Epstein Becker Green (EBG)

Member Level: Sponsor

Vendor Overview

Description of Services: Epstein Becker Green (“EBG”) has served as a thought leader in the health care industry for more than 45 years. The breadth of experience delivered by our Health Care and Life Sciences practice—to all players throughout every sector of the health care delivery system—sets us apart. We know the industry inside and out. You might say, it’s in our genes.

EBG was one of the innovators of, and is a prominent law firm in, managed care delivery systems. The firm has worked with managed care organizations for more than three decades, and firm attorneys have provided key technical advice to Congress, federal agencies, and states throughout the development, passage, and implementation of managed care legislation. The firm also has had long experience with the application of managed care financing and delivery to beneficiaries of governmental programs such as Medicaid, Medicare, and TRICARE. Our clients have long included contractors in each of these programs so that we bring seasoned perspective to the problem faced by Medicare Part C and D contractors. We work with these and other clients on all aspects of regulating compliance and risk management.

EBG provides complete legal support for our clients in the health care and life sciences sector; including:

• Advice on Medicare, Medicaid, Federal Employee Health Benefits Program, TRICARE contract negotiation, and regulatory compliance programs
• Contract negotiations
• Compliance plan developmental and execution
• Provider contracting
• Counseling as to state and national regulatory compliance
• Counseling with respect to state licensure and federal contracting issues
• Representation in regulatory investigations
• Sector advice to private equity investors and lenders
• Representation in mergers and acquisitions
• Public policy analysis
• Strategic legal plans for developmental stage companies
• Litigation of managed care issues

Additionally, members of our Health Care and Life Sciences practice have established nonprofit organizations devoted to improving the U.S. health care system. For example, Lynn Shapiro Snyder founded the Women Business Leaders in Health Care, a national nonprofit organization that brings together a peer group of senior executive women from all parts of the health care industry. And Carrie Valiant founded the Health Care Industry Access Initiative, a nonprofit organization dedicated to promoting collaborative action across the health care industry to improve access to health care coverage and services in the United States.

EBG also works collaboratively with its two affiliates—EBG Advisors, a national strategy and management consultancy, and National Health Advisors, a legislative and regulatory advocacy consultancy—to fulfill a client’s business objectives and legal, consulting, and advocacy needs, particularly when increased capacity and focused knowledge and experience are required.

Learn more about EBG Advisors: https://www.ebgadvisors.com/

Learn more about National Health Advisors:
http://www.nationalhealthadvisors.com/



Primary Service: Administrative Systems
Secondary Service: Consulting

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1227 25th Street NW
Suite 700
Washington, DC 20037
2028610900
http://www.ebglaw.com

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Documents
4/7/2020

COVID-19 Telehealth Medicare Expansion FAQ
Epstein Becker Green provides answers to frequently asked questions relating to Medicare Advantage telehealth expansion during the COVID-19 crisis.

3/25/2020

Presentation: COVID-19 - Telehealth expansion for Medicare and implications for Alliance member health plans
This webinar provides in depth details to help health plans navigate the requirements and meet your membersâ?? needs quickly and compliantly. Most of the information will be focused on Medicare, but our expert speaker will also speak to considerations for Medicaid and Commercial plans.

3/25/2020

Recording: COVID-19 Telehealth expansion for Medicare and implications for Alliance member health plans
This webinar provides in depth details to help health plans navigate the requirements and meet your members’ needs quickly and compliantly. Most of the information will be focused on Medicare, but our expert speaker will also speak to considerations for Medicaid and Commercial plans.

3/18/2020

Congress’s COVID-19 Funding Legislation Expands Access to Telehealth Services for Medicare Beneficiaries
Epstein Becker Green discusses new legislation that covers telehealth services for Medicare during the coronavirus crisis.

3/18/2020

Epstein Becker Green Coronavirus Resource Center
Epstein Becker Green announces availability of their Coronavirus Resource Center and provides helpful information and links.

3/21/2019

Presentation: Recent Health Industry Anti-trust Cases and Implications for Regional Health Plans
Epstein Becker Green discusses antitrust concerns and some related recent antitrust actions addressing unique challenges to vertically integrated relationships among providers and health plans at the Spring Leadership forum in Dallas, March 2019.

2/13/2019

Presentation: Federal Enforcement impact on Risk Adjustment MA Landscape - Key Legal and Compliance Considerations
Government interest and enforcement involving the Medicare Advantage (MA) Program risk adjustment payment system no longer is focused solely on Medicare Advantage Organizations. This presentation is an overview of the potential legal pitfalls and current enforcement landscape in Medicare Advantage associated with risk adjustment. We will provide an overview of the risk adjustment payment methodology, how providers influence payment, key risk and enforcement areas, and best practices

2/12/2019

Federal Enforce Impacts on RA MA Landscape
An overview from Epstein Becker Green of the potential pitfalls and current enforcement landscape in Medicare Advantage associated with risk adjustment. Included are the risk adjustment payment methodology, how providers influence payment, key risk and enforcement areas, and best practices.

8/8/2018

Presentation: Govt Audits of Managed Care Plans and Issuers - Best Practices
EBG discusses government audit experiences and expectations along with best practices to ensure health plans are ready to timely and effectively address incoming audit requests.

8/7/2018

Presentation: Risk Management Survey and Working Group
EBG presents results of an Alliance survey on health plans' enterprise risk management programs. Topics cover competencies related to mitigating the risks facing managed care organizations.