Overview (Program Summary)
Managed care and value-based reimbursement models are fast becoming the norm for payors and providers. Please join us for a webinar discussing some of the key managed care contracting terms for brick-and-mortar and digital health services from the perspectives of a payor and a provider. Topics will include what to look out for when preparing or reviewing a payor participation agreement, including unilateral amendments, prohibition against balance billing, incorporating provider manuals, credentialing standards, post-termination continuity of care services, and accessing and owning data.
Speakers
Kinal Mahesh Patel, Senior Counsel Health Care Attorney, Foley & Lardner LLP
Kinal Mahesh Patel is a senior counsel health care attorney with Foley & Lardner LLP based in the firm’s Houston office. As a member of the firm’s Health Care Practice Group, Kinal provides transactional counsel to health care providers, plans and other companies on mergers and acquisitions, joint ventures and strategic alliances in the health care and related industries. He also assists clients to develop alternative payment methodologies and structure shared-risk arrangements, in compliance with federal and state fraud and abuse laws and insurance laws.
Michael C. Brody is Senior Associate General Counsel with United Healthcare, based in Horsham, Pennsylvania. In this role, he provides legal counsel to the organization’s employer and individual business segment, with a focus on regulatory, provider network, product and contract issues.