健康计划和健康保险

  • 我们的医疗保健和生命科学团队包括专注于管理护理组织(MCOS)的法律需求的专用律师和专业人士。新万博manbetx官网下载
  • 我们有广泛的经验,从HMOS到ERISA计划到药物福利管理人员,其中许多其他人都有广泛的经验。
  • 我们的专新万博manbetx官网下载业人士带来了现实世界的MCO经验,包括对您的法律需求的基础知识的敏锐理解。
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概述

在建立影响力和采购力的比赛中,管理护理组织(MCOS)正在整合和重组,并以前所未有的利率扩展产品线。疯狂的速度不仅推动了对联邦监管活动的改变,影响Medicare法律,合规性,HIPAA,反托拉斯,税收和相关政策 - 它也会产卵(并反应)新的全州和区域健康保险法。

无论您的组织是否正在考虑重组,评估前瞻性合并和收购,或寻求企业融资,保护您在这种快速变化的环境中的利益将需要经验丰富的管理保障法律顾问。

荷兰和骑士健康计划和健康保险集团包括30多名致力于为雇员,卫生保险公司和首选供应商组织提供服务管理管理组织,客户及其供应商的律师,向雇主,协会和相关的Erisa计划,案例和疾病管理人员,制药福利管理人员和第三方管理人员,引导的医疗保健,管理行为健康,预测建模,电子健康和科技公司。

灵活和全面的服务

从复杂的试验和上诉诉讼涉及利衡,埃里达法律,反托拉斯或税务的再保险策略,您的荷兰和骑士团队将建议,指导和维护您的兴趣。您将从本集团的实质性知识中受益于有关全面的健康保险相关问题,包括以下内容:

  • 计划和提供者,计划及其客户之间的合同谈判以及计划及其供应商
  • 健康计划独有的知识产权问题
  • 保费,成员和风险池结构,以及精算评论
  • 报销和欺诈和虐待事项
  • Medicare零部件C和D(所有方面,包括申请,招标,风险调整,承包,合规性和报销)
  • 提供商凭证,HPDB,NPDB和HCQIA问题

合规是关键的

对所有合规性要求的深入了解将有助于您避免违规,并展示您组织对道德行为的承诺,导致营销和销售方面的竞争优势。这健康计划和健康保险集团包括许多国家合规专家,包括若干前联邦检察官,州和联邦机构的前普通律师,规范管理护理和内部律师。我们的托管护理合规性工作包括:

  • 遵守保险,管理护理和健康之前的执照,形式和利率申请
  • 最大限度地利用机遇和遵守Medicare现代化法案(MMA)和Medicare Advantage计划(以前的Medicare + Choice)
  • 遵守Medicare,Medicaid,VA,FEHBP承包
  • 创建一流的公司合规计划,政策和程序

领导力胜利

参与行业协会和立法政策扩大了我们的知识和可供您使用的资源。

  • 卫生计划集团律师倡导和起草关键托管管理立法和监管 - 例如MMA的疾病管理和PPO部分以及HIPAA的托管护理规定。
  • 该团队还与来自大多数托管保健和健康福利协会的领导人密切合作 - 包括NCQA,美国疾病管理协会,美国卫生计划协会和医疗保健领袖委员会。

连接数量时

经常在管理医疗保健,实现客户成功依赖于与法律本身的政府层面关系的质量。荷兰和骑士的广泛国家平台帮助我们的医疗保健律师与国家保险和管理护理监管机构建立了强大的关系。该团队与荷兰和骑士的政府实践密切合作,是美国最大,最知名的政府关系团体之一

经常在管理医疗保健,实现客户成功依赖于与法律本身的政府层面关系的质量。荷兰和骑士的广泛国家平台帮助我们的医疗保健律师与国家保险和管理护理监管机构建立了强大的关系。该团队与荷兰和骑士的政府实践密切合作,是美国最大,最知名的政府关系团体之一

基于现实世界的知识 - 您的商业世界,而不是我们的法律世界

为您的业务做出正确的法律决策需要超过您行业的法律问题的象牙塔知识。它对日常业务问题进行了解,并快速获得商业和会计经验,金融市场和商业伙伴关系。该公司的医疗保健团队成员来自该行业 - 许多人曾担任管理保育计划和拥有自己的MCO的大型提供商系统的内部律师,或者作为风险资本家,投资银行家和卫生计划高管。这些政府和商业背景定位了您的荷兰和骑士律师,规定了创造性和知情的法律解决方案,导致了有利的业务结果。

多媒体

Public Policy & Regulation Group's \"The First 100 Days of the Biden Administration\" podcast series, Senior Policy Advisor Miranda Franco leads a discussion with attorney Robert Bradner and Senior Public Affairs Advisor Suzanne Joy on the healthcare priorities and landscape facing the new administration. They discuss current issues and provide listeners with an inside look on what to expect in the upcoming months.","link":{"label":"Podcast: Healthcare Priorities and Landscape","url":"/en/insights/media-entities/2021/02/podcast-healthcare-priorities-and-landscape","AbsoluteUrl":"//www.efaxnow.com/en/insights/media-entities/2021/02/podcast-healthcare-priorities-and-landscape","target":"","rel":""}},{"image":{"url":"/-/media/images/insights/media-entities/2020/10/media_preelection_series_healthcare_recording_still.jpg","alt":"Pre-Election Webinar Series: Healthcare recording still"},"description":"

Holland & Knight's experienced lobbyists and attorneys are focusing on the policy implications of the upcoming 2020 elections. The fifth program in this series focused on healthcare and life sciences.

\n

Partner Michael Werner focused on issues affecting drug and biotech companies such as those relating to possible regulation of drug prices, Medicare and Medicaid reimbursement, and regulatory reforms.

\n

Partner Lisa Hawke addressed the potential for major changes to the healthcare system and the Affordable Care Act following the election, impacts on our public health, emergency preparedness and safety-net systems resulting from COVID-19, and the effects of all of these possible changes on healthcare providers and patients.

\n

View the presentation materials.

\n

Duration: 1:00:38

","link":{"label":"Election 2020: Potential Impacts Series - Healthcare & Life Sciences","url":"/en/insights/media-entities/2020/10/election-2020-potential-impacts-series-healthcare","AbsoluteUrl":"//www.efaxnow.com/en/insights/media-entities/2020/10/election-2020-potential-impacts-series-healthcare","target":"","rel":""}},{"image":{"url":"/-/media/images/insights/media-entities/2018/11/midterm-post-election-briefing-2018/videostillimage/mediapostelectionbriefingstill.jpg","alt":"Midterm Post Election Briefing 2018"},"description":"

Bloomberg Government and Holland & Knight's Public Policy & Regulation Group presented a live stream of our post-election briefing, during which panelists provided in-depth analysis of the 2018 midterm elections results. During the program, our featured panelists explored what the results might mean for key industry sectors, including trade, infrastructure and transportation, energy and environment, and healthcare and life sciences.

View the slides from the program and follow the conversation on Twitter with #askBGOVHK.

What Happened in 2018?

\"\"
Watch the video »

  • Greg Giroux, Reporter, Bloomberg Government

Transportation and Infrastructure

\"\"
Watch the video »

  • Heather Rothman, News Director, Bloomberg Government 
  • Shaun Courtney, Federal Transportation Reporter, Bloomberg Government 
  • Michael Friedberg, Senior Counsel, Holland & Knight 
  • Shawna Francis Watley, Senior Policy Advisor, Holland & Knight

Healthcare/Pharmaceuticals

\"\"
Watch the video »

  • Heather Rothman, News Director, Bloomberg Government
  • Alex Ruoff, Health Policy Reporter, Bloomberg Government
  • Michael Werner, Partner, Holland & Knight
  • Miranda Franco, Senior Policy Advisor, Holland & Knight

Energy and Environment

 \"\"
Watch the video »

  • Abby Smith, Reporter, Bloomberg Environment 
  • Dimitrios Karakitsos, Partner, Holland & Knight 
  • Benjamin Dunham, Senior Policy Advisor, Holland & Knight

Trade and Tariffs

\"\"
Watch the video »

  • Loren Duggan, Editorial Director, Bloomberg Government 
  • Sarah Babbage, Legislative Analyst, Bloomberg Government 
  • Ronald Oleynik, Partner, Holland & Knight 
  • Jim Davis, Partner, Holland & Knight
","link":{"label":"Midterm Post Election Briefing 2018","url":"/en/insights/media-entities/2018/11/midterm-post-election-briefing-2018","AbsoluteUrl":"//www.efaxnow.com/en/insights/media-entities/2018/11/midterm-post-election-briefing-2018","target":"","rel":""}}]">

狗万软件

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新闻和头条新闻

Law360","In the Headlines"],"link":{"label":"Coronavirus Q&A: Holland & Knight Health Team Leader","url":"/en/news/intheheadlines/2020/07/coronavirus-qanda-holland-knight-health-team-leader","AbsoluteUrl":"//www.efaxnow.com/en/news/intheheadlines/2020/07/coronavirus-qanda-holland-knight-health-team-leader","target":"","rel":""},"icon":{"url":"/-/media/images/icons/articleicon__doctor.svg","alt":"Doctor"},"image":null,"date":"July 9, 2020","readingtime":null,"source":null},{"metaData":["","The Coding Institute","In the Headlines"],"link":{"label":"Medicare Compliance & Reimbursement: Register These 2021 Medicare Advantage and Part D Proposals","url":"/en/news/intheheadlines/2020/04/medicare-compliance-reimbursement","AbsoluteUrl":"//www.efaxnow.com/en/news/intheheadlines/2020/04/medicare-compliance-reimbursement","target":"","rel":""},"icon":{"url":"/-/media/images/icons/articleicon__doctor.svg","alt":"Doctor"},"image":null,"date":"April 8, 2020","readingtime":null,"source":null}]">