In this episode of NM Talks Healthcare, join Nelson Mullins partner Christine Worthen and a Director at Berkeley Research Group, LLC Mandy Asgeirsson in an overview of Medicare Advantage risk adjustment, including history and recent regulatory changes impacting payers and providers. This episode takes a deeper look into the main areas of government investigation, what the changes mean for payers and providers, and offers practical takeaways based on what we are seeing in the industry. 

In this episode of NM Talks Healthcare, Nelson Mullins Healthcare Practice Group Leader Tom Moran interviews partners Trish Markus and Christine Worthen and of counsel Heather Miller about their experiences as being in leadership roles with the American Health Law Association (AHLA). During their discussion they touch on collegiality, top-notch education opportunities, multi-tasking, and more.

On this episode of NM Talk Healthcare, Healthcare partner Hannah Cross leads the discussion with e-discovery partners Julia Hartley and Travis Bustamante on creating and maintaining privilege over internal investigations. Tune in to hear about practical steps companies can take on the front end to create privilege and the downstream impact that process and procedure implementation can create if the internal investigation becomes relevant to subsequent litigation.

On this episode of NM Talks Healthcare, join Raleigh partners Bob Wilson and Cara Ludwig in discussion of the Rural Healthcare Initiative and how a multi-disciplinary team of professionals is working to secure the future of healthcare in rural America. 

On this episode of NM Talks Healthcare, join antitrust lawyers Denise Gunter and Carrie Hanger in their discussion of the current enforcement environment, the potential impact on parties to healthcare transactions, and recommendations for conducting due diligence and pre-integration planning in an antitrust compliant manner. It is no secret that the Biden Administration has ramped up the enforcement of the existing antitrust laws. Now more than ever, it is critical that parties looking to engage in healthcare transactions are aware of the antitrust laws and put appropriate precautions in place to avoid making missteps. 

On this episode of NM Talks Healthcare, join health care attorney Cara Ludwig and employment attorney Alyssa Riggins as they dive into issues of employee misclassification and the legal differences between an independent contractor and an employee. With enforcement actions for employee misclassification in the healthcare industry on the rise, tune in to learn more about this important topic. 

On this episode of NM Talks Healthcare, join of counsel Heather Miller as she interviews partners Ed White and Mike Segal about the vital topics of value-based care and value-based enterprises. Healthcare reimbursement is steadily moving towards reimbursement based upon providing a better quality of care at a lower cost – value-based care. Segal and White will also dive into changes in rules regarding the Stark and anti-kickback laws, the creation of the concept of value-based enterprise, and how healthcare providers and companies can use value-based enterprises as a business tool.

Join Hannah Cross and Courtney Tito as they discuss some key considerations for providers when transitioning out of the COVID-19 PHE. With less than a month before the PHE ends on May 11, 2023, providers should already be working on how to transition out of the waivers and flexibilities they relied on to keep going during the heart of the pandemic. Hannah and Courtney discuss the broader Stark Waivers and AKS flexibilities, some provider specific items and round out the discussion looking at enforcement.

In this edition of NM Talks, antitrust attorneys Denise Gunter and Carrie Hanger share their observations on the Federal Trade Commission's (FTC’s) recent proposed rule that would ban almost all non-compete agreements, regardless of industry and type of employee. Non-competes are a standard feature in most physician employment agreements. Denise and Carrie provide practical guidance for health care employers who need to understand how the proposed rule may impact their operations. 

In this episode, Nelson Mullins partners Gabe Imperato and Edgar Bueno share their knowledge of the False Claims Act and its relationship to organizational compliance, and what it means for compliance professionals and the journey involved when defending against allegations in a False Claims Act case.

Healthcare attorneys Heather Miller and Trish Markus describe their forecast for healthcare law areas of focus for 2023.