Overview
Epstein Becker Green was one of the innovators of, and is a prominent law firm in, managed care delivery systems.
The firm has extensive experience working with managed care organizations, and firm attorneys have provided key technical advice to Congress, federal agencies, and states throughout the development, passage, and implementation of managed care legislation. Epstein Becker Green has provided hundreds of managed care organizations with dependable assistance in developing successful organizational responses to managed care operational and regulatory issues and has served as counsel to the leading professional trade associations for managed care organizations. The firm's experience base includes, for example, managed care clients focused in the following sectors: dental, vision, occupational health, behavioral workers compensation, pharmaceutical, and "consumer directed" sectors, to name a few.
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 a 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.
Services/Scope of Practice
Epstein Becker Green provides complete legal support for managed care organizations. Our services include:
- Sector advice to private equity investors and lenders
- Counseling as to state and national regulatory compliance
- Counseling with respect to state licensure and federal contracting issues
- Representation in regulatory investigations
- Representation in mergers and acquisitions
- Public policy analysis
- Strategic legal plans for developmental stage companies
- Litigation of managed care issues
- Contract negotiations
- Compliance plan developmental and execution
- Provider contracting
- Advice on Medicare, Medicaid, Federal Employee Health Benefits Program, TRICARE contract negotiation, and regulatory compliance programs
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Contacts
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- Board of Directors / Member of the Firm
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Media
Events
Upcoming Events
Past Events
- Spring 2024
- Spring 2024
- Spring 2024
- Spring 2024
Insights
Insights
- PublicationsThe IRA: Reducing Inflation or Threatening Patient Access?2 minute read
- PublicationsState Supreme Courts and Ballot Initiatives: Arizona, Florida Exemplify the Abortion Battle Playing Out in the States ...14 minute read
- PublicationsFinal Medicaid Managed Care Rule Updates Requirements Regarding Access, Finance, and Quality17 minute read
- PublicationsCMS Finalizes Medicaid Access Rule: Significant Changes Ahead for HCBS Industry10 minute read
- PublicationsCMS Finalizes Rule Establishing Minimum Staffing Standards for Long-Term Care Facilities17 minute read
- PublicationsThe Path to Prevention: Charting the Course for a Healthier Nation2 minute read
- PublicationsThe Vaccine Pricing Assault That Threatens Public Health3 minute read
- Media CoverageHelaine Fingold Quoted in “3 Years In, 'No Surprises' Gets Mixed Reviews from Providers”2 minute read
- Media CoverageCSHA Members Join Epstein Becker Green1 minute read
- PublicationsFood Is Medicine: The Road to Universal Coverage2 minute read
- Media CoverageRaja Sékaran, John Puente, Melissa Borrelli Featured in “Wake Up Call: Laterals, Moves, In-House”1 minute read
- Media CoverageEpstein Becker Green Grows Health Care & Life Sciences Practice2 minute read
- Firm AnnouncementsEpstein Becker Green Fuels West Coast Momentum with Six-Attorney Health Care Team6 minute read
- Media CoverageEpstein Becker Green Adds 6-Atty Healthcare Team in San Francisco2 minute read
- Media Coverage
Epstein Becker Green’s Bay Area Healthcare Attorney Additions Featured in the San Francisco Business Times
1 minute read - PublicationsAdvancing Interoperability and Improving Prior Authorization: No One Said It Would Be Easy!18 minute read
- Publications
Will Religious Freedom Claims Trump Public Health? Braidwood and HIV Prevention
2 minute read - Media CoverageRichard Hughes Quoted in “ObamaCare Faces Key Hearing After Texas Ruling”2 minute read
- Media CoverageRichard Hughes Quoted in “4 Argument Sessions Benefits Attys Should Watch in March”4 minute read
- Media CoverageRichard Hughes Quoted in “Affordable Care Act Preventive Services Under Threat: Previewing Braidwood Oral Arguments” ...4 minute read
- BlogsVideo: Braidwood v. Becerra – Challenging the Affordable Care Act’s Preventive Services Coverage Provision – ...2 minute read
- Media CoverageRichard Hughes Quoted in “Doc Pay Patch Could Emerge in Scaled-Back Health Package; Budget Talks Continue”2 minute read
- Media CoverageMarjorie Scher Quoted in “Citing U.S. Supreme Court Decision, Health System Sues Medicare Advantage Plan for Past 340B ...4 minute read
- Media CoverageDavid Shillcutt Quoted in “Growth in Outpatient Programs Signals Opportunities for MFTs, MHCs”2 minute read
- Publications
Striking a Balance: The Supreme Court and the Future of Chevron Deference
27 minute read - Media CoverageHelaine Fingold Quoted in “No Surprises IDR Portal Is Back; Prepare for New Info Requirements”2 minute read
- PublicationsNew Coverage, Delivery, and Payment for Health-Related Social Needs Services Under New York’s Approved 1115 Medicaid ...13 minute read
- PublicationsClinical Preventive Guidelines Should Foster Patient Access: A Reply to Killelea and Johnson6 minute read
- Media CoverageElizabeth Harris, ’11, Featured in California Western School of Law Alumni News2 minute read
- Media CoverageAmy Lerman Quoted in “Patient Care, Policy & More: A Look at This Year’s Virtual Care Trends”5 minute read
- PublicationsHospital and MA Plan Considerations for CMS Final Rule to Remedy 340B Drug Payment Policy11 minute read
- PublicationsTop Ten Issues in Health Law 2024—Major Expansion of Federal Regulation of Managed Care Through the Mental Health Parity ...6 minute read
- Media CoverageRichard Hughes Quoted in “The RSV Shot for Babies Was Supposed to Save Lives. Then Nobody Could Get It.”13 minute read
- BlogsPodcast: Health Equity – Behind the Buzzwords – Diagnosing Health Care2 minute read
- PublicationsMedicare Advantage, Part D, and More: Proposed Rule Outlines Significant Policy and Technical Changes for CY 2025 ...35 minute read
- PublicationsBraidwood v Becerra’s Vaccine Access Threat3 minute read
- Publications
In Genesis Case, South Carolina District Court Scraps HRSA Interpretation of “Patient” Under 340B Statute
9 minute read - Media CoverageConnie Wilkinson Quoted in “Stelara Biosimilar Tests Market Impact of Drug Price Program”3 minute read
- PublicationsPaving the Way for Prevention Over the Counter3 minute read
- PublicationsQuadrivalent vs Trivalent Influenza Vaccines: Not a Simple Switch2 minute read
- Media CoverageRichard Hughes Quoted in “Coverage, Supply Issues Dampen Promise of New RSV Immunizations”3 minute read
- PublicationsCMS Seeks Stakeholder Feedback About Medicare Transaction Facilitator Services for the Medicare Drug Price Negotiation ...4 minute read
- PublicationsPreventive Antibody Products Are Immunizations2 minute read
- Media CoverageRichard Hughes Quoted in “Webinar Highlights Recommendations to Improve Disparities in CRC Screening”3 minute read
- PublicationsCalifornia Enacts Statute That Furthers Efforts to Move Toward a Unified Health Care Financing System11 minute read
- Media CoverageRichard Hughes Quoted in “RSV Vaccines Aren’t Covered by Medicare for These Vulnerable Groups”2 minute read
- Media CoverageRichard Hughes Quoted in “Opinion: It Shouldn’t Be So Hard for Older Adults to Receive the RSV Vaccine”2 minute read
- PublicationsRecent Developments in Federal and State Fraud and Abuse Investigations2 minute read
- Publications
Checking In on How SuperValu Has Altered FCA Litigation
4 minute read - Media CoverageHelaine Fingold Quoted in “Reports of Cold Calling, False Promises Put Medicare Marketers on Alert”3 minute read