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Payers, Plans, and Managed Care

 
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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 2013 Bill of Sale

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Summaries of the OIG's Advisory Opinions are provided by the Advisory Opinions Task Force of the Fraud and Abuse Practice Group. The task force will aid Practice Group members in keeping abreast of new Advisory Opinions. For each new opinion, a short summary of each Advisory Opinion issued by the OIG will be posted on several listserves and placed on all Practice Groups' websites under "Advisory Opinions."

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.

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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.
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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.

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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.
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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)

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

Upcoming:

May 14, 2019 2:00 PM-2:00 PM Eastern

Past:

February 19, 2019 2:00 PM-3:30 PM Eastern
January 8, 2019 2:00 PM-3:30 PM Eastern

Upcoming:

Past:

WEDNESDAY, JANUARY 14, 2015

Upcoming:

Past:

​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 AHLA's 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

May 14, 2019 2:00 PM-2:00 PM Eastern

Roundtable Discussions


LeadershipView Project Reports

Image of LeahStewart
Leah B. Stewart Chair Dell Medical School at UT Austin Austin, TX (512) 495-5146 Email
Image of XavierBaker
Xavier Baker Vice Chair - Research & Website Crowell & Moring LLP Washington, DC (202) 624-2842 Email
Image of ArdithBronson
Ardith M. Bronson Vice Chair - Publications DLA Piper LLP (US) Miami, FL (305) 423-8562 Email
Image of KarenPalmersheim
Karen R. Palmersheim Vice Chair - Membership Cigna Glendale, CA (818) 500-6497 Email
Image of MelissaWong
Melissa Wong Vice Chair - Educational Programs Holland & Knight LLP Boston, MA (617) 305-2156 Email
Image of JaniceZiegler
Janice H. Ziegler Vice Chair - Strategic Planning and Special Projects Dentons US LLP Washington, DC (202) 408-9158 Email
Image of KateMcDonald
Kate McDonald Social Media Coordinator McDermott Will & Emery LLP Washington, DC (202) 756-8803 Email

 

Recent Activities

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07/01/2013
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07/01/2013
09/25/2008