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PODCAST

Diagnosing Health Care Podcast

Epstein Becker & Green, P.C.

Today"s health care industry is a high-stakes environment full of legal, policy, and regulatory-related obstacles. There are also tremendous opportunities, and in order to thrive, it is critical for executives, general counsel, and administrators to have a consistent pulse on trends and available business solutions. Subscribe to our health care podcast, Diagnosing Health Care, for thought-provoking, strategic insights from Epstein Becker Green attorneys and health care professionals.

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All Episodes

33:03

No Surprises Act: New Rules and Guidance for...

Diagnosing Health Care Podcast ·

2022/01/13

The Biden administration has released a series of rules and guidance to implement the No Surprises Act, which went into effect on January 1. All providers and facilities must now provide a good faith estimate to uninsured and self-pay patients scheduling appointments for services or upon request. Attorneys Helaine Fingold, Robert Hearn, and Alexis Boaz discuss the good faith estimate, what it entails, who needs to provide it, and updates regarding enforcement. Additionally, you’ll hear about what

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37:24

No Surprises Act: New Rules and Guidance for...

Diagnosing Health Care Podcast ·

2021/12/09

The No Surprises Act (NSA) will go into effect on January 1, 2022. Since our last episode on the topic, the federal government has issued additional interim final rules and guidance to implement the NSA, including the second interim final rule. In addition to describing how the NSA interacts with the plan external review procedures, the second interim final rule describes the independent dispute resolution (IDR) process and how the IDR's determination is made. Hear from attorneys Helaine Fingold,

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39:47

How Will Biden’s Executive Order Impact Future...

Diagnosing Health Care Podcast ·

2021/11/22

We’re beginning to see how mergers and acquisitions in the hospital industry are being impacted by President Biden’s executive order promoting competition in the American economy. The Federal Trade Commission recently announced policy changes, and the Department of Justice has been asked to consider policy changes, that boards of directors and C-suite officers must take into account when weighing transactions. On this episode of Diagnosing Health Care, special guest Dr. Subramaniam (Subbu)

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37:59

What Is the Future of the Acute Care Hospital Industry?

Diagnosing Health Care Podcast ·

2021/11/11

As 2021 nears a close, acute care hospitals and health systems are facing a host of financial, regulatory, and legislative challenges. Hear Rick Pollack, President and CEO of the American Hospital Association, and Epstein Becker Green’s Ted Kennedy, Jr., discuss the ways in which the industry is working with the Biden administration and Congress to shape policy around critical issues, such as surprise billing, coverage expansion, value-based care, and telehealth. Rick and Ted look at how these

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32:43

Is the Dietary Supplement Regulatory Framework Working?

Diagnosing Health Care Podcast ·

2021/10/21

The COVID-19 pandemic spurred record growth in the dietary supplement industry in 2020. With this heightened consumer interest and many new entrants to the market, important questions have emerged about the adequacy of the current regulatory framework for dietary supplements. Are current controls adequately protecting consumers from supplement products that are unsafe? What is the right level of regulation and enforcement for these products? In this episode of Diagnosing Health Care, Epstein Becker

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41:22

No Surprises Act: Considerations for Plans and Providers

Diagnosing Health Care Podcast ·

2021/09/30

On December 27, 2020, President Trump signed into law the No Surprises Act as part of the $2.3 billion Consolidated Appropriations Act. Recently, the Biden administration issued its first interim final rule in order to implement this act, which will go into effect on January 1, 2022. While the goal is to protect patients from surprise billing, the law will also impose significant compliance burdens on plans, providers, and facilities. Epstein Becker Green attorneys Helaine Fingold, Bob Hearn, and

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29:07

How Can Companies in the Health Care and Life...

Diagnosing Health Care Podcast ·

2021/08/05

Although the COVID-19 pandemic exposed cybersecurity vulnerabilities across sectors, it has particularly challenged the resilience of information systems for health care and life sciences companies. Because ransomware attacks have the potential to cripple access to important data, expose patient health records, and shut down machinery and life-saving equipment, it's no surprise that health care executives continue to lose sleep thinking about potential ransomware or other similar malicious attacks

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49:38

What’s New for Insurers in Mental Health Parity...

Diagnosing Health Care Podcast ·

2021/06/10

In accordance with changes enacted at the end of 2020, health plans and insurers must prepare to provide regulators with documentation of their compliance with mental health parity requirements on specific non-quantitative treatment limits. Special guest Henry Harbin, MD, Health Care Consultant and former CEO of Magellan Health Services, and Epstein Becker Green attorneys Kevin Malone, David Shillcutt, and Tim Murphy discuss what the new federal enforcement approach to mental health parity means for

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26:44

Federal and State Cannabis Rules Are Moving in...

Diagnosing Health Care Podcast ·

2021/06/03

Federal and state cannabis regulation and enforcement appear to be moving in different directions. Epstein Becker Green attorneys Delia Deschaine, Nathaniel Glasser, and Megan Robertson discuss how new developments in 2021 impact the cannabis industry and why all players, including employers, health care providers and retailers, and businesses operating in the cannabis space, need to pay close attention to the different nuances between federal and state laws. Visit our site for more information and

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27:00

Are Vaccine Passports the Key to Reopening?

Diagnosing Health Care Podcast ·

2021/05/20

As the rollout of the COVID-19 vaccine continues, today’s episode looks at the risk potential of vaccine passports. Epstein Becker Green attorneys Patricia Wagner, Alaap Shah, and Jessika Tuazon discuss the privacy and security concerns companies must weigh as they consider developing or implementing vaccine passports, such as the collection and use of an individual's personal health information and the best practices to mitigate risk. Visit our site for more information and related resources:

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24:48

Whistleblowing, Retaliation Risks Are On the Rise for...

Diagnosing Health Care Podcast ·

2021/04/29

Today’s episode examines how COVID-19 liability shield laws may give health care businesses a false sense of security and offer little protection when it comes to employment claims. Epstein Becker Green attorneys Denise Merna Dadika, Gregory Keating, and Elena Quattrone discuss the unintended liability consequences health care employers must consider as they transition more employees back to in-person work and the ways to mitigate increasing whistleblower and retaliation risks. Visit our site for

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34:09

CMS and OIG Final Rules for Innovating Your...

Diagnosing Health Care Podcast ·

2021/04/08

Today’s episode looks at the long-awaited companion final rules advancing value-based care published by the Centers for Medicare & Medicaid Services and the Office of Inspector General of the Department of Health and Human Services. Epstein Becker Green attorneys Anjali Downs, Jennifer Michael, Lesley Yeung, and Paulina Grabczak give an overview of the final rules and point out key issues health care companies should carefully consider as they take advantage of these value-based care safe harbors

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35:12

American Rescue Plan Delivers New Stimulus Funding

Diagnosing Health Care Podcast ·

2021/03/31

Today’s episode looks at the health-specific portions of the American Rescue Plan, including money for rural hospitals, billions of dollars for COVID-19 testing and contact tracing, and extra subsidies to help people buy health coverage through an Affordable Care Act plan. Epstein Becker Green attorneys Mark Lutes, Philo Hall, and Tim Murphy discuss what these changes and upcoming congressional priorities might mean for stakeholders. Visit our site for more information and related resources:

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30:02

President Biden’s Use of the Defense Production Act

Diagnosing Health Care Podcast ·

2021/03/24

Today’s episode looks at how the Biden administration’s use of the Defense Production Act ("DPA") to speed up the production of vaccines and increase the domestic production of COVID-19 tests, personal protective equipment (or “PPE”), and other essential supplies is presenting challenges for medical product suppliers. Epstein Becker Green attorneys Neil Di Spirito, Constance Wilkinson, and Bonnie Odom discuss the administration's reliance on the DPA. Visit our site for more information and related

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29:43

COVID-19 Vaccines: The Ethical and Legal Challenges...

Diagnosing Health Care Podcast ·

2021/03/01

Today’s episode discusses the factors impacting an individual’s decision to get vaccinated and the ways that policies and practices at the federal, state, local, and tribal levels can support equity, transparency, accountability, availability, and access to COVID-19 vaccines. Featured are special guest Richard Hughes IV, Vice President of Public Policy at Moderna, and Epstein Becker Green attorneys Victoria Vaskov Sheridan and Jessika Tuazon. Visit our site for more information and related

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33:13

Congressional Health Care Legislative Agenda

Diagnosing Health Care Podcast ·

2021/02/10

Today’s episode looks at the 117th Congressional agenda and the prospects for additional coronavirus relief and what that would mean for stakeholders, as well as the possibility for coverage expansion through changes to the Affordable Care Act or Medicaid. Attorneys Mark Lutes, Philo Hall, and Timothy Murphy also discuss which legislative items are most likely to require 60 votes in the Senate or pass through budget reconciliation. Visit our site for more information and related resources:

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34:01

Private Equity Investment in Risk-Bearing Provider...

Diagnosing Health Care Podcast ·

2021/02/01

Today’s episode looks at why physician practices accepting risk-based payments from health plans are attractive to investors. Special guest Jason Madden, Managing Director at Accordion, and Epstein Becker Green attorneys Joshua Freemire, Jason Christ, and Tim Murphy, dive into the health regulatory considerations investors must assess when evaluating investment opportunities with physician practices accepting risk-based payments. Visit our site for more information and related resources:

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34:07

The Biden Administration’s First 100 Days

Diagnosing Health Care Podcast ·

2021/01/21

Today’s episode looks at the Biden Administration's first 100 days in office and the potential executive orders, regulations, and new legislation with noteworthy health care policy implications. Attorneys Philo Hall, Ted Kennedy, Jr., and Paulina Grabczak discuss President Biden’s priorities, including his COVID-19 response plan, and examine which "midnight rules" put in place by the Trump Administration could be intercepted or retained. Visit our site for more information and related resources:

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24:30

Forecast for Telehealth Fraud and Abuse Risk in 2021

Diagnosing Health Care Podcast ·

2021/01/14

Today’s episode examines the fraud and abuse enforcement landscape in the telehealth space and considers ways telehealth providers can mitigate their enforcement risks as they move into the new year. Attorneys Amy Lerman, Melissa Jampol, and Bonnie Scott discuss how the uptick in enforcement warrants close consideration by telehealth providers, especially those that are new to the space and have not yet built their compliance infrastructures. Visit our site for more information and related

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33:28

Privacy Concerns When Contact Tracing in the Health...

Diagnosing Health Care Podcast ·

2020/12/08

Today’s episode looks at the privacy concerns when health care businesses and employers are implementing contact tracing technologies. Contact tracing will continue to play a big role as we look to understand the impact of COVID-19 vaccines. Guests are attorneys Michelle Capezza and Karen Mandelbaum and attorney Jessika Tuazon hosts. Visit our site for more information and related resources: https://www.ebglaw.com/dhc13 Subscribe for email notifications: https://www.ebglaw.com/subscribe Visit:

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