Monitor Mondays

Resisting Medicare Advantage Bullies

November 29, 2021 Ronald Hirsch, MD | Knicole Emanuel Esq. | David Glaser, Esq. | Ellen Fink-Samnick | Matthew Albright | Jerilyn Morrissey, MD Season 11 Episode 481
Monitor Mondays
Resisting Medicare Advantage Bullies
Show Notes

"It’s time to stop getting stuck thinking we have a square-peg-and-a-round-hole problem, and focus on the fact that 42 CFR codifies and makes it law that a Medicare Advantage plan, even though it has autonomy in its contract, cannot offer less benefits than Medicare. Medicare Advantage plans cannot have more restrictive guidelines than Medicare; they must at the very least adhere to the simplistic confines of traditional Medicare” – this according to Dr. Jerilyn Morrissey, who will make her debut appearance during the next live edition of the long-running Monitor Mondays broadcast.

We’ll also report on the latest news and most current updates, offering you our early-warning alert system. You’ll receive the latest national audit news updates from well-respected broadcast consultants, including:

  • RAC Report: Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.
  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will return with another installment of his popular segment.
  • Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the latest healthcare regulatory news coming out of Washington, D.C.
  • SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SDoH), will have the latest news on a trending topic that is attracting significant media attention. Ellen will also conduct the Monitor Mondays Listeners Survey.
  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications facing healthcare providers.