Senior Counsel
Epstein Becker Green
David is Senior Counsel in the Health Care and Life Sciences practice of the law firm Epstein Becker & Green. David provides legal counsel and consulting in the areas of behavioral health, government and commercial reimbursement, and managed care based on his work at the Centers for Medicare & Medicaid Services (CMS), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Centers for Disease Control and Prevention (CDC). Key practice areas include advice to payors, providers, and vendors on strategic and compliance issues involving Medicare, Medicaid, and other third-party reimbursement programs with a particular focus on mental health and substance use disorders; primary, post-acute, and long-term care; disability support services; and obligations under the Mental Health Parity and Addiction Equity Act (MHPAEA).
Mental health parity, behavioral health network strength, and mental and physical health integration.
Motivational incentives for addiction treatment, online claims dispute resolution.
Promoting virtual care through the expansion of telehealth for medication assisted treatment.
Federal and state regulators are ramping up enforcement of mental health parity compliance for provider networks and reimbursement, but guidance on how to prove compliance remains scarce. This session will provide an overview of the fundamentals of the parity analysis for provider networks and reimbursement, key concerns and findings that regulators have identified to date, and key strategies for effectively demonstrating compliance, including the use of a diverse suite of measures to demonstrate network strength.
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Remember the mission to reach the moon? In 1962, President JFK set forth a vision. He initiated a movement that outlived him! Even in his death, the mission was accomplished seven years after his famous speech. Now we’re on a five-year mission, and it's not about us. This is a mission for you – the individual, the stakeholder, the employer healthcare and benefits professional. Join the mission to reduce costs, reimagine culture, and reinvent care.
Care
Moonshot #3
Provide 40% of healthcare services virtually and through technology by 2025.
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