The Health Plan Alliance News recently featured a webinar presented by Epstein Becker Green and a webinar jointly presented by the firm and EBG Advisors, Inc., in their article, “Top Six Health Plan Alliance Presentations of 2016,” by Dennis Bolin. Helaine I. Fingold, a Senior Counsel in the firm’s Baltimore office, presented “Access Rules Across Markets – Network Adequacy Standards in MA, Medicaid and the Exchanges,” to Health Plan Alliance members in February 2016. Lynn Shapiro Snyder, a Member of the Firm, in the firm’s Washington, DC, office, and Thomas E. Hutchinson, a Strategic Advisor for EBG Advisors, Inc., joined Ms. Fingold to present “Overview of CMS Star Ratings Program and Its Impact on Medicare Advantage Payment,” in April 2016.
Following is an excerpt:
#3: Access rules across markets – network adequacy standards in MA, Medicaid and the Exchanges
2/2/2016 webinar presented by Epstein Becker Green
This webinar discusses network adequacy rules for Medicare Advantage, federal access standards for Medicaid managed care and federal standards for Qualified Health Plans on the Exchanges. It also explores the National Association of Insurance Commissioners (NAIC) recent revision to its model network adequacy law, entitled the Health Benefit Plan Network Access and Adequacy Model Act and the impact this Act may have on state network adequacy standards.
#4: Overview of CMS Star Ratings program and its impact on Medicare Advantage payment
4/21/2106 webinar presented by Epstein Becker Green
An overview of the CMS Star Ratings measures, the bases for those measures and the related timeframes; discussion on how Medicare Advantage payments are set and the impact of Star Ratings on those payments; and highlights from the CMS Final MA/PD Payment Announcement and Call Letter with a focus on payment, risk adjustment and Star Ratings.