Overview
Epstein Becker Green was one of the innovators of, and is a prominent law firm in, managed care delivery systems. The firm has worked with managed care organizations for more than three decades, 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 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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Past Events
Insights
Insights
- 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
- 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
- Media CoverageHelaine Fingold Quoted in “Reports of Cold Calling, False Promises Put Medicare Marketers on Alert”3 minute read
- PublicationsState Regulation of Pharmacy Benefit Managers: Tenth Circuit Holds That ERISA and Medicare Part D Preempt Key Parts of ...25 minute read
- Media CoverageRichard Hughes Quoted in “New RSV Vaccines Aren’t Covered by Some Health Insurance Plans”3 minute read
- Publications‘Vaccines for Children’ at 30: Lessons in Bipartisanship and Cooperative Federalism3 minute read
- Media CoverageDavid Shillcutt Quoted in “3 Takeaways from Biden's Mental Health Parity Proposal”4 minute read
- PublicationsAdditional Withdrawals of Long-Standing Guidance and Newly Proposed Merger Guidelines2 minute read
- Media CoverageRachel Snyder Good Featured in “The Top Mid-Law People Moves of 2023 So Far”2 minute read
- PublicationsCMS Announces the Making Care Primary Model, a Multistate Initiative to Strengthen Primary Care9 minute read
- PublicationsVaccines Deserve Immunity from the IRA’s Pricing Provisions2 minute read
- PublicationsCMS Releases Its List of 43 Part B Rebatable Drugs for Q3: Inflation Reduction Act Updates7 minute read
- PublicationsManufacturers Must Request Small Biotech Exception by July 3: Inflation Reduction Act Updates4 minute read
- Media CoverageRichard Hughes Quoted in "HIV Prevention Drug Uptake Threatened in Obamacare Battle"2 minute read
- Media CoverageEpstein Becker Green Litigators Featured in “$91M Award: Plaintiffs Win on Claims That UnitedHealthcare Stiffed Medical ...6 minute read
- Media CoverageRichard Hughes Quoted in “Could Government Drug-Price Negotiations Sound the Death Knell for Biotech Stocks?” ...3 minute read
- BlogsThe Legal Battle Over Mifepristone10 minute read
- Media CoverageRichard Hughes Quoted in “Biden's Next Steps on Preventive Services Coverage”3 minute read
- PublicationsIs CMS Ignoring the Realities of Biopharmaceutical Costs?2 minute read
- Publications
Repairing the US Preventive Services Task Force After Braidwood v. Becerra
2 minute read - PublicationsFederal Judge in Texas Strikes Down ACA's Preventive Services Coverage Mandate12 minute read
- Media CoveragePhilo Hall Quoted in “Lawyer: Legal Issues on Preemption of PBM Regulation Unresolved”3 minute read
- Media CoverageInsulin as Preventive Care: Why Not Eliminate Patient Cost Sharing?4 minute read
- Firm Announcements
Epstein Becker Green Recognized Among Top 10 Largest Health Care Law Firms by Modern Healthcare
2 minute read - PublicationsReflecting on the Future of US Vaccine Programs2 minute read
- Firm AnnouncementsRachel Snyder Good, Health Care Attorney, Former Advisor to U.S. House of Representatives Majority Leader Steny H. Hoyer ...3 minute read
- Media Coverage
Rachel Snyder Good Featured in Law360 Pulse
2 minute read - Media CoverageRichard Hughes, Spreeha Choudhury Featured in “Loosening Restrictions on Pharmacists Could Help Raise Children’s ...4 minute read
- BlogsComments to CMS Guidance on the Medicare Prescription Drug Inflation Rebate Program Due March 11, 202310 minute read
- PublicationsRecognizing Pharmacists as Vaccines for Children Providers2 minute read
- PublicationsMarking the End of an Era: The COVID-19 Vaccine Market Goes Commercial3 minute read
- Media CoverageDavid Shillcutt Quoted in “Patients Down, but Not Out, After 9th Circ. Benefits Ruling”3 minute read
- PublicationsBiden Administration Prioritizes Health Equity in Proposed Reforms to Medicare Managed Care33 minute read
- Media Coverage
Beth Kastner, Shannon DeBra Discuss "Patient Steering" on Compliance Perspectives Podcast
3 minute read - PublicationsCOVID-19 Vaccine Prices Are Going Up. It Shouldn’t Be Our Focus.2 minute read
- Publications
Top Ten Issues in Health Law 2023—Reproductive Health Rights in a Post-Roe Era
3 minute read - Media Coverage
Clifford Barnes Featured in Follow the Brand Podcast: “Wise Counsel”
2 minute read - PublicationsNo Surprises Act: HHS Extends Enforcement Moratorium on Co-Provider & Co-Facility Good Faith Estimates5 minute read
- PublicationsMedicare Advantage Provider Network Adequacy Regulatory Changes for 20242 minute read
- PublicationsAnticipating the Commercialization of the COVID-19 Vaccine2 minute read
- Publications2023 Physician Fee Schedule Final Rule Supports Health Equity Through Investments in Accountable Care Organizations ...12 minute read
- PublicationsCOVID-19 PREP Act Litigation: The Tip of the Liability Iceberg3 minute read