Audio and Video | On-Demand CLE
Fiduciary Oversight of Welfare Benefit Plans [CC]
This book provides a detailed historical account of Medicare reimbursement and payment approaches used across nearly all provider types, along with a practical discussion of commercial payer contracting and payment strategies. It then concludes with a deep dive into the legal issues that arise in payer-provider disputes, including the most common issues and case examples.
Log In to view your rate
Unlock the discounted member rate
Join first as a member, and then purchase this product at special member pricing
A Practical Guide to Reimbursement in Managed Care provides historical background on Medicare reimbursement approaches as well as practical information on how commercial payers have adopted (or not adopted) Medicare reimbursement approaches and the challenges they have faced in the process -- both from a contracting strategy standpoint as well as a legal standpoint. Working through Medicare's reimbursement approaches across different types of healthcare providers, from hospitals to physicians and ancillary services, the book traces the origins of each of Medicare reimbursement systems and provides useful details on how the Medicare program calculates rates. It then moves into the commercial health insurance space, describing important concepts related to payer-provider contracting, types of health plans, and payer and provider perspectives on how they approach the contractual relationship. A Practical Guide to Reimbursement in Managed Care also provides a historical view of contracting both from a provider and payer perspective, layering in historical milestones with practical reasons why the U.S. system has become what it is today. It then concludes with a deep dive into the important legal issues that arise in payer-provider disputes, including contracts, commonly disputed issues and case examples.
ABA Book Publishing
9781639053810
202
5630166
6x9
11/16/2023 12:00:00 AM
Audio and Video | On-Demand CLE
Fiduciary Oversight of Welfare Benefit Plans [CC]
Audio and Video | On-Demand CLE
Medical Terminology New Health Law Attorneys Need to Know [CC]
Audio and Video | On-Demand CLE
Family-Forming Benefit Plans - ERISA and Tax Considerations [CC]
Apr
02
Events | In-Person
26th Annual Emerging Issues in Healthcare Law Conference
CLE 60 min
The Emerging Issues in Healthcare Law Conference (EMI) covers the most compelling topics facing the healthcare bar. Our faculty of leading healthcare experts will provide you with an insiders’ view o…
Dec
09
Events | In-Person
Washington Health Law Summit 2024
BIAS 60 min
As the future of U.S. healthcare continues to evolve, the 22nd Annual Washington Health Law Summit (WHS) is the one event you can’t afford to miss! It is essential for advisors in all segments of the…
Nov
07
Events | In-Person
National Managed Care Institute 2024
ETHICS 60 min
The National Managed Care Institute is an annual educational symposium hosted by the American Bar Association's Health Law Section for attorneys in private practice, in government service and in-hous…