Conducting Internal Investigations – Special Considerations for MAOs

November 2, 2023 2:00pm

Kelly Kappes
Senior Associate General Counsel
Elevance Health

Benjamin Singer
Partner
O’Melveny & Myers LLP

Lori Frey Wells
Staff Vice President, Medicare Compliance
Elevance Health

This session will provide an overview of key strategies and lessons for MAOs conducting internal investigations. Key topics include:

  • Exploring strategies for identifying possible instances of non-compliance
  • Utilizing best practices for in-house investigations and identifying when to engage outside counsel
  • Protecting the privilege – key developments in case law affecting privilege considerations
    • Best practices for avoiding waiver pitfalls
  • Examining complexities impacting MAOs (e.g., joint defense agreements and disclosure to third parties)