stock purchase agreements, and regulatory issues related to the healthcare business.

Prior to joining private practice, Jim served as Special Assistant to the Secretary of the Department of Health and Human Services and as a policy assistant to President Bill Clinton’s Health Care Reform Task Force where he worked on issues of integrated delivery systems, malpractice, work force, and information systems. This experience offered Jim a unique and in-depth understanding of the significant healthcare issues of the last 20 years and serves as the basis for his continued interest in, and ongoing study of, new laws impacting the provision of healthcare. The most recent and sweeping of these laws is the Affordable Care Act.

Jim works with clients to advise them on a number of matters related to the law, including bundled payments, accountable care organizations, essential health benefits, qualified health plan requirements, preventive services (including contraceptive coverage), prescription drug and other coverage requirements.