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Wednesday, November 28 • 10:00am - 11:30am
D-08 - Technical Assistance: Negotiating Contracts with Managed Care Organizations (CE)

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As a result of the Patient Protection and Affordable Care Act, Medicaid programs will turn to managed care to controls costs as Medicaid eligibility expands. Previously uninsured patients are likely to purchase subsidized coverage from managed care organizations (MCOs) operating in the State health benefit exchanges. To participate in this new environment, grantees should consider participating in managed care networks. This session will provide grantees with information on the different types of managed care, the key provisions in managed care contracts, and strategies for negotiating contracts with MCOs.

Learning Objectives:

  • Identify the various types and models of managed care.
  • Understand the meaning of key provisions in managed care contracts.
  • Learn how to negotiate with MCOs for fair payment.



Adam Falcone

Attorney, Feldesman Tucker Leifer Fidell
Adam Falcone, a partner in the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, directs the firm’s health care corporate compliance practice, where he assists clients in the development of effective corporate compliance programs, advises clients on reimbursement... Read More →

Wednesday November 28, 2012 10:00am - 11:30am EST
Delaware B
  Series D

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