With over a decade of experience, Stacey Worthy provides counsel to nonprofit organizations; health care programs and providers specializing in pain and addiction medicine; clinical laboratories; and pharmaceutical, biotechnology, and medical device companies in various aspects of their legal, regulatory, and business affairs.
Ms. Worthy offers her nonprofit clients unique legal, policy, and strategic insight on issues involving coverage of and access to health care. Her main areas of focus include state benefit utilization management laws, pharmacy benefit management laws, federal health care reform, anti-discrimination laws, Medicare reimbursement, employee benefits, and the opioid, heroin, and fentanyl crisis. In this capacity, she provides insightful research and analysis of laws, regulations, and legislation; drafts state and federal bills; manages advocacy initiatives; and oversees coalition-building efforts of allied organizations focused on advancing common goals. She has also assisted her nonprofit clients on other areas of law that affect tax-exempt organizations, such as ethics, corporate and contract law matters, formation and dissolution, tax and lobbying rules, and charitable giving and fundraising programs.
Ms. Worthy advises health care programs, providers, and laboratories on a wide range of federal and state health regulatory, fraud and abuse, and reimbursement matters, including anti-kickback, false claims, self-referral, fee-splitting, marketing, billing and coding, and licensure issues. She also counsels clients on the development, implementation, and evaluation of their compliance programs. She prepares practitioners for U.S. Drug Enforcement Administration inspections, responds to medical board complaints, drafts policies for urine drug testing, and assists with third-party billing and collections.
Ms. Worthy counsels pharmaceutical, biotechnology, and medical devices on federal and state health care laws and regulations. She also serves as counsel to Aimed Alliance, a nonprofit that works to protect and enhance the rights of health care consumers and providers. She frequently authors scholarly articles for publication and presents at national conferences on topics concerning health care regulatory matters; best practices and the standard of care for prescribing controlled substances; fraud and abuse; and improving patient access to quality health care. A list of her publications can be found here.
Prior to joining Sequel Health, Ms. Worthy worked at DCBA Law & Policy for nine years, where she rose to partner in 2016 after previously serving as an associate and law clerk. Between 2009 and 2011, she interned for the United States Department of Justice, Civil Rights Division – Disability Rights Section; Porter Wright Morris & Arthur, LLP; and the American Bar Association, Criminal Justice Section. She also served as an administrative associate for the Pew Charitable Trusts.
Ms. Worthy is a graduate of George Mason School of Law, where she served as Articles Editor for the George Mason Law Review. She earned her bachelor’s degree in English and graduated magna cum laude from Boston’s Suffolk University in 2006.