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

February 2025

On-Demand Webinar

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