Value-based entities (VBEs) face unique risks under federal and state fraud and abuse laws, risks that can quickly become existential in the context of False Claims Act liability valuations for capitated programs.
This presentation will discuss trends in investigations and litigation from federal and state regulators related to risk adjustment and marketing by VBEs that partner with Medicare/Medicaid managed care organizations.
Allison Ness, Senior Counsel, delves into these issues with Teresa Mason, Kevin Malone, and Helaine Fingold, Members of the Firm.
On-Demand Webinar
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About the Webinar Series
As models of reimbursement for health care services continue to evolve and grow in complexity, providers, payers, and employers face the challenge of understanding and navigating numerous payment and delivery reforms that impact the commercial and government insurance market. The fee-for-service paradigm has been shifting to one of payment for value based on quality and cost savings. In this series, Epstein Becker Green attorneys discuss legal, policy, and operational issues impacting value-based entities in health care.
Event Detail
On-Demand Webinar
People
- Member of the Firm
- Member of the Firm
- Member of the Firm
- Senior Counsel
Services
- Federal and State False Claims Act (Including Qui Tam)
- Fraud and Abuse Compliance Counseling and Defense
- Government and Commercial Coding, Coverage, and Payment
- Health Care
- Health Care and Life Sciences Investigations and Enforcement
- Managed Care
- Medicare Advantage
- Value-Based Purchasing and Accountable Care