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Payers, Providers, and Patients – Oh My!
Crowell & Moring
50 episodes
2 weeks ago
Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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Business
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All content for Payers, Providers, and Patients – Oh My! is the property of Crowell & Moring and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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Business
Episodes (20/50)
Payers, Providers, and Patients – Oh My!
AI in Healthcare – Key Policy Developments and State Laws
In this episode, hosts Payal Nanavati and Megan Beaver speak with Linda Malek and Matthew F. Ferraro about the latest federal and state developments in artificial intelligence (AI) policy affecting health care. The conversation covers the Trump administration’s AI action plan and Executive Orders on AI, new industry-specific and comprehensive state laws, and enforcement trends, with a focus on how these changes impact the health care industry. This podcast episode features the following speakers: Linda Malek is a partner in Crowell & Moring's New York office, and is a member of our Health Care, Privacy & Cybersecurity, and Life Sciences practices. She advises a broad array of health care and life sciences clients on compliance with federal, state, and international law governing clinical research, data privacy, cybersecurity, and fraud and abuse. Linda also counsels digital health and biotech companies developing AI tools. She navigates the complex and evolving federal and state regulatory landscape, balancing the priorities of oversight authorities with issues related to data privacy and security as well as business goals. Matthew F. Ferraro is a partner in Crowell & Moring's Washington, D.C. office and is a member of our Privacy and Cybersecurity Group, where he advises leading organizations on high-impact matters involving artificial intelligence (AI), cybersecurity, and emerging technologies. He previously served as Senior Counselor for Cybersecurity and Emerging Technology to the Secretary of Homeland Security, helping shape national AI and cyber policy and helping to establish and run the Artificial Intelligence Safety and Security Board. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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2 weeks ago
16 minutes

Payers, Providers, and Patients – Oh My!
The ABCs of Administrative Law – Administrative Law in the Health Care Industry (Part 2)
In the second of a two part series on the impact of administrative law in the health care industry, hosts Payal Nanavati and Savanna Williams talk to Dan Wolff about the practicalities of seeking judicial review to challenge agency actions, the impact of Loper Bright, and the major questions doctrine. This podcast episode features the following speakers: Dan Wolff is a partner in Crowell & Moring's Washington, D.C. office and leads the firm’s administrative law litigation practice. Dan's practice encompasses litigation arising under the Administrative Procedure Act or as a result of government enforcement actions or commercial disputes. He regularly appears in federal district and appellate courts around the country and before a host of agency tribunals, and counsels clients on their rights and obligations under a number of federal regulatory programs. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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1 month ago
22 minutes

Payers, Providers, and Patients – Oh My!
The ABCs of Administrative Law – Administrative Law in the Health Care Industry (Part 1)
In the first of a two part series on the impact of administrative law in the health care industry, hosts Payal Nanavati and Savanna Williams talk to Dan Wolff about how administrative law manifests itself on a day-to-day basis and how to interact with agency officials in a heavily regulated industry. This podcast episode features the following speakers: Dan Wolff is a partner in Crowell & Moring's Washington, D.C. office and leads the firm’s administrative law litigation practice. Dan's practice encompasses litigation arising under the Administrative Procedure Act or as a result of government enforcement actions or commercial disputes. He regularly appears in federal district and appellate courts around the country and before a host of agency tribunals, and counsels clients on their rights and obligations under a number of federal regulatory programs. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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2 months ago
12 minutes 49 seconds

Payers, Providers, and Patients – Oh My!
World Elder Abuse Awareness Day
In recognition of World Elder Abuse Awareness Day (June 15), hosts Payal Nanavati and Savanna Williams talk to Jen Mika about best practices that providers should keep in mind to combat elder abuse, neglect, and exploitation.This podcast episode features the following speakers: Jen Mika is a counsel in Crowell’s DC office and is considered a leading authority on Elder Law in the District of Columbia. Jen was the District of Columbia’s first prosecutor solely focused on investigating and prosecuting financial exploitation of elders and vulnerable adults.
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4 months ago
24 minutes 12 seconds

Payers, Providers, and Patients – Oh My!
Gender-Affirming Care
In this episode, hosts Payal Nanavati and Megan Beaver talk to Alice Hall-Partyka and Savanna Williams about the impact of Executive Order 14187 on access to gender-affirming care for individuals under the age of 19. Alice and Savanna delve into the implications of this EO, and others, on payors, providers, and potentially conflicting state laws.   Executive Order 14187: https://www.federalregister.gov/documents/2025/02/03/2025-02194/protecting-children-from-chemical-and-surgical-mutilation  
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8 months ago
19 minutes 1 second

Payers, Providers, and Patients – Oh My!
Presidential Health Care Proposals
In this episode, hosts Payal Nanavati and Savanna Williams talk to Aaron Cummings and Stephen Holland about the Trump and Harris campaigns’ approaches to issues affecting the health care industry. This podcast episode features the following speakers: Aaron Cummings serves as the co-chair of Crowell’s Government Affairs Group and was Chief of Staff to U.S. Senator Chuck Grassley (R-IA) from 2019-2023. Today, Aaron helps clients make sure their views are represented in policy discussions in Capitol Hill, the White House, and throughout the federal government, including advising clients on health care legislative and policy. Stephen Holland is an senior counsel in Crowell’s Government Affairs Group, where he leverages his extensive experience advising members of Congress and their staff as a policy advisor and attorney active in health care legislation. In his most recent role prior to joining Crowell, Stephen spent five years on the Energy and Commerce Committee staff under the leadership of Ranking Member and former Chairman Frank Pallone (D-NJ). Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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1 year ago
20 minutes 32 seconds

Payers, Providers, and Patients – Oh My!
The New MHPAEA Final Rule – Key Takeaways and Insights
In this episode, hosts Payal Nanavati and Megan Beaver talk to Alice Hall-Partyka and Spencer Bruck about the recently released Mental Health Parity and Addiction Equity Act (MHPAEA) final rule. Alice and Spencer delve into the key new provisions of the rule, including the requirements for Non-Quantitative Treatment Limitations comparative analyses and the focus on data outcomes. Relevant resources: Tri-Agencies Finalize NQTL Comparative Analysis Standards in Final Rule Final Mental Health Parity Rule Spurs Loper Bright Legal Threat Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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1 year ago
19 minutes 52 seconds

Payers, Providers, and Patients – Oh My!
AI in Health Care Series, Part 3: The EU AI Act
In this episode, hosts Payal Nanavati and Savanna Williams talk to Roma Sharma and Wietse Vanpoucke about the European Union’s Artificial Intelligence Act, which establishes a common regulatory and legal framework for AI within the European Union. This podcast episode features the following speakers:   Roma Sharma is a counsel in Crowell’s Health Care Group, where she advises a variety of health care clients on navigating the use of AI in the industry and complying with federal and state laws and regulations. Wietse Vanpoucke is an associate in Crowell’s Brussels office, where his practice focuses on the life sciences and digital health sectors, relying on his deep experience with European and Belgian regulatory affairs and legal procedures. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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1 year ago
16 minutes 57 seconds

Payers, Providers, and Patients – Oh My!
AI in Health Care Series, Part 2: Artificial Intelligence, HIPAA and Data Privacy
In this episode, hosts Payal Nanavati and Megan Beaver talk to Jodi Daniel and Lidia Niecko-Najjum about how HIPAA and existing data privacy protections are shaping health care organizations’ use of artificial intelligence.  Jodi and Lidia discuss the various regulations at play and also provide practical takeaways. This podcast episode features the following speakers: Jodi Daniel is a partner in Crowell’s Health Care Group and part of the firms Digital Health Practice where she counsels health technology companies, health care providers, health plans, life science companies and others on regulatory issues, including data access and use, privacy and security, interoperability, health information exchange, information blocking, telehealth, and FDA oversight. Jodi is also the managing director of Crowell Health Solutions. Lidia Niecko-Najjum is a senior counsel in Crowell’s Health Care Group and is part of the firm’s Digital Health Practice. With over 15 years of clinical, policy, and legal experience, Lidia provides strategic advice on health care regulatory and policy matters, with particular focus on artificial intelligence, machine learning, digital therapeutics, telehealth, interoperability, and privacy and security.
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1 year ago
20 minutes 51 seconds

Payers, Providers, and Patients – Oh My!
AI in Health Care Series, Part 1: AI Use in Clinical Research Institutions
In this episode, hosts Megan Beaver and Savanna Williams talk to Jason Johnson and Linda Malek about the evolving regulatory landscape related to artificial intelligence (AI) in health care. In particular, Jason and Linda discuss the use of AI by organizations engaged in clinical research including key issues and emerging themes in this field.   This podcast episode features the following speakers: Jason Johnson is a partner in Crowell’s Health Care and Privacy & Cybersecurity Groups, where he draws on his experience as a former research scientist to advise clients on complex compliance, legal, regulatory, and transactional matters. Linda Malek is a partner in Crowell’s Health Care and Privacy & Cybersecurity Groups, where she advises a broad array of health care and life sciences clients on compliance with federal, state, and international law governing clinical research, data privacy, cybersecurity, and fraud and abuse.
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1 year ago
21 minutes 25 seconds

Payers, Providers, and Patients – Oh My!
The Past, Present, and Future of Private Equity’s Role in Health Care
In this episode, hosts Payal Nanavati and Savanna Williams talk to Paul Pollock and Wayne Pryor about how private equity (PE) got its start in the health care industry, current trends in PE regulation, and where listeners can expect to see PE to continue investing in the industry.    This podcast episode features the following speakers: Paul Pollock is a partner in Crowell’s New York office and concentrates his practice on mergers, and acquisitions, and corporate finance, specifically in the health care industry. Wayne Pryor is Managing Director in VMG Health’s Financial Due Diligence Division in the Nashville office.  He has over 30 years of experience in the health care industry with a focus on transaction surfaces.  Wayne has worked on over 450 buy-side and sell-side transactions in every sub sector of the industry, ranging from $1 million to $10 billion deals.
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1 year ago
22 minutes 17 seconds

Payers, Providers, and Patients – Oh My!
Enabling Widespread Adoption of Decentralized Clinical Trials
In this episode, hosts Payal Nanavati, Jodi Daniel, and Cara Tenenbaum talk to Ben Moscovitch, Devon Adams, and Noah Goodson about recent policy developments on decentralized clinical trials (DCTs). They also discuss the Crowell Health Solutions’ white paper* on DCTs, which issues to federal agencies a number of policy recommendations to advance DCT adoption and increase clinical trial diversity. This podcast episode features the following speakers: Jodi Daniel is a Managing Director of Crowell Health Solutions and also is a partner in Crowell’s DC office, who leads the firm’s Digital Health Practice. She previously spent 15 years at the Department of Health and Human Services (HHS). Cara Tenenbaum is a Consultant with Crowell Health Solutions, leads Strathmore Health, and has extensive experience in health policy and patient advocacy. She worked at the U.S. Food and Drug Administration (FDA) for six years. Ben Moscovitch leads Amazon Web Services (AWS) healthcare and life sciences public policy efforts and focuses on policy reforms to improve health data interoperability and clinical research. Devon Adams is a Senior Policy Analyst at the American Cancer Society Cancer Action Network, the nonpartisan advocacy affiliate of the American Cancer Society. He works on policy related to cancer research, device and drug development, precision medicine, and clinical trials. Noah Goodson, Ph.D. is the Principal of Strategy & Advisory at THREAD Research. He spends his day supporting pharmaceutical, biotech, and medical device companies in the design and execution of clinical trials. White Paper: https://www.crowell.com/a/web/vFgM2vJzbE4wsuVyJ5o1py/advancing-adoption-of-decentralized-clinical-trials-rationale-current-state-and-policy-recommendations.pdf  
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1 year ago
33 minutes 22 seconds

Payers, Providers, and Patients – Oh My!
The Increasing Focus on Mental Health Parity
In this episode, hosts Payal Nanavati and Megan Beaver talk to Chris Flynn and Alice Hall-Partyka regarding the proposed updates to the regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA). We discuss the current regulatory environment, enforcement, and key takeaways from the proposed rule. For further reading, please see: New Proposed MHPAEA Rule Builds on NQTL Comparative Analysis Standards (https://www.crowell.com/en/insights/client-alerts/new-proposed-mhpaea-rule-builds-on-nqtl-comparative-analysis-standards) Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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1 year ago
27 minutes 14 seconds

Payers, Providers, and Patients – Oh My!
Hidden Costs of FCA and AKS Claims
In this episode, hosts Joe Records and Payal Nanavati talk to Rebecca Baskin regarding her recently-published article analyzing the true costs to companies of becoming the subjects of False Claims Act or Anti-Kickback Statue investigations.  We discuss the article’s methodology, findings, and key takeaways.    Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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2 years ago
21 minutes 27 seconds

Payers, Providers, and Patients – Oh My!
Industry Views on the Trusted Exchange Framework and Common Agreement
In this episode, hosts Joe Records, Payal Nanavati, and Jodi Daniel talk to three members of the health information industry regarding the Trusted Exchange Framework and Common Agreement (TEFCA) published by the Office of the National Coordinator for Health Information Technology (ONC). This episode features Jay Nakashima (Executive Director of eHealth Exchange), Nichole Sweeney (General Counsel and Chief Privacy Officer of CRISP Shared Services), and Erica Galvez (CEO of Manifest MedEx), who each share their experiences in the health information exchange industry and their expectations of TEFCA. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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2 years ago
25 minutes 55 seconds

Payers, Providers, and Patients – Oh My!
How to Structure an Affirmative Recovery Program
In this episode, hosts Joe Records and Payal Nanavati talk to Kelly Hibbert and Jed Wulfekotte about how Medicare plan sponsors and Medicaid Managed Care Organizations can structure an affirmative recovery program to prevent and detect fraud, waste, and abuse -- among other things.   Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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2 years ago
17 minutes 47 seconds

Payers, Providers, and Patients – Oh My!
More Changes to Section 1557 Nondiscrimination Rules
In this episode, hosts Joe Records and Payal Nanavati talk to Michelle Chipetine and Stacie Heller about recent developments regarding the nondiscrimination requirements of Section 1557 of the Affordable Care Act, including new rules proposed by the Biden Administration and litigation around the issue of discrimination on the basis of sex.   Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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2 years ago
12 minutes 3 seconds

Payers, Providers, and Patients – Oh My!
The Shrinking Medical Loss Ratio Numerator
In this episode, host Payal Nanavati talks to Shelley Rosenberg and Joe Records about changes to the medical loss ratio (MLR) requirements impacting commercial coverage, particularly the limitations on what expenses issuers can include in their MLR numerators. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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3 years ago
10 minutes 28 seconds

Payers, Providers, and Patients – Oh My!
Massive Federal Investment in Mental Health
In this episode, Joe Records and Payal Nanavati talk to Scott Douglas and Charlotte Freed about the mental health provisions in the federal gun safety legislation. The new law included billions in federal funds to support mental health care—a huge investment likely to have major impacts on the industry. Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.
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3 years ago
18 minutes 6 seconds

Payers, Providers, and Patients – Oh My!
Crowell Health Solutions Mini-Series Part 2 – A Health System’s Perspective on Prioritizing Health Equity
This episode is the second part in a miniseries with Crowell Health Solutions, which is a strategic consulting firm that Crowell & Moring launched earlier this year to help healthcare organizations and technology companies transform health care by improving patient care and health outcomes, advancing health equity, and lowering health care costs through solutions like digital health innovations and value-based healthcare models. In this episode, Janet Walker and Roma Sharma interview three leaders working at Ascension, which is one of the nation’s largest not-for-profit health systems with more than 2,600 sites of care, about how Ascension has prioritized health equity and population health initiatives, including its framework “ABIDE,” which is built upon the hallmarks of Appreciation – Belongingness – Inclusivity – Diversity – Equity.  The interviewees are Dr. Stacy Garrett-Ray (Senior Vice-President and Chief Community Impact Officer), Pamela Mitchell Boyd (Senior Director of ABIDE), and Nicole Commodore (Director, Community Impact and Advocacy).   Payers, Providers, and Patients – Oh My! is Crowell & Moring’s health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.   For more information, please see: Crowell & Moring Unveils Crowell Health Solutions
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3 years ago
34 minutes 5 seconds

Payers, Providers, and Patients – Oh My!
Crowell & Moring’s biweekly health care podcast, discussing legal and regulatory issues that affect health care entities’ in-house counsel, executives, and investors.