Payers, Providers, and Patients – Oh My!

Who CARES: The Provider Relief Fund and Other CARES Act Provisions

In this episode, hosts Payal Nanavati and Joe Records talk to Jacinta Alves and Matt Vicinanzo about provisions in federal legislation that are aimed at easing the pandemic’s impact on the health care industry, including the processes and requirements for the Provider Relief Fund.  

What Providers Should Know about COVID-19 (Part 2 – Federal and State Guidance)

In part two of our two part series on what providers should know about COVID-19, hosts Payal Nanavati and Joe Records discuss federal and state guidance with Brian McGovern. The first episode included a discussion of challenges that providers’ may face as employers. This episode touches on the various federal and state guidance issued in response to COVID-19 that may impact health care providers.

Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

What Providers Should Know about COVID-19 (Part 1 – Labor and Employment Issues)

In part one of this two-part series on what providers should know about COVID-19, hosts Payal Nanavati and Joe Records discuss labor and employment issues with Eric Su. This episode touches on health care providers’ obligations as employers and some best practices for handling this pandemic.

Stay tuned for tomorrow’s release of Part 2 with Brian McGovern on Federal and State Guidance.

Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

Medical Loss Ratios (Part 2)

In part two of this deep dive, hosts Payal Nanavati and Joe Records continue their discussion with Xavier Baker and Kevin Kroeker about medical loss ratio requirements. The first episode provided background on what an MLR is and some of the history of MLR requirements, among other things. This episode touches on how the MLR is determined for plans and some of the compliance risks that can arise under MLR requirements. Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

Medical Loss Ratios (Part 1)

In part one of this deep dive, hosts Payal Nanavati and Joe Records begin a discussion with Xavier Baker and Kevin Kroeker about medical loss ratio requirements. This episode touches on what an MLR is, some of the history of MLR requirements in health coverage, and some of the similarities and differences across markets. Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

Digital Health Innovation

In this episode, hosts Payal Nanavati and Joe Records sit down with Jodi Daniel and Ambassador Robert Holleyman to discuss how regulators—across the U.S. and the rest of the world—can overcome the challenges of regulating emerging digital health technologies without stifling innovation. Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

Materials Discussed in this Episode

• "The Future of Health is Digital: A Policy Roadmap," PDF, C&M International

Multi-State Plan Program

In this episode, hosts Payal Nanavati and Joe Records sit down with former regulators Jon Foley, Rob Shriver, and Kristi Martin to discuss the goals and design of the Affordable Care Act’s MSP Program—and what can be learned from its ultimate failure. Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.

Materials Discussed in this Episode

• "For Policy Makers Looking To Expand Coverage, Lessons From The Demise Of The ACA’s Multi-State Plan Program," Health Affairs Blog, September 30, 2019

Pharmacy Benefit Managers

Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors. In this episode, hosts Payal Nanavati and Joe Records discuss PBMs with Todd Rosenberg.

Payers, Providers, and Patients – Oh My!: FDA Digital Health Guidance

Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors. In this episode, hosts Payal Nanavati and Joe Records discuss recent FDA guidance related to digital health with Jodi Daniel and Shaina Vinayek.

Related Materials

• "FDA Seeks Comment on Clinical Decision Support Software Guidance and Issues Policy Updates on its Oversight Authority Regarding Medical Software and Apps," C&M Health Law, October 23, 2019

Medicare Advantage Supplemental Benefits

Payers, Providers, and Patients – Oh My! Is Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors. In this "deep dive" episode, hosts Payal Nanavati and Joe Records talk to Barbara Ryland about benefits under Medicare Part C.