Gregory Mitchell
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Greg Mitchell works with healthcare payors and providers to meet the full spectrum of their managed care and reimbursement arrangement needs. He helps managed care organizations, third-party administrators, independent practice associations, risk-bearing entities, management services organizations, hospitals and health systems, digital healthcare providers, and other organizations both large and small negotiate and draft a range of managed care and value-based agreements. Greg has experience with a variety of arrangements and models, including fee-for-service, bundled payment, shared savings and shared loss models, gainsharing and capitation arrangements. Read Greg Mitchell's full bio.
State Regulators Address Insurers’ Use of AI: 11 States Adopt NAIC Model Bulletin
By Gregory Mitchell and Emily Curran on Jun 25, 2024
Posted In Digital Health, Health and Welfare Plans
In December 2023, the National Association of Insurance Commissioners (NAIC) adopted a Model Bulletin on the Use of Artificial Intelligence (AI) Systems by Insurers. The model bulletin reminds insurance carriers that they must comply with all applicable insurance laws and regulations (e.g., prohibitions against unfair trade practices) when making decisions that impact consumers, including when...
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New York State Budget Institutes Revenue-Neutral Health Plan Tax
By Gregory Mitchell and Benjamin Glass on May 23, 2024
Posted In Employee Benefits, Health and Welfare Plans
The New York State fiscal year 2024 – 2025 budget institutes a new tax on health plans, including insurers and managed care organizations. This tax has been garnering attention for its promise to yield $4 billion for New York State. The expected revenue from the tax, however, is set to come not from the health...
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CMS Announces New GUIDE Model to Support People Living with Dementia and Their Caregivers
By Gregory Mitchell, Fabiola Díaz Vera and Casey Li on Oct 31, 2023
Posted In Employee Benefits, Health and Welfare Plans
To support people living with dementia and their unpaid caregivers, the US Centers for Medicare & Medicaid Services recently announced the Guiding an Improved Dementia Experience (GUIDE) Model, a new, voluntary and nationwide test model designed specifically for these two rapidly growing demographic groups. The model will offer care coordination and care management for individuals...
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New York Proposes Regulations Expanding State’s Ability to Regulate PBMs
By Gregory Mitchell, Grayson I. Dimick and Benjamin Glass on Oct 3, 2023
Posted In Employee Benefits, Health and Welfare Plans
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