Christine M. Clements

Partner at Sheppard, Mullin, Richter & Hampton LLP

Christine M. Clements

Christine M. Clements

Partner at Sheppard, Mullin, Richter & Hampton LLP

Biography

Christine M. Clements is a partner in the Healthcare Team in the firm's Washington, D.C. office with 25 years of experience on managed care law issues. Ms. Clements focuses her practice on federal healthcare government contract programs, with particular focus on the Medicare Advantage Program, the Medicare Prescription Drug Benefit, the Federal Employees Health Benefits Program, Medicaid managed care, and the Medicare-Medicaid Plans. Ms. Clements advises clients on the issues most important to them, including contract applications and service area expansions, responses to requests for proposals, rate development and bidding, medical loss ratio and other financial and reporting requirements, risk adjustment, Star ratings, sales and marketing, benefit design, employer/union group offerings, provider and vendor contracting and payment, internal audits, fraud and abuse, and compliance programs. Ms. Clements advises health plan clients in government audits and investigations. She also represents clients in administrative appeals including appeals of application denials, assessments of civil money penalties and Star rating/quality bonus payment determinations.

Ms. Clements counsels health plan and other clients on Health Insurance Portability and Accountability Act (HIPAA) privacy and security issues. She advises clients on permitted uses and disclosures under HIPAA and security breaches, negotiates business associate and limited data set agreements, and assists clients with other HIPAA compliance issues.

Ms. Clements also advises clients on state law requirements including insurance and HMO licensure requirement, net worth and other financial requirements, market conduct and other audits, state mandates and extraterritoriality requirements.

Previously Ms. Clements served as chief Medicare counsel at Aetna Inc., where she was responsible for the company's Consumer Segment. As chief Medicare counsel, Ms. Clements was the lead attorney for the company's Medicare Advantage and Medicare Prescription Drug Benefit businesses, Medicare Supplement products, and other retiree plans.

Ms. Clements has written and presented on the Medicare Advantage and Medicare Prescription Drug Benefit programs, the Federal Employees Health Benefits Program, and the HIPAA Privacy Rule, among other topics.

Overview
RelSci Relationships

2010

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Partner at Sheppard, Mullin, Richter & Hampton LLP

Relationship likelihood: Strong

Partner at Sheppard, Mullin, Richter & Hampton LLP

Relationship likelihood: Strong

Partner at Sheppard, Mullin, Richter & Hampton LLP

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Partner at Sheppard, Mullin, Richter & Hampton LLP

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Managing Partner at Sheppard, Mullin, Richter & Hampton LLP

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Partner at Sheppard, Mullin, Richter & Hampton LLP

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Partner at Sheppard, Mullin, Richter & Hampton LLP

Relationship likelihood: Strong

Partner at Sheppard, Mullin, Richter & Hampton LLP

Relationship likelihood: Strong

Partner at Sheppard, Mullin, Richter & Hampton LLP

Relationship likelihood: Strong

Partner at Sheppard, Mullin, Richter & Hampton LLP

Relationship likelihood: Strong

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Christine M. Clements
Partner at Sheppard, Mullin, Richter & Hampton LLP
Education
B.A. in Political Science

The George Washington University actively engages Washington, D.C., and the world. Their location in the heart of Washington places them at the core of U.S. government, policy and law. They sit where the worlds of science, technology, media and the arts converge. Their students and faculty have the unparalleled opportunity to study and work alongside leaders and practitioners in every discipline, to take part in the interchanges that shape our community and the world. The George Washington University was created in 1821 through an Act of Congress, fulfilling George Washington’s vision of an institution in the nation’s capital dedicated to educating and preparing future leaders. Today, GW is the largest institution of higher education in the District of Columbia. They have more than 20,000 students—from all 50 states, the District and more than 130 countries—studying a rich range of disciplines: from forensic science and creative writing to international affairs and computer engineering, as well as medicine, public health, the law and public policy. GW comprises three campuses—Foggy Bottom and Mount Vernon in Washington, D.C., and the GW Virginia Science and Technology Campus in Ashburn, Va.—as well as several graduate education centers in the metropolitan area and Hampton Roads, Va.

J.D.

American University Washington College of Law (WCL) is the law school of American University. It is located on Massachusetts Avenue in the Spring Valley neighborhood of Northwest Washington, D.C. The school is fully accredited by the American Bar Association, and a member of the AALS.

Memberships
Member
Current

American Bar Association provides legal services. It provides law school accreditation, continuing legal education, legal information and other services to assist legal professionals. The firm has members which include judges, court administrators, law professors, and non-practicing attorneys. The company was founded on August 21, 1878 and is headquartered in Chicago, IL.

Member
Current

The mission of the American Health Lawyers Association is to provide a collegial forum for interaction and information exchange to enable its members to serve their clients more effectively; to produce the highest quality nonpartisan educational programs, products, and services concerning health law issues; and to serve as a public resource on selected healthcare legal issues. AHLA provides resources to address the issues facing its active members who practice in law firms, government, in-house settings and academia and who represent the entire spectrum of the health industry: physicians, hospitals and health systems, health maintenance organizations, health insurers, life sciences, managed care companies, nursing facilities, home care providers, and consumers. As a 501(c)(3) organization, AHLA elects not to advocate for or against any particular policy proposals. The public interest efforts of AHLA are designed to provide pro bono materials to the public at large. Visit our Public Interest page for more information about our various initiatives and publications and to make a donation to our Public Interest efforts.

Career History
Partner
2018 - Current

Sheppard, Mullin, Richter & Hampton LLP provide legal services. The company provides legal expertise and counsel to U.S. and international clients in a range of practice areas including antitrust, corporate and securities, entertainment, media and communications, finance, and white collar defense. The firm was founded by James C. Sheppard, J. Stanley Mullin, George R. Richter, and Gordon F. Hampton in 1927 and it is headquartered in Los Angeles, CA.

Partner
Prior

Crowell & Moring LLP is a law firm that provides legal services in litigation and arbitration, regulatory and transactional matters. It also offers services in other areas including employee benefits, tax and white collar defense. The company was founded in 1979 and is headquartered in Washington, DC.

Chief Medicare Counsel
Prior

Aetna, Inc. engages in the provision of traditional, voluntary, and consumer-directed health insurance products and related services. It offers individuals, employers, healthcare professionals, producers, with benefits, products and services. The company was founded by Eliphalet Adams Bulkeley in 1853 and is headquartered in Hartford, CT.

Other Affiliations

Christine M. Clements is affiliated with Sheppard, Mullin, Richter & Hampton LLP, Crowell & Moring LLP, Aetna, Inc.

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