Lynn Shapiro Snyder

Lynn Shapiro Snyder

Epstein Becker Green

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Latest Publications


HHS Releases Far-Reaching Proposed Rule to Prohibit Discrimination by “Covered Entities” Pursuant to Section 1557 of the...

On September 8, 2015, the U.S. Department of Health and Human Services (“HHS”) published a proposed rule titled “Nondiscrimination in Health Programs and Activities” (“Proposed Rule”)[1] to implement the nondiscrimination...more

10/15/2015 - Affordable Care Act Covered Entities Discrimination Federally Facilitated Exchanges Health Care Providers Health Insurance Exchanges Healthcare HHS OCR Proposed Regulation Public Comment State Health Insurance Exchanges

New Value-Based Insurance Design Model for Medicare Advantage Plans Is the First of Multiple Medicare Plan Innovations Anticipated...

On September 1, 2015, the Centers for Medicare & Medicaid Services (“CMS”) announced[1] the opportunity for plan sponsors to test value-based insurance design (“VBID”) in the Medicare Advantage (“MA”) market. VBID refers to...more

9/14/2015 - Alternative Payment Models (APM) CMS Cost-Sharing Health Insurance Health Plan Sponsors Healthcare Medicare Advantage Medicare Part D Prescription Drugs Telemedicine

CMS Issues Broad-Reaching Proposals to Better Align Medicaid Managed Care with the Commercial and Medicare Markets

On May 26, 2015, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) containing the first proposed revisions to the Medicaid managed care (“MMC”) program’s regulations in more than...more

6/3/2015 - Affordable Care Act CHIP CMS Comment Period Health Care Providers Health Insurance Healthcare Managed Care Contracts Medicaid

Mental Health Parity Requirements and Medicaid Plans: CMS Seeks Comment on Proposed Rule

On April 10, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published in the Federal Register a proposed rule (“Proposed Rule”) implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction...more

5/7/2015 - Affordable Care Act CHIP CMS Employer Group Health Plans Healthcare Managed Care Contracts MCOs Medicaid Medicare Mental Health Mental Health Parity Rule Proposed Regulation

CMS Releases Updates to Its Medicare Advantage and Part D Plan Audit Protocols and Processes

On February 12, 2015, the Centers for Medicare & Medicaid Services (“CMS”) released an updated version of its Medicare Advantage (“MA”) and prescription drug benefit (“Part D”) plan audit protocols and also announced the...more

3/2/2015 - Audits CMS Medicare Medicare Advantage Medicare Part D

CMS Requests Input on Health Plan Innovation Initiatives

Medicare Advantage (“MA”) plans, prescription drug plans (“PDPs”), and other stakeholders have until November 3, 2014, to provide input into the Centers for Medicare & Medicaid Services’ (“CMS’s”) consideration of potential...more

10/10/2014 - CMS Innovation Medicaid Medicare Advantage Prescription Drug Coverage Request For Information Supplemental Benefits Technology

Supreme Court Declines to Opine on Circuit Split Over Rule 9(b) Pleading Requirements for FCA Claims

On March 31, 2014, in U.S. ex rel. Nathan v. Takeda Pharmaceuticals North America, the Supreme Court of the United States declined to review a decision by the U.S. Court of Appeals for the Fourth Circuit upholding a district...more

6/7/2014 - Certiorari Dismissals False Claims Act (FCA) Healthcare Fraud Medicare Off-Label Use Pharmaceutical Industry Pleading Standards Popular Qui Tam Rule 9(b) SCOTUS Split of Authority Takeda Pharmaceuticals Whistleblowers

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