Thought Leadership

Publications

June, 2017
Medicare Part D Direct and Indirect Remuneration- Where is it Headed?
White Paper
Co-author: Lauren Haley
May, 2016
Regulation of Medicare Part D
Thompson Reuters
Co-author: Elizabeth Lippincott, Lauren Haley
February, 2016
Plans and Providers in the Changing Health Care Delivery Environment

American Health Lawyers Association Executive Summary

Co-author: Emily Moseley
January, 2013
The OIG 2013 Work Plan: Compliance Priorities for Sponsors of Part C and Part D Plans

AHLA Payers, Plans, and Managed Care Practice Group 

Co-author: Elizabeth Lippincott
January, 2012
The Medicare Shared Savings Program: A Focus on Compliance
The Health Care Compliance Professional’s Manual
Co-author: Lauren Haley
January, 2012
Beneficiary Assignment: For Whose Care is the ACO Responsible?
AHLA The ACO Handbook, A Guide to Accountable Care Organizations First Edition, © 2012
Author: Lauren Haley
November, 2010
Introductory Guide to the Fundamentals of Medicare Parts C and D
AHLA Payers, Plans, and Managed Care Practice Group
Co-author: Elizabeth Lippincott, Emily Moseley
June, 2010
CMS Rule Finalizes Proposals to Strengthen Requirements and Oversight for Medicare Advantage and Part D Plans

AHLA Medicare Part D Task Force and Payers, Plans, and Managed Care Practice Group Member Briefing
Co-author: Elizabeth Lippincott
January, 2010
CMS Proposes New Rules That Would Alter the Regulatory Landscape for Medicare Advantage and Part D Plans
AHLA Medicare Part D Task Force and Payers, Plans, and Managed Care Practice Group Member Briefing
Co-author: Elizabeth Lippincott
December, 2009
Case Summary of Northern Michigan Hospitals Inc.; Gifford Medical Center Inc. v. Health Net Federal Services LLC f/k/a health Net Federal Services Inc.
AHLA Payers, Plans, and Managed Care
Author: Elizabeth Lippincott
December, 2009
Medicare Secondary Payer Reporting: A New Relationship Between Medicare and Insurers
Practicing Law Institute’s Current Developments in Insurance Law 2010
Co-author: Lauren Haley

Presentations

October 6, 2017
"Medicare Advantage Plan-Provider Relationships: Legal and Regulatory Considerations"
North Carolina Society of Health Care Attorneys
Co-presenter: Emily Moseley
September 28, 2017
"A Casual Conversation: The Window of Opportunity Opens for Success in 2018"
Strategic Health Law
Presenter: Elizabeth Lippincott, Emily Moseley, Lauren Haley
May 9, 2017
"Navigating Your Clients Through Change and an Uncertain Regulatory Environment"
2017 Blue National Summit
Co-presenter: Emily Moseley
January 31, 2017
"Surviving a CMS-Mandated Independent Validation Audit: 150 Days and Counting"
2017 HCCA Managed Care Conference
Co-presenter: Elizabeth Lippincott
May 18, 2016
"Value-Based Purchasing and Value-Based Insurance Design"
2016 Blue National Summit
Co-presenter: Emily Moseley
May 16, 2016
"Choose Wisely: Best Practices for Selection, Contracting, and Oversight of a Medicare Advantage Risk Adjustment Vendor"
2016 Blue National Summit
Co-presenter: Elizabeth Lippincott
February 2, 2016
"Trends in CMS Audits and Enforcement Actions Against Medicare Advantage and Part D Plans"
HCCA Managed Care Conference

Co-presenter: Elizabeth Lippincott, Emily Moseley
April 22, 2015
"Recent CMS Enforcement Actions Against Medicare Advantage and Part D Plans and Sanctions for Subcontractor Conduct"
2015 Blue National Summit

Co-presenter: Elizabeth Lippincott, Emily Moseley
January 31, 2014
"The HIPAA Security Rule: Cloudy Skies Ahead?"
Seminar on Medical Records Law in North Carolina
Co-presenter: Emily Moseley
February 25, 2013
"Tough Questions Under the CMS Compliance Program Guidelines"
HCCA Managed Care Conference
Presenter: Elizabeth Lippincott
November 15, 2012
"Effectively Delegating Compliance Responsibilities"
CBI’s Pharmacy Benefit Oversight and Compliance Congress
Co-presenter: Lauren Haley
October 1, 2012
"Medicare Advantage and Part D Plans: Getting Your House in Order"
AHLA/Health Care Compliance Association’s Fraud and Compliance Forum
Presenter: Lauren Haley
September 10, 2012
"Compensating Providers Under Medicare Parts C&D: What are the Legal Parameters?"
2012 Blue National Summit
Presenter: Elizabeth Lippincott
March 28, 2012
"Introduction to Medicare Parts C and D"
AHLA Institute on Medicare & Medicaid Payment Issues
Presenter: Elizabeth Lippincott
March 1, 2012
"Risk Adjustment, RADV Audits, and Impact on Providers"
AHLA Medicare and Medicaid Institute
Presenter: Lauren Haley
February 15, 2012
"CMS’s Draft Compliance Guidance for Medicare Advantage and Part D: What’s New, What’s Changing and What to Do About It"

Co-presenter: Lauren Haley
February 13, 2012
"Draft CMS Compliance Program Guidelines for Medicare Advantage Organizations and Prescription Drug Plans – Highlights and Discussion"
HCCA Managed Care Conference
Co-author: Elizabeth Lippincott
November 4, 2011
"Medicare Shared Savings Program Final Rule: Where Do We Go from Here"
Webcast Series Providing Accountable Care: Strategy & Structure
Co-presenter: Lauren Haley