Emily J. Cook

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In today’s complex and fast-changing healthcare regulatory environment, Emily Jane Cook helps healthcare organizations thrive. Innovative start-ups and established market leaders alike turn to Emily for broad-spectrum strategies to fuel new business initiatives and solve their most pressing compliance, transactional, reimbursement and litigation challenges. Emily is a practice area leader for the Healthcare Regulatory & Compliance practice. In addition to Emily’s role as a national authority on the 340B drug pricing program, Emily helps clients navigate the full suite of federal and state regulations that are essential to healthcare operations. She partners with a wide range of organizations, including non-traditional service providers and new market entrants to identify, protect and expand revenue opportunities, including via private-equity-backed ventures. Her comprehensive counsel encompasses evolving issues such as No Surprises Act (NSA) implementation, development of new provider types, Medicare provider-based and co-location rules, and trends in qui tam litigation and government investigations. She works closely with colleagues in McDermott’s transactional, litigation and private equity practices to deliver fully realized solutions for her clients. Read Emily Cook's full bio.

340B Remedy Rule and Medicare Advantage Rates: Navigating Shifting Payments


By and on May 7, 2024
Posted In Employee Benefits, Health and Welfare Plans

On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, otherwise known as the rate announcement. The rate announcement is released annually and includes updates to the methodologies used to calculate MA plan payments,...

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Drug Discount Plan Remains Target for Possible Legislation


By on Jun 8, 2023
Posted In Employee Benefits, Health and Welfare Plans

Members of Congress could call for more transparency about how hospitals use their federal drug discount program savings. According to this Bloomberg Law article, a study found that the Health Resources and Services Administration’s oversight of the 340B program could be improved. McDermott Partner Emily Jane Cook said there is interest in Congress overseeing aspects...

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Amid Dwindling COVID Relief Funds, Rural Hospitals Face a ‘Fiscal Cliff’


By on Jan 31, 2023
Posted In Employee Benefits, Health and Welfare Plans

What do healthcare leaders predict is next for rural hospitals? In this Fierce Healthcare article, McDermott Partner Emily Jane Cook offers her perspective about rural emergency hospitals and possible legislative action around them. Access the article.

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Drug Discount Review Boards Proposed by Biden Health Agency


By on Jan 26, 2023
Posted In Digital Health, Health and Welfare Plans

The Biden administration recently proposed revising the process behind an outlet for pharmaceutical companies to resolve price fights for those participating in the 340B drug discount program. According to this Bloomberg article, disputes between providers and pharmaceutical companies were in limbo as the industry waited for the Biden administration to replace an administrative dispute resolution...

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CMS Seeks Provider and Stakeholder Feedback on First National Directory of Healthcare Providers and Services


By , , and on Jan 3, 2023
Posted In Digital Health

CMS is soliciting feedback on the creation of the first national directory of healthcare providers and services (NDH), which would contain information on healthcare providers and services across the country. CMS states that the NDH would improve and support interoperability throughout the healthcare sector for payers and providers while making it easier for patients to...

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Hospitals Shouldn’t Expect Quick Pay Despite 340B Win


By on Aug 2, 2022
Posted In Benefit Controversies, Employee Benefits, Health and Welfare Plans

340B hospitals should not expect to receive withheld program funds anytime soon despite a recent US Supreme Court ruling. According to this Becker’s Hospital Review article, the Court reversed a 2020 federal appeals court ruling that found that the US Department of Health and Human Services (HHS) had the authority to make a $1.6 billion...

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HHS Supreme Court Loss Previews Low-Income Drug Discount Fight


By on Jul 12, 2022
Posted In Benefit Controversies, Employee Benefits, Health and Welfare Plans

A recent US Department of Health and Human Services (HHS) US Supreme Court loss involving drug reimbursements to hospitals may impact a larger battle over drug discounts for low-income Americans. According to this Blomberg Law article, the Court ruled in June that HHS improperly cut $1 billion a year in drug reimbursements to hospitals through...

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See What’s Next with McDermott+Consulting’s 340B Ligitation Tracking Tool


By and on Jun 17, 2022
Posted In Employee Benefits, Health and Welfare Plans

The 340B program landscape is constantly shifting. Wednesday’s US Supreme Court American Hospital Association v. Becerra decision is of critical importance to hospitals that participate in the 340B program. The Court held that the US Department of Health and Human Services (HHS) improperly imposed a payment cut of almost 30% on 340B drugs paid by...

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CMS Will Finalize Heightened Penalties, Additional Requirements Under Hospital Price Transparency Rule


By and on Nov 30, 2021
Posted In Employee Benefits, Health and Welfare Plans

On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) announced that it will implement increased penalties for hospitals that do not comply with the Hospital Price Transparency Rule, effective January 1, 2022. CMS will also finalize several additional requirements for hospitals, including a requirement that hospitals ensure standard charge information is accessible...

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Hospitals Push Back Against HHS Slashing of Reimbursement Rates


By on Nov 23, 2021
Posted In Employee Benefits, Health and Welfare Plans

Hospitals are pushing back after the US Department of Health and Human Services (HHS) cut Medicaid reimbursement rates to participating hospitals under the 340B drug discount program. According to this article published in The Well News, 340B program supporters have filed a petition with the Supreme Court, arguing that HHS failed to collect sufficient data...

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