Katrina Pagonis JD

Co-Chair, Regulatory Department, Hooper, Lundy & Bookman, PC

Katrina Pagonis is co-chair of Hooper, Lundy & Bookman's regulatory department and is nationally recognized for her deep knowledge of the regulatory and reimbursement landscape faced by healthcare providers and health care reform. As one of the nation's foremost authorities on the Affordable Care Act (ACA), Ms. Pagonis provides strategic advice to providers on ACA market reforms and rising trends in health reform from single-payer to repeal-and-replace proposals. She also provides regulatory and strategic advice to health care providers concerning managed care issues more generally, including out-of-network reimbursement, network configuration (narrow and tiered networks), reference pricing and cost-sharing limits, managed care contracting, and enrollment assistance activities. In addition, Ms. Pagonis regularly assists health care providers—including hospitals, long-term care providers, suppliers, pharmacies, hospices, physicians and medical groups—with a broad range of regulatory and Medicare/Medicaid reimbursement matters and legal challenges to Medicare payment policies. Clients benefit from Ms. Pagonis' extensive experience with site-neutrality initiatives for hospital outpatient services, meaningful use of electronic health records, health care technology, clinical trial agreements, antitrust, and internal investigations. Ms. Pagonis represents providers in government investigations and False Claims Act cases and assists providers that have credible information regarding potential overpayments with the investigation, identification, reporting, and returning of overpayments Ms. Pagonis is a former judicial law clerk of the U.S. Court of Appeals for the Ninth Circuit and the U.S. District Court for the District of Nevada. Until 2012, she was a full-time professor of health law at Hamline University School of Law in St. Paul, Minnesota.


Appearances