21 episodes

Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

Payers, Providers, and Patients – Oh My‪!‬ Crowell & Moring

    • Business
    • 5.0 • 13 Ratings

Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    The ACA Risk Corridors Case

    The ACA Risk Corridors Case

    In this episode, hosts Payal Nanavati and Joe Records talk to partner Steve McBrady, who led the Crowell & Moring team that represented Maine Community Health Options in the long running Affordable Care Act §1342 “risk corridors” litigation that ended with U.S. Supreme Court decision in favor of Maine and companion insurers. 
    Materials discussed in this episode:
    Client Alert: Supreme Court Rules in Favor of Health Plans in Landmark $13 Billion Affordable Care Act Case
    Firm News: Maine Community Health Options Wins U.S. Supreme Court Ruling Enforcing Government Payment Obligation Under Affordable Care Act ‘Risk Corridor’ Cases

    • 22 min
    Data Analytics and FCA Investigations

    Data Analytics and FCA Investigations

    In this episode, hosts Payal Nanavati and Joe Records talk to partner Michael Shaheen, who recently served as a Trial Attorney with the Fraud Section of the DOJ.  Michael sheds some light on what potential FCA targets can do to understand and rebut DOJ’s use of data analytics to pursue FCA investigations.

    • 20 min
    Rating in the Time of COVID

    Rating in the Time of COVID

    In this episode, hosts Payal Nanavati and Joe Records are joined by Xavier Baker and special guest Tim Murray, Director & Senior Consulting Actuary in Wakely Consulting Group’s New York office, to discuss the actuarial perspective on the cost of COVID-19. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    • 35 min
    ERISA Preemption of State PBM Regulation

    ERISA Preemption of State PBM Regulation

    In this episode, hosts Payal Nanavati and Joe Records are joined by Todd Rosenberg and Sam Krause to discuss ERISA preemption of state regulation of pharmacy benefit managers (PBMs) in light of the upcoming U.S. Supreme Court hearing in Rutledge v. Pharmaceutical Care Management Association. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
     
    Materials Discussed in this Episode
    "Payers, Providers, and Patients – Oh My!: Pharmacy Benefit Managers," Podcast, November 13, 2019
    "Payers, Providers, and Patients – Oh My!: Removal under ERISA," Podcast, September 11, 2019

    • 23 min
    Bostock and HHS’s Nondiscrimination Regulations

    Bostock and HHS’s Nondiscrimination Regulations

    In this episode, host Payal Nanavati talks to Amanda DiSanto and Joe Records about the potential implications of the Supreme Court’s recent decision in Bostock v. Clayton County, Georgia, which addressed the rights of gay and transgender individuals under Title VII of the Civil Rights Act of 1964. Specifically, Amanda and Joe discuss what the ruling may mean for Section 1557 of the Affordable Care Act, including HHS's recent revisions to the nondiscrimination regulations.
    Materials Discussed in this Episode
    "Supreme Court Adopts Expansive Interpretation of Sex Discrimination Under Title VII," Client Alert, June 15, 2020
    "Trump Administration Scales Back Obama-era Healthcare Nondiscrimination Regulations," Client Alert, June 16, 2020

    • 16 min
    Who CARES: The Provider Relief Fund and Other CARES Act Provisions

    Who CARES: The Provider Relief Fund and Other CARES Act Provisions

    In this episode, hosts Payal Nanavati and Joe Records talk to Jacinta Alves and Matt Vicinanzo about provisions in federal legislation that are aimed at easing the pandemic’s impact on the health care industry, including the processes and requirements for the Provider Relief Fund.  

    • 29 min

Customer Reviews

5.0 out of 5
13 Ratings

13 Ratings

Triquichic ,

Great new entry into the podcast space

The topics so far have been really interesting! The attorneys that have been interviewed have great insights into trends in health care law and the direction of the industry generally. Definitely subscribing long-term!

merparnell ,

Interesting and Informative

A very interesting and informative health law podcast. A great listen for all health care lawyers and players in the health care industry.

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