Tara enjoys working with managed care organizations, pharmaceutical services providers such as PBMs, and integrated delivery systems, and companies that invest in them, on matters relating to compliance with federal health care program regulations, federal and state fraud, waste and abuse laws and plan benefits.
She works closely with Medicare Advantage Organizations (MAOs) and Medicare Part D Plan Sponsors, including Employer Group Waiver Plans (EGWPs), and first tier and downstream entities to address regulatory and compliance matters that arise as a result of participating in Medicare Parts C and D. Tara often advises clients on matters relating to plan bids, medical loss ratio reporting, drug pricing in both Medicare Part B and Part D and direct and indirect remuneration (DIR) reporting. She regularly counsels clients regarding risk adjustment systems and practices needed to support them. Tara also actively engages with CMS on behalf of clients on many matters.
She also works closely with discount medical and pharmacy plan operators (DMPOs) on matters relating to compliance with state laws and provider contracting.
Tara uses her substantive day-to-day compliance experience to assist clients in litigation matters and transactions.
Tara has extensive experience preparing and negotiating complex services agreements for and between MAOs, providers, PBMs, pharmacies, wholesalers, manufacturers, and DMPOs.
viewpoints
CMS Publishes Final Rules Implementing Part C and Part D Program Changes
April 23, 2024 | Blog | By Tara E. Dwyer, Bridgette Keller
CMS Releases Part Two of Guidance for the Inflation Reduction Act’s Medicare Prescription Payment Plan
February 27, 2024 | Blog | By Tara E. Dwyer, Lauren Moldawer, Madison Castle
Mintz IRA Update — Second Edition: Q1 2024
February 21, 2024 | Blog | By Rachel A. Alexander, Theresa Carnegie, Tara E. Dwyer, Madison Castle, Mitchell Clough, Xavier Hardy, Stephnie John, Bridgette Keller, Abdie Santiago, Hassan Shaikh
Mintz IRA Update — Inaugural Edition
September 20, 2023| Blog|
CMS Releases Draft Part One Guidance on the Maximum Monthly Cap on Cost-Sharing Payments Program to Part D Plans
September 7, 2023 | Blog | By Tara E. Dwyer, Lauren Moldawer
MintzRx Newsletter — Your Prescription for the Pharmaceutical Supply Chain
October 3, 2022| Article|
New York Establishes First Pharmacy Benefits Bureau in the Nation as Registration and Annual Reporting Deadlines for Pharmacy Benefit Managers Approach
May 25, 2022 | Blog | By Tara E. Dwyer, Cody Keetch, Jean D. Mancheno
Supreme Court Holds that ERISA Does Not Preempt Arkansas PBM Law: The Impact on Employer Sponsored Group Health Plans
December 31, 2020 | Blog | By Tara E. Dwyer
News & Press
Mintz Facilitates $3.7 Billion Deal For The Cigna Group
January 31, 2024
Lawsuits, Tax Fuel Doubt As Medicare Preps Drug Pricing Talks
August 25, 2023
'Many Legal Challenges' Loom As HHS Inks $4.7B Audit Rule
January 30, 2023
Supreme Court Holds that ERISA Does Not Preempt Arkansas PBM Law: The Impact on Employer Sponsored Health Plans
February 5, 2021
Drug Intermediaries Threaten Lawsuits to Preserve Cut of Prices
November 23, 2020
Mintz Practice Groups and Attorneys Garner Top Rankings in 2020 Edition of The Legal 500 United States
June 12, 2020
Proposed changes to Medicare Advantage audits could put insurers on the hook for billions
October 29, 2018
Mintz Promotes Six Attorneys to Member
May 23, 2018
Events & Speaking
Legal, Regulatory, and Compliance Summit on Medicare Advantage
American Conference Institute
Nashville, TN
3rd Annual Mintz /ML Strategies Pharmacy & Pharmaceutical Industry Summit
Mintz and ML Strategies
Boston, MA
Recognition & Awards
Best Lawyers in America: Health Care (2024)
Included on the Washington DC Super Lawyers Rising Stars: Health Care list (2016 - 2021)
Recognized by The Legal 500 United States for Healthcare: Service Providers (2019-2020)
Order of the Coif
ABA-BNA Award for Excellence in the Study of Health Law