Managed Care
Overview
Crowell & Moring is nationally preeminent in providing legal services for the managed care and health insurance industry. We have worked closely with the managed care industry for many years, and bring to our services deep familiarity with the business and legal needs of our managed care clients. We represent leading managed care companies and integrated delivery systems, both for profit and not-for-profit, across the country. Our lawyers are leaders in the field of managed care law and are relied upon for their in-depth knowledge.
Our experience focuses on the litigation, transactional, and regulatory needs of health plans across the country. We have extensive experience with the California Knox-Keene Act and the insurance laws impacting plans in California and other states. We assist companies in obtaining licensure and advise them on a wide array of state and federal regulatory requirements, including change in control requirements, mandated benefits, rating requirements, marketing activities and producer arrangements, antitrust and unfair insurance trade practice laws, insurance holding company laws, financial solvency, subrogation and coordination of benefits, privacy and security breach issues, outsourcing arrangements, and relationships with providers, including prompt payment and provider risk-assumption issues.
Contacts
Partner & CHS Managing Director
Insights
Client Alert | 8 min read | 01.18.23
On January 4, in its most recent effort to expand federal support for addressing health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued guidance to clarify an existing option for states to address HRSNs through the use of “in lieu of” services and settings policies in Medicaid managed care. This option is designed to help states offer alternative benefits that take aim at a range of unmet HRSNs, such as housing instability and food insecurity, and to help enrollees maintain their coverage and improve health outcomes.
Client Alert | 16 min read | 09.06.17
Client Alert | 14 min read | 02.02.17
Insights
"Unpacking Republican Proposals to Roll Back Obamacare," Daily Journal
|12.12.16
CMS Proposes Significant Changes Impacting Medicare Appeals Processes
|07.18.16
American Health Lawyers Association Payers, Plans, and Managed Care Newsletter
'SGR Fix' Law Adds Program-Integrity Tools, Exempts Gainsharing From Penalties
|04.20.15
Report on Medicare Compliance
Medicaid Managed Care Final Rule: Prevention of Fraud, Waste, and Abuse
|08.04.16
Crowell & Moring's Health Law Blog
- |
03.18.16
Crowell & Moring’s Health Law Blog
The ONC Proposes the Direct Review of Certified Health IT in Oversight Rule
|03.02.16
Crowell & Moring's Health Law Blog
Professionals
Insights
Client Alert | 8 min read | 01.18.23
On January 4, in its most recent effort to expand federal support for addressing health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued guidance to clarify an existing option for states to address HRSNs through the use of “in lieu of” services and settings policies in Medicaid managed care. This option is designed to help states offer alternative benefits that take aim at a range of unmet HRSNs, such as housing instability and food insecurity, and to help enrollees maintain their coverage and improve health outcomes.
Client Alert | 16 min read | 09.06.17
Client Alert | 14 min read | 02.02.17
