Overview
For almost two decades, attorney Melissa Borrelli has provided health care clients with innovative and practical solutions to the legal, regulatory, and policy issues they face.
Among Melissa’s broad array of clients are payors, health systems, providers, and other entities in the health care, managed care, and health plan industry, such as psychological, dental, vision, chiropractic/acupuncture, employee assistance, and other specialized plans; commercial plans; discount plans; and government-based health plans, including Medicaid, Medicare, and Marketplace.
Clients turn to Melissa for advice on compliance and regulatory affairs, auditing/operational assessment, enterprise risk management, digital health, telemedicine, contracts, due diligence, fraud and abuse, public policy, and privacy and information security issues. She also counsels clients on health care and privacy compliance regulations, processes, and programs and has been certified by the Health Care Compliance Association (HCCA) in both Healthcare Compliance and Healthcare Privacy Compliance. In addition, Melissa is experienced in health care discrimination law, federal and state mental health parity requirements, and transactional matters, including corporate governance, mergers and acquisitions, and reorganization.
Health plans and risk-bearing providers also seek Melissa’s guidance on licensing, contracting, and other issues concerning managed care laws and standards, such as the California Knox-Keene Act, the Welfare and Institutions Act, the federal Affordable Care Act, the Public Health Service Act, and National Committee for Quality Assurance accreditation standards.
Melissa brings to her practice both a legal and operational perspective, which she gained from her experiences in the private and public sectors. She previously worked in the health care consulting practice at an international tax and accounting firm and was in-house counsel at a California health plan. She also served as an attorney with the California Department of Managed Health Care and completed a graduate fellowship at the California Health and Human Services Agency. In addition, Melissa spent eight years teaching health and insurance law to graduate, undergraduate, and paralegal students at multiple universities and colleges across Northern California and co-authored the American Health Law Association’s Managed Care Contracting Toolkit.
Before joining Epstein Becker Green, Melissa was co-chair of the Health Care Group of a national law firm.
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Focus Areas
Services
- Corporate & Transactional
- Corporate Compliance Program Development, Implementation, and Effectiveness
- Corporate Governance
- Data Breach and Incident Response
- Digital Health
- General Counsel Services
- Health Care
- Health Care Mergers and Acquisitions
- Health Insurance Exchanges
- Health Policy and Legislation
- Managed Care
- Medicare Advantage
- Mental Health Parity
- Privacy Compliance Strategies
- State Privacy Law Compliance
- Telehealth
Experience
- Advised a health plan and a Northern California-based independent practice association on their merger and sale to a population health management company. Melissa and her team successfully navigated the client through multiple transactions to combine strategic corporate transactional structures, avoiding significant regulatory risks at both the federal and state levels and securing regulatory approval from the California Department of Managed Health Care.
- Guided multiple organizations, some from start-up, through the arduous process of health plan licensure and compliance and obtaining contracts with the Centers for Medicare & Medicaid Services, California Department of Health Care Services, and Covered California.
Credentials
Education
- Loyola University Chicago School of Law (LL.M., 2012)
- Health Law
- University of California, Davis King School of Law (J.D., 2005)
- University of California, Davis (B.S., 2002)
- Environmental Science Policy Analysis and Planning
Bar Admissions
- California
Professional & Community Involvement
- American Health Lawyers Association, Former MA / Part D Affinity Group Vice Chair
- Association of Corporate Counsel, Health Law Network
- California Society for Healthcare Attorneys, Former President
- California Women Lawyers Bar Association
- HCCA
- Sacramento County Bar Association
- SacLEGAL Bar Association
- Women Lawyers of Sacramento
Certifications
- Certified in Healthcare Compliance (CHC), HCCA
- Certified in Healthcare Privacy Compliance (CHPC), HCCA
Events
Past Events
- Emerging Issues in Managed Care: Loyola University Chicago School of Law Guest Lecture
- California Association of Health Plans Annual Conference: Mental Health Parity in California – Updates and What to Expect in the Future
Insights
Insights
- Media CoverageMelissa Borrelli Featured in “People on the Move”1 minute read
- PublicationsFinal Medicaid Managed Care Rule Updates Requirements Regarding Access, Finance, and Quality17 minute read
- PublicationsCMS Finalizes Medicaid Access Rule: Significant Changes Ahead for HCBS Industry10 minute read
- PublicationsCMS Finalizes Rule Establishing Minimum Staffing Standards for Long-Term Care Facilities17 minute read
- Media CoverageCSHA Members Join Epstein Becker Green1 minute read
- Media CoverageRaja Sékaran, John Puente, Melissa Borrelli Featured in “Wake Up Call: Laterals, Moves, In-House”1 minute read
- Media CoverageEpstein Becker Green Grows Health Care & Life Sciences Practice2 minute read
- Firm AnnouncementsEpstein Becker Green Fuels West Coast Momentum with Six-Attorney Health Care Team6 minute read
- Media CoverageEpstein Becker Green Adds 6-Atty Healthcare Team in San Francisco2 minute read
- Media Coverage
Epstein Becker Green’s Bay Area Healthcare Attorney Additions Featured in the San Francisco Business Times
1 minute read - Publications
Compliance Corner: Policy and Procedure Best Practices, American Health Law Association
- Publications
Jail Time for a HIPAA Violation? American Health Law Association
- Publications
Managed Care Contracting Toolkit, American Health Law Association (Contributing Writer)
- Publications
MCO and Payor Obligations, American Health Law Association
- Publications
California’s New Pharmacy Benefit Management Company Registration Requirements—a Sign of Things to Come? American ...