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
9/15/2015

Audio: Privacy and antitrust: Is your data warehouse in compliance?
Understanding risks when it comes to sharing data between the administrative and delivery sides.

8/25/2015

Presentation: Understanding Medicare Advantage Requirements - Network Providers as Downstream Entities
CMS uses audits and other tools to oversee plan compliance with Medicare Advantage (?MA?) requirements. CMS requires that MA sponsors have compliance plans that include training on MA compliance and other requirements and self-auditing and monitoring to and identify and correct non-compliance.

8/25/2015

Recording: Understanding Medicare Advantage Requirements
CMS uses audits and other tools to oversee plan compliance with Medicare Advantage (“MA”) requirements. CMS requires that MA sponsors have compliance plans that include training on MA compliance and other requirements and self-auditing and monitoring to and identify and correct non-compliance.

7/2/2015

Presentation: CMS Medicaid Managed Care Proposed Rules
Through this webinar, we will discuss CMS?s proposed efforts to modernize managed care in Medicaid and the Children?s Health Insurance Program (?CHIP?) to reflect changes in managed care delivery systems; and, better align the rules governing MMC and CHIP with the rules applying to Medicare Advantage and qualified health plans (?QHPs?) sold through the ?Exchange markets.?

7/2/2015

Recording: CMS Medicaid Managed Care Proposed Rules
Through this webinar, we will discuss CMS’s proposed efforts to modernize managed care in Medicaid and the Children’s Health Insurance Program (“CHIP”) to reflect changes in managed care delivery systems; and, better align the rules governing MMC and CHIP with the rules applying to Medicare Advantage and qualified health plans (“QHPs”) sold through the “Exchange markets.”

6/23/2015

Presentation: Managing Enterprise Risk from the BOD Down
In April, 2015, OIG released new guidance regarding expectations for boards of directors, which has a meaningful impact on your plan?s approach. Join us for this webinar, which will address the development of an enterprise risk management program for a Board of Directors.

6/23/2015

Managing Enterprise Risk from the BOD Down
In April, 2015, OIG released new guidance regarding expectations for boards of directors, which has a meaningful impact on your plan’s approach. Join us for this webinar, which will address the development of an enterprise risk management program for a Board of Directors.

5/26/2015

Presentation: 2015 CMS Audit Updates
This session is designed to help you prepare for upcoming CMS audits including: an overview of the new audit process, preparing for submission of documentation, discussion of issues likely to be addressed, and a real-life information from a 2015 audit completed under the new protocol.

5/26/2015

Recording: 2015 CMS Audit Updates
This session is designed to help you prepare for upcoming CMS audits including: an overview of the new audit process, preparing for submission of documentation, discussion of issues likely to be addressed, and a real-life information from a 2015 audit completed under the new protocol.

4/20/2015

Practical guidance for health care governing boards on compliance oversight
This educational resource was developed in collaboration between the Association of Healthcare Internal Auditors (AHIA), the American Health Lawyers Association (AHLA), the Health Care Compliance Association (HCCA), and the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS).