Jeff Wurzburg

Partner Norton Rose Fulbright US LLP

Jeff Wurzburg

Jeff J. Wurzburg is a trusted advisor to health care providers on a wide range of complex regulatory, compliance, reimbursement, managed care, and policy matters. A former attorney with the US Department of Health and Human Services Office of the General Counsel in Washington DC, he has extensive experience in Medicare, Medicaid and the Affordable Care Act.

Jeff counsels clients on federal program reimbursement, fraud and abuse laws, compliance strategies and government investigations, while guiding them through evolving health care legislation, rulemaking and enforcement trends. His clients rely on his advice for coverage and reimbursement disputes, managed care contracting, surprise billing investigations, the Medicare Advantage program, the 340B program, the Health Insurance Portability and Accountability Act (HIPAA), and maintaining operational compliance with the sophisticated and ever changing federal and state health care regulatory structure.

Previously, Jeff advised the Centers for Medicare & Medicaid Services and the Center for Medicare and Medicaid Innovation on ACA regulations, litigation and the development of innovative payment and service delivery models. This government experience uniquely positions him to provide sophisticated counsel on implementation, compliance and strategic opportunities relating to unique regulatory and reimbursement challenges faced by healthcare providers and managed care organizations.

Jeff holds leadership roles in national and state health law organizations including the American Health Law Association, the ABA Health Law Section and the State Bar of Texas Health Law Section Council. He is a frequent speaker at national conferences and webinars, presenting on topics ranging from Medicare and Medicaid to health care reform, value-based reimbursement, network adequacy, ACA litigation and managed care disputes. Jeff began his career on Capitol Hill, working for Senator Evan Bayh and serving as a legal fellow for Representative Henry Waxman. He was previously an Associate Deputy General Counsel with the US Department of Defense.

Professional experience

Representative experience

Counsels clients on Medicare and Medicaid reimbursement and compliance matters
Provides health care counsel in complex litigation and government investigations
Served as health plan counsel on secondment and advised on Medicare Advantage and Medicare Supplement regulations and requirements
Attorney with the U.S. Department of Health and Human Services Office of the General Counsel, Centers for Medicare & Medicaid Services Division (CMSD), Program Review Group
Worked closely with CMS on a variety of program review matters related to the implementation of the Affordable Care Act (ACA)
Assisted with litigation involving the ACA, such as King v. Burwell, House v. Burwell, and matters relating to the risk adjustment and risk corridors programs
Advised the Center for Medicare and Medicaid Innovation on the development and testing of innovative health care payment and service delivery models
Served as an Associate Deputy General Counsel in the Office of the General Counsel at the Department of Defense, where he worked on civil litigation related to the operation of the military detention facility at Guantanamo Bay, Cuba
Jeff began his career on Capitol Hill and worked for Senator Evan Bayh and was a legal fellow for Representative Henry Waxman.

Rankings and recognitions

Chambers USA, Texas: Healthcare, Chambers and Partners, 2024-2025
40 Under 40 Honoree, San Antonio Business Journal, 2021
Recipient of Anti-Defamation League Daniel R. Ginsberg National Leadership Award
The Best Lawyers in America, Ones to Watch, Health Care Law, Best Lawyers, 2021-2025

Education

LLM, Health Law and Policy, American University - Washington College of Law, 2012
JD, Drake Law School, 2005
BA, Political Science, English minor, Indiana University, 2003

Jeff was a Deans Fellow to Professor Corrine Parver while at American University Washington College of Law. While at Drake Law School, Jeff was involved in the American Constitution Society and the Student Bar Association. During his time at Indiana University, he was a member of Sigma Chi Fraternity.

Admissions

District of Columbia Bar
Texas State Bar
Virginia State Bar

Publications

"Don't You (Forget About Me) - Recent Requirements for Provider Directories in an Era of Consumer-Directed Health Care," AHLA Health Law Weekly, April 8, 2022
Author, "CMS Telehealth Policy Can Benefit Vulnerable Communities," Law360, July 20, 2020
"Protecting Patients from Surprise Medical Bills and the Role of Network Adequacy," AHLA Health Watch, 2020
"The State of CPOM and the Law in Texas", San Antonio Medicine, October 2019
Co-author, "The Joint Commission releases sentinel event statistics for first six Months of 2019," Norton Rose Fulbright Health Law Pulse, August 15, 2019
"Déjà vu All Over Again: PPACA is Declared Unconstitutional", ABA eSource, January 2019
"A New Era for Section 1332 of PPACA", ABA eSource, December 2018
Co-author, "In Search of Certainty: An Update on the Exchanges", ABA eSource, October 2017
Co-author, "Healthcare Reform: Considerations for Managed Care in a Time of Uncertainty", ABA eSource, March 2017

Speaking engagements

Value Reimagined: Healthcare Payment Reform in the Wake of OBBBA, ABA Washington Health Law Summit, December 9, 2025
Medicaid Fundamentals: The Safety Net in the Crosshairs, AHLA Fundamentals Conference, November 2, 2025
The Payor/Provider Relationship: Fundamentals, Disputes, and Trends, 36th Annual UT CLE Health Law Conference, April 24, 2025
Medicaid Fundamentals: Examining the Most Essential Coverage Source in the U.S., AHLA Institute on Medicare and Medicaid Payment Issues, March 26, 2025
There Will Be Ethics, ABA Washington Health Law Summit, December 10, 2024
Managed Care Litigation and Trends, AHLA Health Plan Law and Compliance Institute, May 5, 2024
Medicaid Fundamentals: Examining America's Most Essential Health Care Program, AHLA Institute on Medicare and Medicaid Payment Issues, March 20, 2024
Current Trends in Payer/Provider Disputes, AHLA Advising Providers: Legal Strategies for AMCs, Physicians, and Hospitals (Feb. 6, 2024)
Ethics in Healthcare Governance, Texas Healthcare Trustees, July 25, 2024
Managed Care Payment Issues and Litigation Update, 35th Annual UT CLE Health Law Conference, April 18, 2024
Medicare Advantage: Opportunity or Peril, ABA Washington Health Law Summit, December 11, 2023
Medicaid Fundamentals: Examining America's Most Essential Health Care Program, AHLA Institute on Medicare and Medicaid Payment Issues, March 22, 2023
Lawyers Behaving Badly (Ethics), ABA Managed Care Institute, October 12, 2023

Memberships and activities

American Health Law Association
- Member, Planning Committee, Health Plan Law and Compliance Institute, (2024-2025)
- Vice Chair of Educational Programming, Payers, Plans, and Managed Care Practice Group 2019-2023
- Chair, Payers, Plans, and Managed Care Practice Group, Managed Care Contracting Affinity Group 2018-2019
- Vice-Chair, Payers, Plans, and Managed Care Practice Group, Medicare Advantage and Part D Affinity Group 2017-2018
American Bar Association, Health Law Section
- Member, Health Law Section Council
- Chair, Managed Care Interest Group, 2022-2024
- Co-Chair, Health Reform Task Force, 2021-2023
- Co-Chair, Washington Health Law Summit, 2019-2021
- Vice-Chair, Emerging Issues in Healthcare Law Conference, 2016 - 2019
State Bar of Texas Health Law Section
- Chair-Elect, Health Law Section Council, 2025-26
- Vice-Chair, Health Law Section Council, 2024-25
- Treasurer, Health Law Section Council, 2023-24
- Member of Health Law Section Council, 2018 -current
The Multi-Assistance Center at Morgan's Wonderland, Director
Washington College of Law Health Law and Policy Alumni Advisory Council, Member
Leadership San Antonio, Class 45; Steering Committee, Class 48
San Antonio Bar Association