Megan F. Beaver

Counsel | She/Her/Hers

Overview

Megan F. Beaver is a counsel at Crowell & Moring’s San Francisco office, where she is a member of the firm’s Health Care Group. Megan’s practice focuses on health care regulatory matters, with an emphasis on state licensure and compliance issues. Megan works with national and regional health plans (including full service and specialty plans), Medicare Advantage, commercial and Medicaid health plans on a range of regulatory compliance matters, license filings, including plan-to-plan contracts and pharmacy benefit manager contracts, material modifications, and drafting and negotiating provider contracts. In addition, she assists and advises clients on state regulator parity investigations and responding to Department of Managed Health Care (“DMHC”) Office of Enforcement investigations. Megan has also assisted clients to obtain licensure as health care service plans under California’s Knox-Keene Health Care Service Plan Act.

Prior to joining the firm, Megan was Senior Corporate Counsel at Centene Corporation. In this role, Megan analyzed proposed, pending and recently enacted legislation, as well as agency guidance, to determine the impact on health plan operations. She advised plan leadership on how to implement and effectuate the required action. Megan also advised the California plan leadership on how to manage the dual authorities of government programs and plan licensure (i.e. Medicare/Medi-Cal and DMHC).

Career & Education

|
    • University of California, Davis, B.A., 2005
    • University of the Pacific, McGeorge School of Law, J.D., Honor title, 2013
    • University of California, Davis, B.A., 2005
    • University of the Pacific, McGeorge School of Law, J.D., Honor title, 2013
    • California
    • California
  • Professional Activities and Memberships

    • Member, California Bar Association
    • Member, American Bar Association

    Professional Activities and Memberships

    • Member, California Bar Association
    • Member, American Bar Association

Megan's Insights

Podcast | 01.25.24

Payers, Providers, and Patients – Oh My!: The Increasing Focus on Mental Health Parity

In this episode, hosts Payal Nanavati and Megan Beaver talk to Chris Flynn and Alice Hall-Partyka regarding the proposed updates to the regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA). We discuss the current regulatory environment, enforcement, and key takeaways from the proposed rule. For further reading, please see:...

Representative Matters

  • Defended California health care service plan in arbitration regarding payment of out-of-network services.
  • Represented Medi-Cal County Organized Health System in State Fair Hearings before the California Department of Social Services.
  • Represented Medi-Cal Managed Care plan in the California Superior Court on a Writ of Mandate related to the denial of Medi-Cal benefits.
  • Defended California health care services plan in arbitration with a health care provider over application of contractual language related to claims editing and payment.

Megan's Insights

Podcast | 01.25.24

Payers, Providers, and Patients – Oh My!: The Increasing Focus on Mental Health Parity

In this episode, hosts Payal Nanavati and Megan Beaver talk to Chris Flynn and Alice Hall-Partyka regarding the proposed updates to the regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA). We discuss the current regulatory environment, enforcement, and key takeaways from the proposed rule. For further reading, please see:...

Megan's Insights

Podcast | 01.25.24

Payers, Providers, and Patients – Oh My!: The Increasing Focus on Mental Health Parity

In this episode, hosts Payal Nanavati and Megan Beaver talk to Chris Flynn and Alice Hall-Partyka regarding the proposed updates to the regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA). We discuss the current regulatory environment, enforcement, and key takeaways from the proposed rule. For further reading, please see:...