Lexology June 26, 2025
Ropes & Gray LLP

Click here to listen to the audio

On this Ropes & Gray podcast, health care partner Michael Lampert and counsel Sam Perrone are joined by litigation & enforcement partner Andrew O’Connor for a two-part discussion, with this first episode focused on recent enforcement activity and broker arrangements in the Medicare Advantage (“MA”) space. They delve into the Oak Street settlement, the Office of Inspector General’s (“OIG”) Special Fraud Alert, and a recent Department of Justice (“DOJ”) False Claims Act (“FCA”) suit against major Medicare Advantage plans and brokers. The conversation covers the complex regulatory framework governing broker arrangements, the implications of recent enforcement actions, and practical takeaways for providers. Listen in for an insightful analysis of these critical issues affecting...

Today's Sponsors

Venturous
ZeOmega

Today's Sponsor

Venturous

 
Topics: Insurance, Medicare Advantage
CMS Signals MA Payment Slowdown as Provider Frustration With The Plans Continue to Mount
CMS proposes excluding chart reviews from MA risk scoring in 2027 payment rule
CMS proposes nearly flat Medicare Advantage payments for 2027: 6 notes
Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
How Risk Adjustment Affects Payment for Medicare Advantage Plans

Share Article