Alice G. Gosfield, Esq.: A Career Dedicated to Health Law

Alice G. Gosfield, Esq. is a distinguished attorney whose career has been dedicated to health law, with a focus on representing physicians and their group practices. Her expertise encompasses non-institutional reimbursement, Medicare, managed care, fraud and abuse compliance, medical staff issues, and value and quality. A graduate of Barnard College and New York University School of Law, Ms. Gosfield's career began in 1973 and has included roles in government-funded research, state health care agency regulation, and private practice since 1978.

Ms. Gosfield has made significant contributions to public service, including serving as Chairman of the Board of Directors of the National Committee for Quality Assurance for five terms from 1998 to 2002, and as a board member from 1992 to 2003. She has been involved in public policy through her work on four committees of the Institute of Medicine of the National Academy of Sciences, focusing on utilization management and clinical practice guidelines. Additionally, she has advised the Agency for Health Care Policy and Research on evaluating clinical practice guidelines and developing methodologies for medical review criteria, performance measures, and standards of quality.

As the first Chairman of the Board of PROMETHEUS Payment®, Inc., Ms. Gosfield led a national, multi-stakeholder initiative to develop a new provider payment model based on the cost of delivering guideline-based care. She also served as the first Chairman of the Board of the Health Care Incentives Improvement Institute, Inc (HCI3), which merged Bridges to Excellence and PROMETHEUS Payment®.

Ms. Gosfield has been consulted by numerous prestigious organizations, including the Congressional Budget Office, the General Accounting Office, the Robert Wood Johnson Foundation, and the Federal Agency for Healthcare Research and Quality. Her expertise has been sought on issues related to Medicare reimbursement, medical evidence, managed care legislation, and tort reform. She served as President of the American Health Lawyers Association from 1992 to 1993 and chaired their Physician and Physician Organizations Institute from 2001 to 2006.

A highly sought-after speaker, Ms. Gosfield has lectured nationally and internationally to diverse audiences, including health care professionals, executives, boards of trustees, and managed care executives. Known for her practical, provocative, and incisive style, she effectively communicates complex technical information in an understandable and engaging manner. Her speaking engagements have included presentations for the American Health Lawyers Association, the American Medical Association, the Medical Group Management Association, America's Health Insurance Plans, the Healthcare Compliance Association, and the American College of Cardiology, among others.

Ms. Gosfield is a prolific author, with over 186 published articles, 11 monographs, and four books. Her first book, "PSROs: The Law and The Health Consumer," was published in 1975. Her second book, "Guide to Key Legal Issues in Managed Care Quality," was published in 1996 for non-lawyers. Since 1989, she has been the editor of the annual "HEALTH LAW HANDBOOK" published by WestGroup, and she co-authors "MEDICARE AND MEDICAID FRAUD AND ABUSE," an annually updated treatise also published by WestGroup. Ms. Gosfield serves on the editorial advisory boards of multiple journals and newsletters, including Medical Economics, and is a contributing editor to Family Practice Management.

Ms. Gosfield has been recognized as one of the top health lawyers in the country. In 2007, she was named one of the Top Thirty Health Lawyers by the Best of the Best, and in 2009, she was among the Top Twenty-five Health Lawyers. She was the first Health Lawyer of the Year (Philadelphia) in 2010 by the Best Lawyers in America. She has been a Pennsylvania Super Lawyer and one of the Top 50 Women Lawyers in Pennsylvania. She has been listed in "The Best Lawyers in America" (Health Law) in every edition since the category's inception in 1991. Internationally, she has been recognized by the International Centre for Commercial Law in the United Kingdom as one of The Legal 500, a select group of 500 U.S. law firms recommended for their expertise. Ms. Gosfield is a Fellow of the American Health Lawyers Association.