Year in Review 2016: Recent Trends and Updates in Managed Care
James J. McCarrie, II
Counsel
Aetna (Blue Bell, PA)
Matthew R. Varzally
Senior Counsel-Litigation & Investigations
Humana Inc
Ed Brooks
Partner
McGuire Woods LLP (Chicago, IL)
Tracy A. Roman
Partner
Crowell & Moring LLP
Greg Scott
Vice Chairman, US Leader, Health Plans
Deloitte
- Impact of the election on the status of the ACA
- Class actions for prescription co-pays
- Consolidation of hospital systems
- Understanding red flags and when it becomes an anti-trust problem
- Negotiating with hospital systems and their exclusive provider groups
- Best practices for MCOs to protect themselves and their insureds
- Increasing wave of cases involving provider fraud schemes
- UnitedHealth Group v. American Renal Associates
- Referrals to out-of-network ambulatory surgery centers when the provider is part owner of the ASC
- Discrimination – 1557
- New trends on the horizon
