Practice Areas
- Healthcare Policy
- Healthcare
- Drug Pricing
- Reimbursement
- Fraud & Abuse
- Provider & Practitioner Operations
- Transactions
- Health Information Technology & Privacy
Bar Memberships
- Ohio
- District of Columbia
Industry Expertise
- Healthcare
- Hospitals & Hospital Systems
- Physicians
- Diagnostic & Other Health Services
- Managed Care Organizations
Education
- AB, Miami University, 1981
- JD, University of Cincinnati, 1984
James M. Jorling
Principal
Jim Jorling is a principal in the firm and a member of its health care practice group. He advises health care organizations on a range of matters including corporate, tax, tax exemption, fraud and abuse, self-referral, reimbursement, privacy, security and administrative simplification, managed care (Medicare Advantage, Medicare Part D, Medicaid, FEHBP, commercial), ERISA, antitrust, government contracts, and other legal matters. He has advised provider networks (PHOs, IPAs), health insurance plans and administrators, including TPA and PBM organizations, on federal and state regulatory matters. He has represented a number of disease management organizations on legal and legislative matters. He has represented providers on Medicare and Medicaid compliance and reimbursement matters including hospitals, physicians and IOTFs.
Mr. Jorling served as Special Assistant to the Secretary of the Department of Health and Human Services. He was a Health Policy Assistant for the Presidential Transition Office and the Health Care Advisory Group for the Clinton-Gore Campaign. He was a partner at Gardner Carton & Douglas prior to joining Powers Pyles Sutter & Verville, PC in April 2004. He is admitted to the Bar in Ohio and the District of Columbia.
Powers Pyles Sutter & Verville is a Washington, DC-based law firm that focuses on health care, education and the law of tax-exempt organizations.
Honors & Distinctions
- Special Assistant to the Secretary of the Department of Health and Human Services
- Health Policy Assistant for the Presidential Transition Office and the Health Care Advisory Group for the Clinton-Gore Campaign
News & Publications
- “Medicare Prescription Drug, Improvement and Modernization Act of 2003 and It's Impact on Managed Care”
- “Disease and Case Management under the Medicare Prescription Drug, Improvement and Modernization Act of 2003”
- "Health Information Privacy – The Preemption Standard,” Topics in Health Information Management, 2002, Vol. 22, No. 3, 5-16
- “Disease and Care Management: Impact of Privacy Rule,” Topics in Health Information Management, 2002, Vol. 22, No. 4, 49-56
- “Law and Disorder, Critical Legal Issues in Disease Management,” Disease Management Health Outcomes 1999 Dec.; 6 (6)
- “A World That Won’t Stand Still: Enterprise Liability by Private Contract,” Vol. 43, No. 4, DePaul Law Review 1007 (1994)
