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Kate McDonald focuses her practice on transactional and regulatory counseling for clients in the health care industry, with particular focus on federal and state health care government programs and the intersection between health care payors and providers. Kate regularly advises health insurers, health maintenance organizations (HMOs), health care government contractors, health care providers and other clients on compliance with health care laws and regulations, particularly in connection with Medicare Advantage, Medicare Part D, Medicaid managed care, the Affordable Care Act, state insurance laws, and state licensure and professional practice regulations. Read Kate McDonald's full bio.

Leniency on Implementation Timetables for Surprise Billing and Insurer Price Transparency


By on Sep 14, 2021
Posted In Employee Benefits, Health and Welfare Plans

The Biden administration is giving insurers more time to follow the insurer price transparency rule and the ban on surprise billing. Federal regulators will delay enforcement of machine-readable file provider rates until July 1, rather than the start of 2022. In this article published in Modern Healthcare, McDermott partner Kate McDonald noted that the initial...

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Podcast | After the Curve: Focus on Health Insurance and Coverage


By and on Dec 15, 2020
Posted In Employee Benefits, Health and Welfare Plans

COVID-19 has catalyzed significant changes in the patterns of healthcare delivery, with the potential for long lasting effects on payors as a result. In this episode of the After the Curve podcast, we discuss how the COVID-19 pandemic may shift the healthcare coverage and payment landscape as well as how it may boost integration among...

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CMS Releases Broad-Ranging Medicare Advantage and Part D Proposed Rule


By , and on Dec 26, 2017
Posted In Employee Benefits, Health and Welfare Plans

CMS released a broad-ranging proposed rule for the Medicare Advantage and Part D Programs on Thursday, November 16, 2017. The proposed rule addresses a broad and diverse range of MA and Part D regulatory requirements, affecting not only Medicare Advantage Organizations and Part D Sponsors, but also health care providers, pharmacies, pharmaceutical manufacturers and others....

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How Congress, President-Elect Trump Might Proceed on Promise to Repeal, Replace ACA


By , and on Nov 14, 2016
Posted In Health and Welfare Plans

President-elect Donald Trump has vowed to repeal and replace the Affordable Care Act (ACA). This campaign promise, which echoes a familiar refrain from Republicans since ACA’s passage, is more complex than it may seem. There are pathways to quickly “repealing” key elements of ACA such as the individual mandate and its subsidies, but this could...

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