Wednesday, January 14, 2015
1:00 PM-2:15 PM Eastern
This roundtable discussion is brought to you by the Payers, Plans, and Managed Care (PPMC) Practice Group and is co-sponsored by the Health Care Liability and Litigation (HCLL) Practice Group.
Curtis Leavitt, health care litigation partner with Kennaday Leavitt & Daponde, will discuss his experience in handling litigation between health plans and non-contracted providers regarding the payment of usual, customary, and reasonable (UCR) rates. While most jurisdictions use UCR as the standard for payment for non-contracted providers for commercial enrollees, determining what is a reasonable payment is tricky. Mr. Leavitt will share his approach to handling UCR litigation, including pre-litigation evaluation, discovery, and evidentiary, expert, and trial considerations a health plan can use to win UCR battles with providers and to defend against payment scrutiny by regulators.