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  Health Law


Clay B. Wortham / Associate
Professional Experience
Clay Wortham is a member of the Firm’s Health Law Practice Group. He provides health law regulatory and transactional advice to health care providers and related entities, including hospitals, pharmaceutical companies, health plans and physician groups. Clay also counsels non-health care clients doing business in the health care industry on compliance with laws impacting the health care space, including the Anti-Kickback Statute, Stark Law, HIPAA and state privacy laws, and corporate practice of medicine restrictions.

Clay was previously corporate counsel with Walgreen Co. where he advised with respect to fraud and abuse, Medicare and Medicaid, and privacy issues for the Walgreens family of companies.

Clay has written several articles and delivered speeches on fraud and abuse, and privacy and security matters.

Education and Honors
  • University of Kentucky College of Law (J.D., 2005)
    Kentucky Law Journal (Editor-in-Chief, 2004-2005). Rouse and Winslow Scholarships (Recipient). Best Open Memorandum Award (Recipient).
  • University of the Cumberlands (B.S., cum laude, 2001)
    Degree: Business Administration and Finance.
Bar Admissions
Illinois, 2005

Court Admissions
U.S. District Court, Northern District of Illinois, 2006

Professional and Civic Activities
American Health Lawyers Association (Member).

Selected Presentations/Publications
  • Co-presenter, Walgreen Co. Aspire Program, Introduction to Health Laws, September 29, 2011. 

  • Co-author, AHLA Practice Group Alert, CMS Proposes Updated Medicare Marketing Guidelines, February 26, 2010, available at www.healthlawyers.org (subscription required). 

  • Co-author, AHLA Practice Group Alert, CMS Issues CY 2011 Advance Notice of Payment Rates and Draft Call Letter for MA and Part D Plans, February 24, 2010, available at www.healthlawyers.org (subscription required). 

  • Presenter, Chicago Chapter of the Islamic Medical Association of North America (IMANA), Financial Incentives for Physicians in Obama’s Stimulus Package, June 3, 2009. 

  • Co-presenter, BlueCross BlueShield Association Compliance Program, ARRA’s Health Information Protections Part II—Business Associates and Enforcement Framework, May 20, 2009.
  • Co-presenter, BlueCross BlueShield Association Compliance Program, ARRA’s Health Information Protections Part I—HIPAA Covered Entities April 29, 2009. 

  • Co-presenter, NGE Business Law Seminar Series, Stimulus Package Jumpstarts EHR Adoption and Toughens Health Information Protections April 21, 2009. 

  • Co-author, BlueCross BlueShield Association Legal Affairs Bulletin, Impact on Group Health Plans of the State Children’s Health Insurance Program Expansion No. 999 at 21, April 2009, available at http://blueweb.bcbs.com (active login required). 

  • Co-author, AHLA Practice Group Alert, CMS Reissues 2010 Draft Call Letter for Comment, February 25, 2009, available at www.healthlawyers.org (subscription required). 

  • Co-author, AHLA Practice Group Alert, CMS Announces Proposed Medicare Advantage Capitation and Part D Standard Coverage Rates for 2010, February 23, 2009, available at www.healthlawyers.org (subscription required). 

  • Co-author, AHLA Practice Group Alert, Changes to Part D Reporting Requirements Proposed for Contract Year 2010, February 3, 2009, available at www.healthlawyers.org (subscription required). 

  • Author, AHLA Practice Group Alert, CMS Releases “Final Version” of Part D Manual Chapter 13 on Low-Income Subsidies, December 11, 2008, available at www.healthlawyers.org (subscription required). 

  • Co-author, BlueCross BlueShield Association Legal Affairs Bulletin, Red Flags and Blue Plans No. 994 at 9, November 2008, available at http://blueweb.bcbs.com (active login required). 

  • Co-presenter, NGE Business Law Seminar Series, Long-Term Care Coverage: An Employer’s Guide to Understanding the Benefit, August 12, 2008. 

  • Co-author, AHLA Practice Group Alert, OIG Report: Nursing Homes Covering Part D Drugs, June 11, 2008, available at www.healthlawyers.org (subscription required). 

  • Co-author, AHLA Practice Group Alert, Senate Finance Committee Hears Testimony Regarding Abusive Medicare Marketing Practices, February 11, 2008, available at www.healthlawyers.org (subscription required).

  • Co-author, AHLA Practice Group Alert, CMS Expects Reduced Part D Costs Reports High Enrollment and Enrollee Satisfaction, February 4, 2008, available at www.healthlawyers.org (subscription required). 

  • Co-author, AHLA Practice Group Alert, Medicare Part D Drives 2006 Medicare Spending Higher -- Reduces Medicaid, Out-of-Pocket Costs, January 10, 2008, available at www.healthlawyers.org (subscription required).

  • Author, Revised Uniform Partnership Act: Anomalies of a Simplified, Modernized Partnership Law, 92 Ky. L.J. 1083, 2004.