Medicare Risk Adjusters: A New Frontier and Potential Legal Issues for Plans and Providers 

Tuesday, June 16, 2009
1:00-2:30 pm Eastern (12:00-1:30 pm Central; 11:00 am-12:30 pm Mountain; 10:00-11:30 am Pacific; 9:00-10:30 am Alaska; 7:00-8:30 am Hawaii)
Co-sponsored by the Payors, Plans, and Managed Care (PPMC) Practice Group and the Medicare Part D Task Force (a joint endeavor of the Fraud and Abuse (Fraud); Health Information and Technology (HIT); Life Sciences (LS); Long Term Care, Senior Housing, In-Home Care, and Rehabilitation (LTC-SIR); Payors, Plans, and Managed Care (PPMC); Regulation, Accreditation, and Payment (RAP); and Teaching Hospitals and Academic Medical Centers (TH/AMC) Practice Groups)

Description

This teleconference will:

• Provide an overview regarding Medicare risk adjusters and affected payments, including CY 2010 uniform (downward) adjustment;
  
  
• Review the CMS enforcement trends;
  
  
• Discuss the analysis of challenges that Plans and Providers may face, such as plans collecting and verifying data and adopting risk adjusters, and the possibility of providers as downstream entities being requested to assist in data collection; and
  
  
• Discuss the Plan and Provider issues and challenges in complying with obligations under MA Plan contracts.

Presenters

• Sean Creighton
  Director, Division of Risk Adjustment and Payment Policy
  Medicare Plan Payment Group
  Centers for Medicare and Medicaid Services, Baltimore, MD
  
  
• Anne W. Hance, Esquire
  McDermott Will & Emery LLP, Washington, DC
  
  
• Janice H. Ziegler, Esquire
  Sonnenschein Nath & Rosenthal LLP, Washington, DC

Moderator

• Robert E. Slavkin, Esquire
  Foley & Lardner LLP, Orlando, FL