Managed Care
Overview
Crowell & Moring is nationally preeminent in providing legal services for the managed care and health insurance industry. We have worked closely with the managed care industry for many years, and bring to our services deep familiarity with the business and legal needs of our managed care clients. We represent leading managed care companies and integrated delivery systems, both for profit and not-for-profit, across the country. Our lawyers are leaders in the field of managed care law and are relied upon for their in-depth knowledge.
Our experience focuses on the litigation, transactional, and regulatory needs of health plans across the country. We have extensive experience with the California Knox-Keene Act and the insurance laws impacting plans in California and other states. We assist companies in obtaining licensure and advise them on a wide array of state and federal regulatory requirements, including change in control requirements, mandated benefits, rating requirements, marketing activities and producer arrangements, antitrust and unfair insurance trade practice laws, insurance holding company laws, financial solvency, subrogation and coordination of benefits, privacy and security breach issues, outsourcing arrangements, and relationships with providers, including prompt payment and provider risk-assumption issues.
Contacts
Insights
Client Alert | 7 min read | 03.19.26
New Federal Guidance for Organ Procurement
2026 will prove to be a pivotal year for organ procurement organizations (OPOs). For the first time, the impact of the Center for Medicare and Medicaid Services’ (CMS) 2020 outcome measures will be fully felt, as the year marks the end of the first certification cycle governed by the new benchmarks. In the meantime, OPOs are challenging the 2020 rule in several federal lawsuits and, as that litigation progresses, CMS is accepting comments on a new proposed rule, which we discussed in a prior alert.
Client Alert | 5 min read | 03.11.26
Client Alert | 5 min read | 03.06.26
Tri-Agencies Release Fourth Mental Health Parity Report to Congress
Client Alert | 7 min read | 03.05.26
Insights
"Unpacking Republican Proposals to Roll Back Obamacare," Daily Journal
|12.12.16
CMS Proposes Significant Changes Impacting Medicare Appeals Processes
|07.18.16
American Health Lawyers Association Payers, Plans, and Managed Care Newsletter
'SGR Fix' Law Adds Program-Integrity Tools, Exempts Gainsharing From Penalties
|04.20.15
Report on Medicare Compliance
Let’s Talk FCA: Gender-Affirming Care and Anti-DEI Executive Orders
|03.04.26
Crowell & Moring’s Government Contracts Legal Forum
Medicaid Managed Care Final Rule: Prevention of Fraud, Waste, and Abuse
|08.04.16
Crowell & Moring's Health Law Blog
Professionals
Insights
Client Alert | 7 min read | 03.19.26
New Federal Guidance for Organ Procurement
2026 will prove to be a pivotal year for organ procurement organizations (OPOs). For the first time, the impact of the Center for Medicare and Medicaid Services’ (CMS) 2020 outcome measures will be fully felt, as the year marks the end of the first certification cycle governed by the new benchmarks. In the meantime, OPOs are challenging the 2020 rule in several federal lawsuits and, as that litigation progresses, CMS is accepting comments on a new proposed rule, which we discussed in a prior alert.
Client Alert | 5 min read | 03.11.26
Client Alert | 5 min read | 03.06.26
Tri-Agencies Release Fourth Mental Health Parity Report to Congress
Client Alert | 7 min read | 03.05.26
