Health Law Simplified
by Strategic Health Law
Latest episode
The Supplemental Benefits Questions Everyone Is Asking
The Supplemental Benefits Questions Everyone Is Asking
About this podcast
Health Law Simplified℠ breaks down the latest legal developments, challenges, and regulatory impacts in managed care—giving business leaders the insights they need to stay ahead. Join attorneys Elizabeth Lippincott and Sandra Durkin each month for practical, engaging conversations about the ever-evolving world of health law.
Episodes
- The Supplemental Benefits Questions Everyone Is Asking · 22 min · Season 2 Episode 9In this episode of Health Law Simplified, Sandy Durkin and Elizabeth Lippincott explore some of the more complex implementation questions Medicare Advantage plans are facing…
- Clover's Ripple Effect: The New Wave of Medicare Advantage Star Ratings Litigation · 30 min · Season 2 Episode 8In this episode of Health Law Simplified, Elizabeth Lippincott and Sandy Durkin revisit the landmark Clover Health decision and explore the growing wave of litigation that is…
- Star Ratings Chaos, Part 2: CMS Responds to the Clover Case · 27 min · Season 2 Episode 7In this bonus episode of Health Law Simplified, Sandy Durkin and Elizabeth Lippincott are joined again by Melissa Newton Smith and Ana Handshuh to discuss CMS’s rapid response to…
- Star Ratings Chaos - The Clover Case · 58 min · Season 2 Episode 6In this episode of Health Law Simplified, Sandy Durkin and Elizabeth Lippincott are joined by Melissa Newton Smith and Ana Handshuh for a deep dive into one of the most…
- What the New Rules for 2027 Mean for Supplemental Benefits · 37 min · Season 2 Episode 5Supplemental benefits have become a key feature of Medicare Advantage, shaping member experience, plan design, and regulatory oversight. In this episode of Health Law Simplified…
- Medicare Advantage at a Crossroads: Supplemental Benefits, Risk Adjustment, and What Comes Next · 46 min · Season 2 Episode 4In this episode of Health Law Simplified, Sandy Durkin and Elizabeth Lippincott are joined by Brandon Solomon, Senior Vice President and General Manager at Pareto Intelligence…
- Medicare Supplement (Medigap) 101: What It Covers, Who Regulates It, and Who Chooses It · 40 min · Season 2 Episode 3In this episode of Health Law Simplified, Sandy Durkin and Elizabeth Lippincott shift gears from Medicare Advantage to take a practical look at Medicare Supplement insurance…
- PBM Reform + OIG Guidance + 2026 Medicare Advantage Enrollment = What You Need to Know · 27 minIn this episode, Sandy Durkin and Elizabeth Lippincott break down several significant developments shaping the Medicare Advantage and Part D landscape. They begin with a close…
- Inside CMS: Advance Notice, RADV Audits, Special Needs Plans, Dual-Eligible Integration · 41 min · Season 2 Episode 1In this episode, Sandy and Elizabeth break down the latest CMS updates shaping the Medicare Advantage landscape, diving into the Advance Notice, RADV audit enforcement, emerging…
- 2025 Medicare Advantage Year in Review (It’s been a lot!) · 44 min · Episode 10In our Year in Review episode, hosts Elizabeth Lippincott and Sandy Durkin distill a turbulent 2025 into the developments that mattered most for Medicare Plans. You’ll hear a…
- RADV Ruling: A Legal Earthquake in Medicare Advantage · 38 min · Episode 9In this episode of Health Law Simplified, hosts Sandy and Elizabeth unpack a pivotal federal court ruling that vacates a key CMS rule governing RADV audits in Medicare Advantage…
- Breaking Up Is Hard To Do: What MA Organizations Need to Know About Non-Renewal · 38 min · Episode 8This episode of Health Law Simplified explores the recent wave of insurer exits from the Medicare Advantage market, examining why major carriers are leaving and the financial…
- Risk, Reform, and Responsibility: Navigating Medicare Compliance with Charles Baker · 51 min · Episode 7In this episode of Health Law Simplified, hosts Sandy Durkin and Elizabeth Lippincott welcome Charles Baker, Vice President of Compliance Solutions at ATTAC Consulting, for a…
- RADV Audits: Will CMS Crackdown Alter the Medicare Advantage Landscape? · 29 min · Episode 6In this episode of Health Law Simplified, we unpack a major shift in Medicare Advantage oversight: CMS’s sweeping expansion of its Risk Adjustment Data Validation (RADV) audit…
- DOJ Targets Medicare Advantage Marketing · 34 minThis episode of Health Law Simplified unpacks the U.S. Department of Justice’s False Claims Act lawsuit against major Medicare Advantage insurers and brokerages. The DOJ alleges…
- Finding Stability in the Medicare Advantage Landscape · 39 min · Episode 4In this episode, Elizabeth and Sandy delve into the latest updates in the Medicare Advantage and Part D landscape. Our word of the year, "stability," sets the tone as we explore…
- Looking Under the Hood of Medicare Advantage with Molly Turco · 57 min · Episode 3We talk with Molly Turco, who served as Senior Policy Advisor on Medicare Advantage (MA) and Medicare Part D at the Center for Medicare at the Centers for Medicare & Medicaid…
- Making Peace with Uncertainty · 25 min · Episode 1We talk about how health care leaders can make peace with uncertainty as we move into 2025 and a new administration. What are the hot button issues for health plans and others in…
- How the Inflation Reduction Act Boosts Medicare Advantage · 21 min · Episode 2Join us as we walk through the 2022 Inflation Reduction Act’s changes to Medicare Part D and Medicare Advantage. Learn about how those changes are impacting the senior health…
- Introducing Health Law Simplified · 1 minHealth Law Simplified℠ breaks down the latest legal developments, challenges, and regulatory impacts in managed care—giving business leaders the insights they need to stay ahead…
