Sponsor White Papers – March 2020
Free White Paper – Medicare Compliance: How CMS Policy Changes Impact Utilization and Case Management
This white paper explores significant CMS changes that affect Medicare coverage related to Local Coverage Determinations (LCDs) and Medicare Advantage supplemental benefits dealing with social determinants of health.
Announcement – Epstein Becker Green Coronavirus Resource Center
Employers throughout all industries, and particularly those within health care, are now grappling with how to deal with the various implications of the novel coronavirus (COVID-19) on their businesses and workforce. Epstein Becker Green has been tracking this issue since January 2020, when we released the advisory titled “Responding to the Coronavirus (2019-nCoV) Outbreak: Best Practices for Employers.” More recently, we released the video “Coronavirus Outbreak: A Balancing Act for Employers.” Given increasing coronavirus concerns, Epstein Becker Green has created a Coronavirus Resource Center with the latest news and updates: ebglaw.com/coronavirus. The page features alerts, videos, podcasts, and news coverage of our attorneys communicating about these concerns and how employers might respond. Your organization may be in the midst of thinking through its infectious disease and/or business continuity plans, and our COVID-19 Response Team can provide assistance. For more information, please visit (and revisit for updates) ebglaw.com/coronavirus and subscribe for email notifications.
Free White Paper – End-Stage Renal Disease and Medicare Advantage
Beginning in 2021, Medicare beneficiaries with end-stage renal disease (ESRD) will be able to enroll in any Medicare Advantage (MA) plan in their area. Previously, beneficiaries could not newly enroll in an MA plan once diagnosed with ESRD, except in limited circumstances. However, payments to MA plans for enrollees with ESRD may not reflect enrollees’ costs. First, the statewide average payment amount may not reflect local costs. Further, the required maximum out‑of‑pocket (MOOP) limit in MA results in higher plan liabilities than those borne by traditional Medicare. This analysis conducted by Health Management Associates and sponsored by the Anthem Public Policy Institute explores potential issues with how MA plans are currently paid for enrollees with ESRD. It also identifies possible modifications that Congress or the Centers for Medicare & Medicaid Services could make to more closely align payments with costs.
Article – Status of California’s Gender Parity Law for Public Company Boards
This article by Mintz employment law attorney, Jennifer Rubin, discusses the status of SB 826, which was signed into law in 2018, mandating that public company boards with a principal executive office in California either meet certain minimum gender representation goals or face state-imposed fines.
Free White Paper – MultiCare Health System
MultiCare Health System wanted to develop a customer experience strategy that would transform patient experience. With West Monroe’s help, MultiCare not only created a compelling strategy that supports its mission; it equipped six key functional areas with metrics and tools for turning the strategy into reality. The results have been impressive.
Article – Right Processes Lead to Great Procurement
AArete Director, Julie Sampson, articulates the attributions to higher-than-average procurement performance for all purchasing managers to consider. With the right improvements to processes, major cost savings can be gained in procurement, reducing waste, improving visibility and enhancing transparency.
