Managed Care - Right to Contract and Negotiating Key Provisions: Jeff Baird, Chairman, Brown & Fortunato,
Description: Managed care has become an important part of DME suppliers’ lives. More than 35% of Medicare beneficiaries are covered by Medicare Advantage Plans; more than 70% of Medicaid patients are covered by Medicaid Managed Care Plans; and “straight” commercial insurance managed care plans are proliferating. This program will discuss three important topics for DME suppliers:
(1) What steps can a supplier take to increase its odds of being offered a managed care contract?
(2) What steps can a supplier take when a Managed Care Organization contracts with a Third Party Administrator?
(3) Before signing a managed care contract, what are the key provisions that the supplier needs to focus on?
Jeffrey S. Baird is the Chairman of the Health Care Group of Brown & Fortunato, where he is a shareholder. The Health Care Group represents an extensive client base of home medical equipment companies, pharmacies, manufacturers, infusion companies, labs, home health agencies, hospitals and other health care providers throughout the United States. Jeff works with an impressive team of attorneys who specialize in all areas affecting the HME, pharmacy, manufacturing, infusion, lab, home health and hospital industries. The firm’s Health Care Group works closely with the Department of Justice, Office of Inspector General, Centers for Medicare and Medicaid Services, CMS Contractors, National Supplier Clearinghouse, Food and Drug Administration, Drug Enforcement Agency, TRICARE, state Medicaid programs, state pharmacy licensing boards, and other federal and state regulatory agencies.
Home Medical Equipment and Services Association of New England
PO Box 392
Atkinson, NH 03811