Townhall on New Developments in the Managed Care Industry

May 16, 2019 8:30am

Kari Bomash
Associate General Counsel, Law Department
Medica Health Plans (Saint Paul, MN)

Kirstin B. Ives
Partner and Chair of Healthcare Litigation Practice
Falkenberg Ives LLP (Chicago, IL)

Having a holistic view of the industry is crucial in determining litigation strategies. This session will provide a review of current cutting-edge developments and policies impacting the managed care industry. Topics of discussion will include:
  • Navigating the new playing field: new CMS directives with respect to social determinants
    • Exploring the renewed focus on adding benefits for GED, housing, and other long-term support services under Medicaid
    • DNA of a zip code
  • Developing strategies for mitigating the medical director exposure
    • Best practices for risk management in terms of D&O and E&O policies
  • Analyzing effective ways of addressing medical necessity treatments