Managing the Transition to Value-Based Alternative Payment Models for Healthcare Providers and Payors
Navigating State Regulations and Overcoming New Challenges
Course Details
- smart_display Format
On-Demand
- signal_cellular_alt Difficulty Level
- work Practice Area
Health
- event Date
Wednesday, April 12, 2017
- schedule Time
1:00 PM E.T.
- timer Program Length
90 minutes
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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This CLE course will provide guidance to counsel for healthcare providers and payors on managing the shift from fee-for-service to value-based alternative payment models (APM). The panel will discuss evolving state regulatory schemes and how to overcome the challenges presented by state regulations when transitioning to an APM.
Healthcare payors and providers are working to align financial incentives and allocate financial risk so that providers are absorbing more of the financial burden in exchange for increased patient volume and greater potential financial gains. State approaches to regulating these value-based APMs vary and are continuing to evolve, creating new legal and operational challenges for health plans and providers as the shift to APMs accelerates.
Both health plans and providers need to understand the legal landscape, how different states are approaching the task of protecting providers and patients, and how to deal most effectively with the regulatory challenges—including creative structures to minimize regulatory burdens.
Listen as our authoritative panel of healthcare attorneys examines the current regulatory environment and provides insight into different state regulatory approaches. The panel will also provide guidance to navigating the new regulations and overcoming the challenges while making the transition to APMs.
- A historical perspective: The evolution of insurance industry regulation
- Value-based APMs: An overview
- Current regulatory environment
- Characteristics of APMs that may impact the regulatory burden
- Representative state regulatory approaches (California, Tennessee, New Jersey and others)
- Recent state developments and proposals
- Best practices for managing regulatory challenges
- Providers in an insurance world: Dealing with comprehensive regulatory regimes
- Navigating uncertain regulatory landscapes and new regulations, including creative alternative structures
- Looking ahead
The panel will review these and other key issues:
- What are the common features of APMs that impact state regulatory framework?
- What are the trends in state regulatory approaches?
- What hurdles do healthcare providers and payors operating in multiple state face as a result of differing state regulations?
