Ursula Taylor to Speak on Risk Adjustment

CHICAGO, September 7, 2017 – Butler Rubin partner Ursula Taylor has been invited to speak at AHLA’s Educational Call on September 14, 2017 for the Managed Care Contracting, Medicare Advantage and Part D, and Health Plans Affinity Groups of the Payers, Plans, and Managed Care Practice Group. Taylor and her co-presenter, Melissa Hulke, Director at Berkeley Research Group, will be discussing “Risk Adjustment:  Why ‘Actuarial Equivalence’ Matters for Medicare Advantage Organizations.”

This program is designed to discuss the background on risk adjustment within Medicare Advantage; the requirement of “Actuarial Equivalence” within the Medicare Act, the 2014 Centers for Medicare and Medicaid Services Overpayment Rule and implications for Medicare Advantage Organizations; increased enforcement efforts, including False Claims Act liability, for risk adjustment overpayments; and health plans as plaintiffs – affirmative litigation challenging the Overpayment Rule, including description of the claims, preliminary rulings and chances of success.

The American Health Lawyers Association (AHLA) is the nation’s largest, nonpartisan, 501(c)(3) educational organization devoted to legal issues in the health care field with nearly 14,000 members.

Taylor is a litigator and advisor experienced in representing and counseling clients with respect to actual or potential disputes in the areas of healthcare, insurance, reinsurance. She possess an in depth understanding of the new and emerging issues arising under the Affordable Care Act, including the premium stabilization mechanisms and the risks and impacts on health insurance companies. Within healthcare, Taylor has litigated claims for breach of fiduciary duty and breach of contract and advised and represented clients in connection with affirmative recoveries following False Claims Act liabilities. Taylor graduated from the University of Michigan with a B.A., high distinction, and Northwestern University School of Law, cum laude.

Formed in 1980, Chicago-based Butler Rubin assists clients nationally and internationally in complex business disputes, including antitrust law, class actions, defense of corporate directors and officers, labor and employment law, reinsurance, insurance, healthcare litigation, and insolvency.