Disputes and Litigation in the Managed Care Industry: Mitigating Risk and Practical Guide
Overview:
In this two-hour LIVE webcast, a panel of distinguished professionals and thought leaders will help executives and attorneys of managed care organizations (MCOs) understand the important aspects of this significant topic. They will provide an in-depth discussion of disputes and litigation in the managed care industry. Speakers will also offer best practices for risk mitigation and practical guidance on how to effectively navigate through the thorny process of managed disputes and litigation.Some of the major topics that will be covered in this course are:
- Managed Care Disputes and Litigation: A Brief Overview
- Consumer Fraud Claims
- Litigation Cases under the Affordable Care Act
- Effective Strategies to Mitigate Risks for Disputes and Litigation
Agenda:
Morgan Lewis
Litigation Trends Under the ACA including litigation over:
- The creation and implementation of “narrow networks.”
- The benefits required to be provided as “essential health benefits.”
- Rebates owed as a result of medical loss ratio calculations.
- Liability for services provided during the 90-day grace period.
Navigant
- Continued and Emerging Trends in UCR/Provider Charge Disputes
- Leveraging data analysis to manage the cost of litigation
- Risk mitigation considerations from ACOs and the Affordable Care Act
- Mitigating and Evaluating Risk in Government payment and reporting
Looney Cohen & Aisenberg LLP
- ERISA Issues in Managed Care Disputes;
- Managed Care in Medicaid;
- Arbitration and Alternative Dispute Resolution
- Efficiently Litigating Disputes.
Who Should Attend:
- Attorneys, Practice Area: Litigation
- Litigation Officers of MCOs, Healthcare Providers and Community Hospitals & related
- Litigation Support Specialists
- In-house counsel
- Healthcare Service Providers
- Health Care Law Attorneys
- Medical Directors
- Medical Providers
- Health Care Advisory Services Consultants
- Health Policy Directors
- Directors and Officers of Healthcare Firms
- Health Insurance Companies
- Risk Management Directors
- Managers in nonpublic companies, non-profits and government agencies
- HR and Personnel professionals
- And Other Interested Practitioners
Molly Moriarty Lane is a partner in Morgan Lewis’s Litigation Practice and Managing Partner of the San Francisco office. Ms. …
Mary Beth Edwards is a Managing Director in the Washington, DC office of Navigant and is the national leader for …
Steve Kasten is a Partner in the law firm of Looney Cohen & Aisenberg, LLP, located in Boston, Massachusetts. He …
Course Level:
Intermediate
Advance Preparation:
Print and review course materials
Method of Presentation:
On-demand Webcast (CLE)
Prerequisite:
NONE
Course Code:
144802
NASBA Field of Study:
Specialized Knowledge and Applications
NY Category of CLE Credit:
Law Practice Management
Total Credits:
2.0 CLE
Login Instructions:
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SPEAKERS' FIRMS:
About Morgan Lewis
Founded in 1873, Morgan Lewis offers more than 1,600 legal professionals – including lawyers, patent agents, benefits advisers, regulatory scientists, and other specialists – in 25 offices across the United States, Europe, Asia, and the Middle East. The firm provides comprehensive litigation, corporate, transactional, regulatory, intellectual property, and labor and employment legal services to clients of all sizes – from globally established industry leaders to just-conceived start-ups. For more information about Morgan Lewis or its practices, please visit us online at www.morganlewis.com.
Website: https://www.morganlewis.com/
About Looney Cohen & Aisenberg LLP
Looney Cohen & Aisenberg, LLP is a boutique law firm located in Boston, Massachusetts focusing on business litigation and commercial lending and real estate transactions. Each of our partners has had extensive experience and success in large regional or national law firms and has practiced law for more than twenty years. Our firm represents banks, developers, private and public companies and their constituents, health care organizations and other non-profits in a range of transactions and disputes. We employ our experience collaboratively, where necessary in combination with outside resources, to deliver the highest-quality legal services to clients on matters from the simple to the complex, in cases large and small, with personal attention and deep involvement of our senior lawyers. We strive to do so economically by charging rates that are fair, working efficiently and, most importantly, through early case assessment and strategic planning with our clients.
Website: https://lca-llp.com/