Thought Leadership

Publications

August, 2017
Why UnitedHealthcare’s Litigation Against CMS Is Unique
Law360
Author: Ursula Taylor
June, 2017
Why Actuarial Equivalence Matters for Medicare Advantage
Law360
Author: Ursula Taylor
June, 2017
Medicare Part D Direct and Indirect Remuneration- Where is it Headed?
White Paper
Co-author: Lauren Haley
November, 2016
CMS Proposal of Reinsurance for Risk Adjustment May Do More Harm Than Good
Bloomberg BNA Health Insurance Report
Author: Ursula Taylor
June, 2016
ACA Risk Corridor Funding Falls Short, Litigation Ensues
Law360
Author: Ursula Taylor
May, 2016
Billions in ACA Disbursements Hinge on House of Representatives v. Burwell, Risk Corridors Litigation, and Further Congressional Activity
AHLA Practice Group Alert
Author: Ursula Taylor
May, 2016
Regulation of Medicare Part D
Thompson Reuters
Co-author: Elizabeth Lippincott, Lauren Haley
April, 2016
Emerging Disputes Over Risk Sharing Under The ACA
Law360
Author: Ursula Taylor
February, 2016
Plans and Providers in the Changing Health Care Delivery Environment

American Health Lawyers Association Executive Summary

Co-author: Emily Moseley
October, 2015
Spreading the Risk under the Patient Protection and Affordable Care Act: The Three Rs and Lessons from Another Industry’s Reinsurance Mechanism
Health eSource, Col. 12, No. 2, American Bar Association, Health Law Section
Author: Ursula Taylor
July, 2013
Managing the Cost of Litigation
Corporate Counsel
Author: Ursula Taylor
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
December, 2012
Top Ten Points for Successfully Defending a Discovery Deposition
Corporate Counsel
Author: Ursula Taylor
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
July, 2010
Strategic Considerations for Motions to Dismiss: To File or Not to File?
Corporate Counsel
Author: Ursula Taylor
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

Presentations

May 17, 2018
"Litigation Solutions Under the Affordable Care Act"
American Conference Institute’s Managed Care Disputes and Litigation Conference
Presenter: Ursula Taylor
May 1, 2018
"Two Kinds of Disasters for Medicare Advantage and Part D Plans: Responding to Natural Disasters and Avoiding Legal Disasters Associated with Risk Adjustment"
2018 Blue National Summit
Co-presenter: Elizabeth Lippincott
May 1, 2018
"The Opioid Public Health Emergency: A Call To Action for Health Plans"
2018 Blue National Summit
Co-presenter: Emily Moseley
May 1, 2018
"Litigation Solutions in the Wake of Affordable Care Act Implementation, Evaluating Claims for Relief Under the Tucker Act and the Administrative Procedures Act"
Blue Cross Blue Shield 2018 Annual Summit
Presenter: Ursula Taylor
February 11, 2018
"It’s Risky Business: Medicare Risk Adjustment"
HCCA Managed Care Conference
Co-presenter: Lauren Haley
November 14, 2017
"Lessons and Tools for Successfully Navigating Medicare Risk Adjustment"
AHLA Institute for Health Plan Counsel
Co-presenter: Lauren Haley
November 1, 2017
"Lessons and Tools for Successfully Navigating Medicare Risk Adjustment"
AHLA’s Institute for Health Plan Counsel
Presenter: Ursula Taylor
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
September 1, 2017
"Risk Adjustment: Why “Actuarial Equivalence” Matters for Medicare Advantage Organizations"
AHLA’s Educational Call for the Managed Care Contracting, Medicare Advantage and Part D, and Health Plans Affinity Groups of the Payers, Plans, and Managed Care Practice Group
Presenter: Ursula Taylor
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
April 15, 2015
"Critical Conversations: Strategies for Asks and Apologies"
AHLA Women’s Leadership Initiative
Presenter: Lauren Haley
February 20, 2015
"Navigating in the Cloud Across Borders: Challenges for Business"
NCBA 2015 Business Law and International Law and Practice Sections Joint Annual Meetings

Presenter: Emily Moseley
November 20, 2014
"Bridge-the-Gap: Basic Skills for Newly Admitted Illinois Attorneys"
Practicing Law Institute
Presenter: Ursula Taylor
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