Provider-sponsored plans are increasingly popular with hospitals, health systems and medical groups/independent physician associations (IPAs). Offering a plan can deliver many significant advantages to providers, enabling them to capture a larger share of the premium dollar and enhance care management. There also are many critical front-end considerations, however, related to assuming risk, designing benefits and care-delivery models, and developing provider networks and administrative infrastructure.
In a new webinar, Manatt Health will share insights into the key factors to consider when thinking about implementing a provider-sponsored plan, the necessary steps to take in developing a plan, and the ways to mitigate the operational and compliance risks tied to active plans with enrolled members. Key topics that will be covered include:
- Reviewing the financial, administrative and operational requirements for startup Medicare Advantage (MA) plans
- Unpacking the regulatory complexities surrounding licensure, Centers for Medicare & Medicaid Services (CMS) contracting, and operational readiness for provider-sponsored MA plans
- Identifying critical structure, organizational, governance and management considerations
- Exploring the evolving regulatory and reimbursement landscape impacting MA plans
Speakers:
Paul Carr-Rollitt, Partner, Manatt Health
Steven Chiu, Partner, Manatt Health
Adam Finkelstein, Partner, Manatt Health
Date and Time:
Thursday, July 20
1:00 – 2:00 p.m. ET
CLE:
This program has been approved for 1.0 NY CLE Skills (transitional and non-transitional) and is pending for 1.0 CA MCLE General credit.
If you would like to receive an audio transcript of this webinar due to accessibility issues, please email us at webinars@manatt.com.
This program does not constitute legal advice, nor does it establish an attorney-client relationship. Views expressed by presenters are strictly their own and should not be construed to be the views of Manatt or attributed to Manatt.