29 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 • 16 Ratings

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

    Crowell Health Solutions Mini-Series Part 1 - The Intersection of Technology and Value-Based Care

    Crowell Health Solutions Mini-Series Part 1 - The Intersection of Technology and Value-Based Care

    This episode is the first part in a miniseries with Crowell Health Solutions, which is a strategic consulting firm that Crowell & Moring launched earlier this year to help healthcare organizations and technology companies transform health care by improving patient care and health outcomes, advancing health equity, and lowering health care costs through solutions like digital health innovations and value-based healthcare models.

    In this episode, Troy Barsky interviews Michael Meng (the CEO of Stellar Health) about how technology has impacted, and continues to impact, health care delivery in light of regulatory changes focused on advancing value-based care.  Michael Meng is the CEO and co-founder of Stellar Health, which is a healthcare technology company focused on enabling success across the value-based care continuum by bridging the incentive gap between providers and payors.

    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    For more information, please see:

    Crowell & Moring Unveils Crowell Health Solutions
    Stellar Health

    • 16 min
    What to Expect in Healthcare Transactions in 2022

    What to Expect in Healthcare Transactions in 2022

    In this episode, hosts Payal Nanavati and Joe Records talk to Katy Raffensperger, Todd Rosenberg, and Alexis Gilman about expectations for healthcare transactions in 2022.   The discussion captures how transactions involving health care companies may respond to legal, economic, and market circumstances, including lasting care delivery changes spurred by the COVID pandemic, antitrust scrutiny by federal regulators, inflation, and rising interest rates.

     

    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    • 20 min
    What Health Care Companies Should Know about Developments in FCA Litigation

    What Health Care Companies Should Know about Developments in FCA Litigation

    In this episode, hosts Payal Nanavati and Joe Records talk to Matt Vicinanzo about developments in False Claims Act litigation – including materiality, scienter, and government dismissal authority, among others – and how those developments may have a unique impact on companies in the health care industry.


    For more information please see:


    "The Top FCA Developments of 2021," Government Contracts Bullet Points (February 25, 2022). Contacts: Brian Tully McLaughlin, Lyndsay A. Gorton, Nkechi Kanu, Payal Nanavati, Matthew Vicinanzo.

    "Payers, Providers, and Patients – Oh My!: FCA Dismissals Under the Granston Memo," Podcast: Payers, Providers, and Patients – Oh My! (June 26, 2019). Contacts: John T. Brennan Jr., Joe Records, Payal Nanavati.

    "Payers, Providers, and Patients – Oh My!: Data Analytics and FCA Investigations," Health Care Alert (January 21, 2021). Contacts: Michael Shaheen, Joe Records, Payal Nanavati.


    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    • 21 min
    Reflecting on the First Year of the 2020 Stark & AKS Regulations

    Reflecting on the First Year of the 2020 Stark & AKS Regulations

    In this episode, hosts Payal Nanavati and Joe Records talk to Troy Barsky and Roma Sharma about their reflections on the first year of implementation of new regulations implementing the major fraud and abuse statutes — the Stark Law and Anti-Kickback Statute (AKS) — including discussing challenges, opportunities, and outstanding questions about the new exceptions and safe harbors for value-based care.


     


    For more information please see:


    "CMS Issues Sweeping Reform to Modernize the Stark Law: Part I," Health Care Alert (November 30, 2020). Contacts: Troy A. Barsky, John T. Brennan Jr., Lidia Niecko-Najjum, Roma Sharma.

    "OIG Issues Final Rule to Update AKS Safe Harbors: Part II," Administrative Law Alert (February 25, 2021). Contacts: Troy A. Barsky, Jodi G. Daniel, Michael Shaheen, Lidia Niecko-Najjum, Joe Records, Matthew Vicinanzo.


     


    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    • 29 min
    The New World of Health Data Interoperability

    The New World of Health Data Interoperability

    In this episode, hosts Payal Nanavati and Joe Records talk to Jodi Daniel and Savanna Williams about the latest developments in interoperability, including challenges of implementing recent CMS and ONC regulations and expectations about potential enforcement of these rules. 


    For more information please see:


    "HHS Finalizes Sweeping Regulations on Interoperability of Health Information and Information Blocking" 

    "Balancing The New Interoperability Rules With Existing Privacy Laws: Challenges for Payers" 

    "CMS Expands on Patient Access and Interoperability Requirements for Health Plans" 


    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

    • 25 min
    How Health Plans Can Address Social Determinants of Health

    How Health Plans Can Address Social Determinants of Health

    In this episode, hosts Payal Nanavati and Joe Records talk to Janet Walker and Mercy Care’s CEO, Lorry Bottrill about the ways in which the government and health plans are addressing the social determinants of health (SDOH), which are the conditions in which people are born, live, learn, work, play and age and they affect a wide range of health, functioning, and quality-of-life outcomes. 


     


    Lorry has been a leader in Arizona’s health care community for more than 25 years.  In this episode, she shares recent examples of Mercy Care’s efforts to address SDOH through collaboration with the Arizona Health Care Cost Containment System (AHCCCS or “ACCESS”), Arizona’s Medicaid agency. 


     


    For more information please see:


    Mercy Care

    CDC Notice of Funding Opportunity: Closing the Gap with Social Determinants of Health Accelerator Plans

    CMS Innovation Center Strategy Refresh

    AHCCCS Whole Person Care Initiative


     


    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.


    You can follow Lorry Bottrill here.

    • 19 min

Customer Reviews

5.0 out of 5
16 Ratings

16 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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