Structuring Managed Care Contracts: Medicare and Medicaid Considerations for Providers

Navigating Reimbursement and Delegation Challenges, Negotiating Key Provisions and Anticipating Areas of Dispute

Recording of a 90-minute CLE webinar with Q&A


Conducted on Wednesday, April 16, 2014

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will provide healthcare counsel with a roadmap for drafting and negotiating managed care contracts on behalf of providers. With a focus on Medicare and Medicaid contracts, the panel will discuss current trends in contract negotiations, key provisions in the agreements and strategies for resolving common areas of dispute.

Description

Healthcare reform is driving fundamental changes in the relationship between providers and MCOs and introducing new approaches for managed care contract negotiations. Negotiating favorable rates and terms in this new environment is more challenging than ever.

Among the changes is the shift to Medicare and Medicaid managed care. Many states are expanding Medicaid-managed care to contain healthcare costs, and enrollment in Medicare Advantage is increasing.

Providers are grappling with reimbursement, delegation, and addressing contract provisions required by Medicare, among other things. Counsel negotiating managed care contracts must carefully consider complex provisions and anticipate potential areas of dispute. Counsel must also take steps to minimize potential exposure for the provider for nonperformance of obligations under the contract.

Listen as our authoritative panel of healthcare attorneys offers best practices for providers negotiating managed care contracts. With a focus on Medicare and Medicaid contracts, the panel will examine current trends in contract negotiations, key contract provisions and ways to address common areas of dispute.

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Outline

  1. Managed care contracting—current legal trends
  2. Medicare and Medicaid managed care contracts
  3. Practical tips for negotiating key contract provisions

Benefits

The panel will review these and other key questions:

  • How are healthcare reform and the shift to Medicare and Medicaid impacting the negotiation of managed care agreements?
  • What are some proven approaches for providers' counsel in negotiating favorable provisions in managed care contracts?
  • What are the most commonly disputed issues during contract negotiations and what are some effective approaches for resolving them?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.

Faculty

Tracey L. Klein
Tracey L. Klein

Shareholder
Reinhart Boerner Van Deuren

Ms. Klein is co-chair of the firm's Health Care Practice, chair of the Hospitals and Health Care Systems group and...  |  Read More

Sarah E. Swank
Sarah E. Swank

Principal
Ober | Kaler

Ms. Swank provides advice and guidance on a wide range of health law issues, including Stark, anti-kickback, health...  |  Read More

Other Formats
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Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

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