Kyle Gotchy works with hospitals, health systems, medical groups, and related businesses in connection with regulatory matters, operational issues, complex contracting, investigations, and enforcement proceedings. He works closely with in-house counsel, leadership, and other business, clinical, and compliance stakeholders on matters related to the state and federal laws governing providers and suppliers, the physician self-referral (Stark) and anti-kickback laws, and the development of risk-  and value-based payment arrangements.

Kyle draws on the operational perspectives he gained while serving as Senior Counsel at Seattle Children’s Hospital and strives to help his clients develop practical legal approaches in furtherance of their key business objectives. Prior to entering the legal profession, Kyle interned at the EPA on children's environmental health and assisted with analytical and basic sciences research in leading academic and biopharmaceutical laboratories. 

Publications

• "Relaxing Patient Inducement Rules," Reimbursement Advisor, January 2020
• "Peer Review and Quality Assurance Requirements," Washington Health Law Manual, Washington State Society of Healthcare Attorneys, 4th ed., 2019
• "State Fraud and Abuse Laws," Representing Hospitals and Health Systems, AHLA, 2016
• "Federal Physician Self-Referral Restrictions," Health Care Fraud and Abuse: Practical Perspectives, 2013-2015 & 2018 Supplements, ABA Health Law Section
• "50 State Survey: Fraud and Abuse Statutes and Regulations," Alaska, AHLA, 2014 Update, 2014
• "Corporate Practice of Medicine: A Fifty State Survey," Montana and Washington, AHLA, 2014

Advisories

• Materiality Matters: SCOTUS Rules on FCA Implied Certification, 06.20.16
• Tick, Tock, Shock: CMS Provides Welcome Guidance in the Final Regulation for 60-Day Rule, 02.12.16
• Medicare to Implement CJR: Mandatory Bundled Payment Program for Joint Replacement Surgeries, 11.23.15
• Recent Stark Developments: A Moving Target Where a Miss is as Good as a Mile, 07.27.15
• OIG Fraud Alert: Physicians in the Cross Hairs, 06.17.15
• Medicare Shared Savings Program: Final Rule, 06.16.15
• Touching Up that Old Two Step: CMS Proposes Revisions to its Beneficiary Assignment Methodology, 12.23.14
• Changing Basic Rules of the Game: CMS Proposed Rule Relating to ACO Governance and Contracting, 12.17.14
• Keeping Track of the Tracks: Proposed ACO Regulations Alter MSSP Financial Models, 12.11.14
• CMS Releases Proposed New Rule for Accountable Care Organizations, 12.04.14
• Sometimes the Government is Here to Help: OIG Proposes More Flexibility in Rules Governing Local Transportation, Beneficiary Inducements, and Physician Incentives, 10.06.14
• Legislature Amends Washington Anti-Rebate Statute, 07.08.13
• Washington Attorney General's Office Opinion Undermines Electronic Health Records Donation Programs, 12.13.12

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