Gary Baldwin is a partner in Crowell & Moring's San Francisco office, where he practices in the Health Care Group. Gary's practice is focused on health plan regulatory compliance, which includes compliance with the Knox-Keene Act, Affordable Care Act and California's Medi-Cal program requirements. His compliance practice ranges from licensing filings, to financial matters, to potential regulatory enforcement actions.
Prior to joining Crowell & Moring, Gary was the deputy director, Plan and Provider Relations, at the California Department of Managed Health Care (DMHC), where he was the primary advisor to the director on plan and provider issues and provided strategic planning and policy direction on emerging issues and industry trends. He also served as the liaison with Covered California on issues pertaining to the approval of the health plan products offered on the exchange. Prior to his appointment, Gary served as an assistant chief counsel in the Division of Licensing, where he oversaw the review of commercial and Medi-Cal licensing filings, which included applications, material modifications, and amendments to health plan documents, as well as overseeing the DMHC's network staff. With over 13 years' experience as a regulator, Gary became accustomed to creating solutions to regulatory issues that would satisfy various stakeholder interests.
Speeches & Presentations
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"Aetna/CVS Health and Crowell & Moring Seminar: Hot Regulatory Issues in Health Care - Medical Loss Ratio," Crowell & Moring Webinar, 2022.
(July 13, 2022).
Speakers: Gary Baldwin, Joseph Records, and Rochelle-Leigh Rosenberg.
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"Medi-Cal Managed Care and Its Path Forward: Re-Procurement, Cal-AIM, and Behavioral Health," Practising Law Institute
(September 16, 2021).
Speakers: Gary Baldwin and Megan Beaver.
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"Medicaid Managed Care Organizations and the Social Determinants of Health," Healthcare Ounce of Prevention Seminar (HOOPS) 2021: Health Care in the Biden Era
(February 25, 2021).
Presenters: Gary Baldwin, Brian McGovern, and Megan Beaver.
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"COVID-19 is Driving Telehealth Adoption: Understand the New Opportunities," Crowell & Moring Webinar
(April 29, 2020).
Presenters: Gary Baldwin, Jodi G. Daniel, Roma Sharma, and Stephanie D. Willis.
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"The New DMHC Licensure Regulation: Potential Impacts and the Need for a License or Exemption," Crowell & Moring and Mazars USA LLP Webinar
(March 28, 2019).
Presenters: Renée Delphin-Rodriguez and Gary Baldwin.
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"Healthcare Reform Under the Trump Administration: What We Expected, What We Got, and What's Next," 2017 CSHA Annual Meeting & Spring Seminar, Huntington Beach, CA
(April 21, 2017).
Presenters: Marisa E. Adelson and Gary Baldwin.
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"Administration in Transition, the First 100 Days in Healthcare," Crowell & Moring Webinar
(April 18, 2017).
Presenters: A. Xavier Baker, Laura M. Kidd Cordova, Gary Baldwin, and Stephanie D. Willis.
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"Narrow Networks: Now and in the Future," LA County Bar Association 11th Annual Healthcare Law Compliance Symposium, Los Angeles, CA
(October 9, 2014).
Speaker: Gary Baldwin.
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"Exchange Networks: Current Status," CAPG Healthcare Conference, Los Angeles, CA
(June 6, 2014).
Speaker: Gary Baldwin.
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"Health Plan Policy Update," California Telehealth Network’s 2014 Telehealth Summit: Growing California's Connections, Newport Beach, CA
(April 29, 2014).
Speaker: Gary Baldwin.
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"California Department of Managed Care Update, 2014 Has Arrived," Industry Collaborative Effort Annual Conference, San Francisco, CA
(November 14, 2013).
Speaker: Gary Baldwin.
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"California Department of Managed Health Care Leadership Panel," California Association of Health Plans Annual Conference, Huntington Beach, CA
(October 23, 2013).
Speaker: Gary Baldwin.
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"Managed Care Experiences, Challenges and Opportunities in Rural California," The California State Rural Health Association 2012 Annual Rural Health Conference, Anaheim, CA
(November 14, 2012).
Speaker: Gary Baldwin.
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"Health Plan Strategies in the Era of Health Care," Healthcare Financial Management Association Southern California and San Diego/Imperial Chapter Fall Conference, Indian Wells, CA
(September 10, 2012).
Speaker: Gary Baldwin.
Publications
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"Required Coverage of COVID-19 Testing for Essential Workers in California," Crowell & Moring’s Health Law Blog
(July 29, 2020).
Authors: Gary Baldwin, Kevin B. Kroeker and Alice Hall-Partyka.
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"CMS Approves Medi-Cal Section 1135 Waivers," Crowell & Moring's Health Law
(March 25, 2020).
Authors: Gary Baldwin, Kevin B. Kroeker, and Alice Hall-Partyka.
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"Flurry of Regulatory Activity Driven by COVID-19 Anxiety Impacts Health Plan Requirements and Permissible Actions," Crowell & Moring's Health Blog
(March 17, 2020).
Authors: Gary Baldwin, Kevin B. Kroeker, and Brian McGovern.
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"California: At The Vanguard Of Regulation," Law360
(March 3, 2015).
Co-Authors: Gary L. Baldwin, Kevin B. Kroeker, Frank R. Lindh, and Nancy Saracino.
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"Regulatory Forecast 2015: What Corporate Counsel Need to Know for the Coming Year," a Crowell & Moring LLP publication
(January 2015).
Contributor.
Client Alerts & Newsletters
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"Payers, Providers, and Patients – Oh My!: Shared-Risk Arrangements in California,"
Podcast: Payers, Providers, and Patients – Oh My!
(June 1, 2022).
Contacts: Joe Records, Gary Baldwin
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"States Strengthen Mental Health Parity Protections,"
Health Care Alert
(December 1, 2020).
Contacts: Joe Records, Christopher Flynn, Gary Baldwin
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"Telehealth Guidance for Health Plans in California During the COVID-19 State of Emergency,"
Health Care Alert
(April 16, 2020).
Contact: Gary Baldwin
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"Governor Newsom Continues to Fine Tune California’s Response to COVID-19,"
Health Care Alert
(March 24, 2020).
Contact: Gary Baldwin
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"Department of Managed Health Care Issues Final Guidance on Licensure Regulation,"
Health Care Alert
(June 18, 2019).
Contact: Gary Baldwin
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"New DMHC Regulation Substantially Expands Number of Entities Requiring Knox-Keene Licensure,"
Health Care Alert
(March 6, 2019).
Contact: Gary Baldwin
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"CMS's Proposed Rule for Contract Year 2019 Is a Mixed Bag for Medicare Advantage Organizations and Prescription Drug Plan Sponsors,"
Health Care Alert
(November 30, 2017).
Contacts: Gary Baldwin, Lauren R. Nunez, Rochelle-Leigh Rosenberg, Barbara H. Ryland, Matthew Vicinanzo
Firm News & Announcements