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Payers, Plans, and Managed Care

 
Back to Practice Groups

The Payers, Plans, and Managed Care Practice Group addresses all legal issues concerning health plans and insurers, including but not limited to plan operations and management, managed care, litigation, regulations, privacy, and security.

Payers, Plans, and Managed Care Practice Group Bill of Sale

Summaries of the Office of Inspector General (OIG) Advisory Opinions are provided by the Advisory Opinions Task Force of the Fraud and Abuse Practice Group. The Task Force aids Practice Group members in keeping abreast of new Advisory Opinions. For each new opinion issued by the OIG, a summary is released via an email alert and posted on several Practice Groups' websites.

​DHHS OIG Advisory Opinions

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You can access these Publications and News by enrolling today.

  1. Join AHLA
  2. Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

Already a member? Log in to view content.

You can access these Publications and News by enrolling today.

Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

You can access these Publications and News by enrolling today.

Renew
Member Briefings, prepared by members of Practice Groups, are a useful practice tool to facilitate your understanding of the most recent health law issues and to assist you and your clients with implementing those issues.

You can access these Publications and News by enrolling today.

  1. Join AHLA
  2. Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

Already a member? Log in to view content.

You can access these Publications and News by enrolling today.

Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

You can access these Publications and News by enrolling today.

Renew
Executive Summaries, prepared by members of Practice Groups, are a useful practice tool to facilitate your understanding of the most recent health law issues as they develop.

You can access these Publications and News by enrolling today.

  1. Join AHLA
  2. Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

Already a member? Log in to view content.

You can access these Publications and News by enrolling today.

Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

You can access these Publications and News by enrolling today.

Renew

The following toolkits are made available to members of the Payors, Plans, and Managed Care Practice Group. If you have any comments or suggestions on existing or potential toolkits, please email the PPMC Practice Group Leadership.

Emergency Preparedness Toolkit
Published on May 4, 2010
 
Medicare Advantage and Part D Preemption 
Published on February 25, 2010
 
Managed Care Contracting Toolkit 
Published on June 22, 2009

You can access these Publications and News by enrolling today.

  1. Join AHLA
  2. Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

Already a member? Log in to view content.

You can access these Publications and News by enrolling today.

Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

You can access these Publications and News by enrolling today.

Renew
This list contains Part D guidance materials distributed to plans by the Health Plan Management System (HPMS).

You can access these Publications and News by enrolling today.

  1. Join AHLA
  2. Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

Already a member? Log in to view content.

You can access these Publications and News by enrolling today.

Enroll in Payers, Plans, and Managed Care (Download Enrollment Form)

You can access these Publications and News by enrolling today.

Renew

Upcoming:

A Graduate Series on the Role and Use of Advanced Practice Professionals
Part 1: Licensure and Scope of Practice: Things are Changing
August 19, 2014 2:00 PM-3:30 PM Eastern
A Graduate Series on the Role and Use of Advanced Practice Professionals
Part 2: Credentialing Across Multiple Entities
September 29, 2014 3:00 PM-4:30 PM Eastern
A Graduate Series on the Role and Use of Advanced Practice Professionals
Part 3: Billing and Reimbursement for Advanced Practice Professionals
October 28, 2014 2:00 PM-3:30 PM Eastern
November 5, 2014 2:00 PM-3:30 PM Eastern
November 21, 2014 2:00 PM-3:30 PM Eastern

Past:

October 9, 2014 2:00 PM-3:30 PM Eastern
September 30, 2014 2:00 PM-3:30 PM Eastern
September 16, 2014 2:00 PM-3:30 PM Eastern
August 25, 2014 2:00 PM-3:30 PM Eastern
July 23, 2014 2:00 PM-3:30 PM Eastern

Upcoming:

Past:

Upcoming:

Past:

Physicians and Hospitals Law Institute 2014
The Affordable Care Act 4 Years Later: What Lies Ahead?
February 6, 2014 12:00 PM-1:15 PM Eastern
Hospitals and Health Systems Law Institute 2013
High Reliability Health Care—The Science of Safety
February 11, 2013 12:00 AM-12:00 AM Eastern

​Affinity Groups

Affinity Groups are created to facilitate networking opportunities with other Practice Group members who share similar professional interests.
Please note: You must be a member of Payors, Plans, and Managed Care Practice Group to enroll in these Affinity Groups. If you are intested in getting more information on the Affinity Group activities, please contact Vice Chair of Payors, Plans, and Managed Care Jim Wolf

Task Forces

Task Forces are established for those health law topics that cross over several Practice Groups, and they provide collaborative, substantive resources for the benefit of the sponsoring Practice Groups; members.
  • Accountable Care Organization (ACO) Task Force

  • The Task Force will monitor and evaluate the implementing statutes, regulations, cases, and secondary materials concerning ACOs. The Task Force will develop a strategic plan and a work plan to provide written materials, webinars, and in-person educational activities to assist AHLAs members to implement ACOs and comply with ACO laws and rules. Since the ACO subject matter is so broad, and impacts the missions and interests of so many Practice Groups, the ACO Task Force will be a multi-disciplinary/multi-group entity, and will focus its efforts on the production of a coherent and effective line of ACO-related educational materials using a variety of media and employing AHLA’s vast resources.
  • Healthcare Reform Educational Task Force
    The Task Force serves as a single key point-of-contact for the Association membership for institutional resources regarding comprehensive healthcare reform initiatives at the state and federal levels. The Task Force works to educate AHLA members on proposed healthcare reform initiatives as well as report on ongoing experiences with recently enacted reform initiatives.

Webinars

Roundtable Discussions


LeadershipView Project Reports

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Mark S. Kopson Chair Plunkett Cooney PC Bloomfield Hills, MI (248) 901-4061 Email
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Xavier Baker Vice Chair - Membership Crowell & Moring LLP Washington, DC (202) 624-2842 Email
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Robert E. Slavkin Vice Chair - Publications Akerman LLP Orlando, FL (407) 419-8438 Email
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Leah B. Stewart Vice Chair - Educational Programs Beatty Bangle Strama PC Austin, TX (512) 879-5059 Email
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Brian Richard Stimson Vice Chair - Research & Website Alston & Bird LLP Atlanta, GA (404) 881-4972 Email
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Janice H. Ziegler Vice Chair - Strategic Activities Dentons US LLP Washington, DC (202) 408-9158 Email

 

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