University of Texas School of Law

eCourse

Health Plans, Providers, Current Payment Issues, and Reimbursement Changes

Contains material from Apr 2019

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Session 1: Health Plans, Providers, and Current Payment Issues – Examine payment issues and challenges between healthcare providers and health plans, and outline practical strategies for avoiding and (when necessary) resolving or mitigating these payment and dispute issues with both litigation and in-house perspectives and expertise. Explore common sources of payment disputes, including high-cost and chargemaster reimbursement issues, payment disputes in the context of both plan and provider mergers and acquisitions, and patient cost-sharing issues.
 
Session 2: Reimbursement Changes and the Modern-Day Physician Practice – Hear a discussion on physician responses to changes in reimbursement methodologies and payor relationships. Explore the ways physician groups are transforming themselves through IPAs, ACOs, and partnerships with practice management companies. Analyze the pros and cons of those choices and how physicians might best position themselves for the future.
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Total Credit Hours:
1.50     Credit Info
Specialization: Administrative Law | Health Law

TX MCLE credit expires: 4/30/2020

Includes: Video Audio Paper Slides

$75  

Preview Sessions
Credit Hours
1. Health Plans, Providers, and Current Payment Issues (Apr 2019)

Leah Stewart, Jonathan M. Herman, Christian K. Puff

0.75 0.00 0.00 0.75  

Preview Session Materials

You may download session materials
for offline use.

Video (mp4) 48 mins
Audio (mp3) 47 mins
Paper (pdf) 8 pgs
Slides (pdf) 10 pgs

SESSION 1 — 48 mins, credit 0.75

Session 1:

Health Plans, Providers, and Current Payment Issues (Apr 2019)

Examine payment issues and challenges between healthcare providers and health plans, and outline practical strategies for avoiding and (when necessary) resolving or mitigating these payment and dispute issues with both litigation and in-house perspectives and expertise. Explore common sources of payment disputes, including high-cost and chargemaster reimbursement issues, payment disputes in the context of both plan and provider mergers and acquisitions, and patient cost-sharing issues.

Originally presented at: Mar 2019 Health Law Conference

Leah Stewart, The University of Texas at Austin Dell Medical School - Austin, TX
Jonathan M. Herman, Herman Law Firm - Dallas, TX
Christian K. Puff, Hall, Render, Killian, Heath & Lyman, P.C. - Dallas, TX

2. Reimbursement Changes and the Modern-Day Physician Practice (Apr 2019)

Kenya S. Woodruff, Patricia Kroken, Jim Walton

0.75 0.00 0.00 0.75  

Preview Session Materials

You may download session materials
for offline use.

Video (mp4) 45 mins
Audio (mp3) 45 mins
Paper (pdf) 7 pgs
Paper (pdf) 7 pgs
Paper (pdf) 4 pgs
Slides (pdf) 17 pgs

SESSION 2 — 45 mins, credit 0.75

Session 2:

Reimbursement Changes and the Modern-Day Physician Practice (Apr 2019)

Hear a discussion on physician responses to changes in reimbursement methodologies and payor relationships. Explore the ways physician groups are transforming themselves through IPAs, ACOs, and partnerships with practice management companies. Analyze the pros and cons of those choices and how physicians might best position themselves for the future.

Originally presented at: Mar 2019 Health Law Conference

Kenya S. Woodruff, Katten Muchin Rosenman LLP - Dallas, TX
Patricia Kroken, Kroken Consulting, LLC - Albuquerque, NM
Jim Walton, Genesis Physicians Group - Dallas, TX