Epstein Becker Green (EBG)
Member Level: SponsorVendor 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
Documents
Presentation: The Board's Role in Managing Risk
Carrie Valiant with the law firm Epstein Becker Green provides an overview of the government's expectations with respect to board oversight of risk management and compliance, common health plan risk areas, interacting with strategic partners and ongoing risk mitigation.
Recording: Medicaid Managed Care Final Rule
On May 19, 2016 Epstein Becker Green's team of experts present a webinar that covers the background of Medicaid Managed Care, the major provisions of the proposed rule, and key takeaways.
Audio: Enterprise risk management: Preparing your health plan to stay ahead
Enterprise Risk Management is a new way for boards and senior management to attempt to manage the specific risks associated with a particular business enterprise. This session features Patricia Wagner of Epstein Becker Green, who explores ways in which the board and senior management can establish Enterprise Risk Management priorities.
Presentation: Enterprise risk management: Preparing your health plan to stay ahead
Enterprise Risk Management is a new way for boards and senior management to attempt to manage the specific risks associated with a particular business enterprise. This session features Patricia Wagner of Epstein Becker Green, who explores ways in which the board and senior management can establish Enterprise Risk Management priorities.
Archived Presentation: Medicaid Managed Care Final Rule
On May 19, 2016 Epstein Becker Green's team of experts present a webinar that covers the background of Medicaid Managed Care, the major provisions of the proposed rule, and key takeaways.
Recording: Overview of CMS Star Ratings program and its impact on Medicare Advantage Payment
Through this webinar, the speakers will provide an overview of the CMS star ratings measures, the bases for those measures, and the related timeframes. We will also discuss the how Medicare Advantage payments are set and the impact of Star Ratings on those payments. Finally, we will review highlights from the CMS Final MA/PD Payment Announcement and Call Letter with a focus on payment, risk adjustment and Star Ratings.
Presentation: Overview of CMS Star Ratings program and its impact on Medicare Advantage Payment
Through this webinar, the speakers will provide an overview of the CMS star ratings measures, the bases for those measures, and the related timeframes. We will also discuss the how Medicare Advantage payments are set and the impact of Star Ratings on those payments. Finally, we will review highlights from the CMS Final MA/PD Payment Announcement and Call Letter with a focus on payment, risk adjustment and Star Ratings.
Presentation: CMS Advance Notice and Draft Call Letter Proposals
CMS's Advance Notice and Draft Call Letter Proposals for 2017 Medicare Advantage and Part D Plans: Increased payments for some, decreased payments for others, and changes to Star Ratings for all. This webinar will discuss CMS's recently released Advance Notice and Draft Call Letter for the 2017 contract year, which announce CMS's proposed and final policies in the areas of payment, risk adjustment, benefit requirements, star ratings, enforcement and other areas.
Recording: CMS Advance Notice and Draft Call Letter Proposals
CMS's Advance Notice and Draft Call Letter Proposals for 2017 Medicare Advantage and Part D Plans: Increased payments for some, decreased payments for others, and changes to Star Ratings for all. This webinar will discuss CMS?s recently released Advance Notice and Draft Call Letter for the 2017 contract year, which announce CMS?s proposed and final policies in the areas of payment, risk adjustment, benefit requirements, star ratings, enforcement and other areas.
Presentation: Access Rules Across Markets - Network Adequacy Standards in MA
This webinar will discuss network adequacy rules for Medicare Advantage, federal access standards for Medicaid managed care, and federal standards for Qualified Health Plans on the Exchanges. It will also explore the National Association of Insurance Commissioners? (?NAIC?) recent revision to its model network adequacy law, entitled the ?Health Benefit Plan Network Access and Adequacy Model Act,? and the impact this Act may have on state network adequacy standards.