Neal Shah

Neal Shah applies his extensive legal experience in private practice, government service, and health care delivery to help identify practical legal solutions to complex regulatory and transactional problems, including:

• Helping clients establish initiatives that comply with fraud and abuse laws, including the Stark Law and Anti-Kickback Statute, and remain in compliance with those laws
• Establishing and operating value-based care models including Accountable Care Organizations, Direct Contracting Entities, Clinically Integrated Networks, and bundled payments
• Assessing provider compliance practices and, if necessary, reporting and refunding federal program overpayments, including through the CMS and OIG self-disclosure protocols
• Evaluating risks in health care transactions and negotiating and drafting key transactional documents
• Navigating delivery system reform efforts, including the CMS Quality Payment Program

Prior to joining Polsinelli, Neal worked for the Centers for Medicare and Medicaid Services (CMS), where he contributed to many areas of federal health care policy, including the initial implementation of the CMS Self-Referral Disclosure Protocol (SRDP), the Medicare Shared Savings Program, initiatives under the Center for Medicare and Medicaid Innovation, and individual market financial management programs under the Affordable Care Act. Neal has also testified before state legislatures to advise on the implications of state self-referral laws for delivery system reform.

Neal has a strong interest in learning about and implementing value-based models to promote better care for individuals, better health for communities, and lower costs for the health care system. He is also passionate about efforts to reduce racial and ethnic disparities in American health and otherwise address social determinants of health.