Emerging Trends in Medicare Advantage Risk Adjustment

How New DOL Salary Rules Could Impact Healthcare Employers

On this episode of NM Talks Healthcare, Nelson Mullins partner Cara Ludwig and senior associate Alyssa Riggins discuss the Department of Labor’s new salary thresholds for exempt employees, including potential impacts for healthcare employers, and how to ensure compliance between now and the January 1, 2025, effective date.

Navigating Medicare and Medicaid Regulatory Audits The Devil You Know

In this episode, Nelson Mullins partner Knicole Emanuel and senior associate Melissa Scott analyze the framework of Medicare and Medicaid regulatory audits of healthcare providers by shedding light on the relationship between the Medicare and Medicaid Integrity Programs and the types of contractors driving the force of compliance investigations. Emanuel and Scott also provide an overview of the audit process and strategies for providers to manage compliance-related risks and defend against unfavorable audit decisions.

Elevate your Management Services Organization with a Value-Based Enterprise

On this episode of NM Talks Healthcare, Nelson Mullins partners Ed White and Mike Segal are joined by Jim Carr and Luis Argueso, consultants, partners, and co-founders of InHealth Advisors. During the episode, they discuss the concept of how a Value-Based Enterprise (“VBE”) can transform the relationship between a management services organization (“MSO”) and its friendly physician professional corporation (“PC”), how to integrate a VBE into the MSO-friendly PC structure to help change the narrative surrounding non-physician participation in healthcare delivery, how a VBE can create a low-risk regulatory environment in the MSO-friendly PC structure, how new VBE revenue generation opportunities can enable an MSO to improve alignment with its physician providers and lessen reliance on restrictive covenants, and how creating new collaborative opportunities can lessen dependence on acquiring physician practices and open possibilities for partnering with hospitals.

Emerging Trends in Medicare Advantage Risk Adjustment

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.

Nelson Mullins’ AHLA Leaders Discuss Benefits of AHLA Engagement

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.