Alisa Chestler, of counsel in the Washington, D.C., office of Baker Donelson, concentrates her practice in health care and insurance regulatory compliance, and privacy and security counseling. Ms. Chestler is former in-house counsel for several large health care companies. Ms. Chestler routinely counsels providers, managed care organizations, insurers, third party administrators, self-funded employers and health care specialty organizations. She has experience in managed care, health plan operations and contract negotiation, provider contracting and credentialing, regulatory and licensing matters, disease management, employee assistance programs (EAP), ERISA, government contracting and procurement. She has extensive experience advising on Medicare and Medicaid issues.
As in-house counsel she managed the licensing departments of several companies and managed several market conduct surveys. Ms. Chestler also routinely represents clients in administrative hearings at the Office of Medicare Hearings and Appeals (OMHA). More recently, Ms. Chestler has assisted providers, employers and insurers in compliance with Medicare Secondary Payor issues, including MMSEA mandatory reporting obligations. Much of her current practice focuses on assisting clients with issues surrounding the Affordable Care Act (ACA).
Ms. Chestler routinely counsels clients on data privacy and security matters that arise from federal and state laws, including HIPAA, HITECH, state data breach laws and the Payment Card Industry (PCI-DSS) requirements. She has substantial experience with HIPAA/HITECH compliance, including preparing and negotiating business associate agreements, developing policies and procedures, and advising clients on data breaches and notification. Ms. Chestler assists clients with EHR negotiation, adoption and compliance with HITECH and meaningful use requirements. She has also assisted clients in analyzing and negotiating cloud computing issues and agreements.
With over 17 years of experience, Ms. Chestler advises on a wide variety of issues in both the commercial and public sectors in all fifty states and Puerto Rico. She has served as counsel for several large health care companies and insurers, including CareFirst BlueCross BlueShield and Magellan Health Services. Prior to joining Baker Donelson, Ms. Chestler served as Vice President, Associate General Counsel and Chief Privacy Officer at APS Healthcare, Inc., a national specialty health company. She was responsible for legal oversight of all federal and state regulatory compliance issues, including licensing, HIPAA and state regulatory activities, negotiation of vendor and provider contracts, compliance and operational issues, and policy and procedural development.
- Co-author – "CCIIO Releases Federally-Facilitated Exchange Guidance," Health Law STAT alert (May 18, 2012)
- Author – "New Health IT Privacy and Security Guide Issued," Health Law STAT alert (May 10, 2012)
- Author – "Thirteen Things You Should Know About HIPAA Privacy and Security," Baker Donelson's Baker's Dozen white paper (2012)
- Author – "Potential Regulation of Proposed Premium Rate Increases for Association Plans?" American Health Lawyers Association Email Alert for the Payors, Plans, and Managed Care Practice Group (May 25, 2011)
- Co-author – "FDA Mulls Enforcement Strategy for National Menu Labeling," Hospitalitas Newsletter Issue 1, January 2011
- Co-author – "Thirteen Things To Know About Health Care Insurance Exchanges: The New Marketplace," Baker Donelson's Baker's Dozen white paper (2010)
- Author – "The AWP Saga Continues: MediSpan Will Continue Publishing AWPs," American Health Lawyers Association Email Alert for the Payors, Plans, and Managed Care Practice Group (June 28, 2010)
- Author – "OCIIO Issues First Round of Grants to States for Premium Rate Review Activities," American Health Lawyers Association Email Alert for the Payors, Plans, and Managed Care Practice Group (June 10, 2010)
- Co-author – "First View of Implementing Regulations Under the Medicare and Medicaid Health IT Programs," Health Lawyers Weekly (January 8, 2010)
- Speaker – "The GINA Regulation: Implications for Wellness and Disease Management Programs," a panel presentation on the Genetic Information Nondiscrimination Act (GINA), presented by DMAA: The Care Continuum Alliance (December 7, 2009)
- Listed in Washington, D.C. Super Lawyers in the area of Health Care (2012)
- Chair – Compliance Committee, The Care Continuum Alliance (2009 – present)
- Member – American Health Lawyers Association
- Member – International Association of Privacy Professionals
- Member – Health Care Compliance Association
- Member – American Health Information Management Association
- Practice Council on Health Information Exchange (2012 – 2013)
- Connecticut, 1994
- District of Columbia, 1996
- Hofstra University School of Law, J.D., 1994
- Ithaca College, B.A., 1991