Faegre Drinker Biddle & Reath LLP
Member Level: SponsorVendor Overview
Description of Services: Faegre Drinker is a top 50 firm designed for clients. A full-service law firm handling complex transactions, litigation and regulatory work for multinational businesses. We opened our doors on February 1, 2020, uniting Faegre Baker Daniels and Drinker Biddle & Reath, two firms known for exceptional legal and consulting capabilities and a commitment to service excellence. Clients are at the start — and the heart — of everything we do.
With more than 1,300 experienced attorneys, consultants and professionals in 22 locations across the United States, United Kingdom and China, we have the strength to solve your most complex transactional, litigation and regulatory challenges wherever you need us. We partner with clients ranging from emerging startups to multinational corporations, delivering comprehensive and customized advice that advances your most ambitious business objectives.
Primary Service: Consulting
Secondary Service: Consulting
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1050 K St. NW
Suite 400
Washington, DC 20001
202-312-7400
https://www.faegredrinker.com/en/
Documents
Presentation: Provider networks oversight trends across markets
Health plan networks are narrowing. While there are good reasons for this, regulators across markets are moving to check this trend. 2016 is likely to be a year of unprecedented regulatory activity regarding provider networks.
Recording: Provider networks oversight trends across markets
Health plan networks are narrowing. While there are good reasons for this, regulators across markets are moving to check this trend. 2016 is likely to be a year of unprecedented regulatory activity regarding provider networks.
Audio: QHP Audits: Preparing for them, and what to expect when it comes to enforcement actions
With the expiration of the "Good Faith Compliance" standard in the Federally-run exchanges, insurers in the 37 states where CMS manages the health insurance exchange are now subject to fines and other penalties for not meeting federal requirements. Informal "compliance reviews" will become more formal, audit-like, and potentially punitive. Dawn Stocker of Geisinger and Mike Adelberg of FaegreBD Consulting share insights with Value Visit attendees regarding what to expect next.
GAO Roasts CMS for weak risk adjustment oversight
In early May 2016, the Government Accountability Office (GAO) released a critical report on the inability of the Centers for Medicare and Medicaid Services (CMS) to recover overcharges from errant and aggressive payment coding in the Medicare Advantage (MA) Risk Adjustment Program. The GAO’s report noted numerous shortcomings in CMS’s oversight of MA risk adjustment practices, resulting in the likely overpayment of Medicare funds to the private plans that participate in Medicare Advantage.
Regulators react to debate over narrow networks
On April 4, CMS published its annual Call Letter for the Medicare Advantage and Part D programs. In it, the agency put the managed care industry on notice, stating: “Data gathered by CMS, as well as continued stakeholder concerns, has intensified our concerns with provider directory accuracy. We will continue to aggressively identify and pursue instances of non-compliance by using a host of oversight methods.”