Insights

Washington – January 2, 2020: Crowell & Moring elected eight lawyers to the firm’s partnership, effective January 1, 2020. The firm also promoted seven attorneys to the position of senior counsel, and 26 associates to the position of counsel. The new partners have been promoted from within the ranks of the firm’s Washington, Los Angeles, and San Francisco offices. The new partners have been promoted from across offices and practice groups, including White Collar & Regulatory Enforcement, Health Care, International Trade, Intellectual Property, Privacy & Cybersecurity, Government Contracts, Litigation, and Antitrust.

Washington, D.C. – January 13, 2015: Crowell & Moring LLP is pleased to announce the publication of its third annual "Litigation Forecast: What Corporate Counsel Need to Know in the Coming Year," and the introduction of its first-ever "Regulatory Forecast 2015: What Corporate Counsel Need to Know in the Coming Year."

Starting next week, on April 1st, health care entities in California closing “material change transactions” will be required to notify California’s new Office of Health Care Affordability (“OHCA”) and potentially undergo an extensive review process prior to closing. The new review process will impact a broad range of providers, payers, delivery systems, and pharmacy benefit managers with either a current California footprint or a plan to expand into the California market. While health care service plans in California are already subject to an extensive transaction approval process by the Department of Managed Health Care, other health care entities in California have not been required to file notices of transactions historically, and so the notice requirement will have a significant impact on how health care entities need to structure and close deals in California, and the timing on which closing is permitted to occur.

Mental health parity compliance remains a focus of both state and federal regulators. As federal compliance guidance continues to evolve, states are taking more direct action to delineate specific compliance programs for health plans. California and Pennsylvania each recently enacted mental health parity legislation to increase compliance requirements—and burdens—for health plans and issuers.

The various regulatory bodies in California have separately issued telehealth guidance for health plan entities that fall under their jurisdiction, including requirements related to coverage, reimbursement parity, cost-sharing requirements, and permissible telehealth delivery platforms. This alert summarizes the information disseminated by the Department of Managed Health Care (DMHC), the California Department of Insurance (CDI), and the Department of Health Care Services (DHCS). 

This is a time of great uncertainty and change for the healthcare industry, which the CSHA believes makes participation in their annual program more valuable than ever. Along with the regular array of MCLE- approved sessions on important and topical issues of interest to healthcare attorneys from a broad range of practices, this year’s Friday morning program will include an extended panel presentation regarding the effect at both the state and federal level of the anticipated transformation of the ACA under the Trump administration.

The health care industry is increasingly turning to telehealth to provide health care services during the COVID-19 pandemic, and the federal government is quickly adapting to the critical need for these services. The recently passed CARES Act and the subsequent CMS Interim Final Rule includes a number of telehealth provisions, relaxing requirements and enabling greater use of and reimbursement for telehealth, audio-only calls, virtual visits, and remote patient monitoring. Some states have also changed requirements during the emergency for increased use of telehealth and remote care. This webinar will discuss the impact of these changes on telehealth services, including Medicare and Medicaid reimbursement, fraud and abuse considerations, state licensure and privacy/HIPAA considerations.

The California Department of Managed Health Care has promulgated a new regulation that compels the licensure of many risk-bearing organizations not previously required to obtain a Knox-Keene license. The regulation is effective July 1, 2019. Is your organization now required to be licensed?  Join Crowell & Moring and Mazars USA as we discuss the new licensure regulation and how it may impact your organization. 

During this webinar, attorneys from Crowell & Moring's Health Care Group will discuss the Administration’s and Congress’s ongoing ACA repeal and replacement efforts and their implications on the continued operation of the state and federal exchanges, state Medicaid programs, programs administered by the Centers for Medicare & Medicaid Innovation, and the future of health care fraud enforcement.

In this episode, host Joe Records talks to Gary Baldwin about the regulation of shared-risk arrangements in the state of California. They discuss the history of shared-risk arrangements in California, how the Department of Managed Health Care (DMHC) approaches these kinds of arrangements, and the kinds of issues entities should consider in approaching shared risk.