NEMEP Session # 6 MANAGED CARE CONTRACTING

  • 10 Dec 2020
  • 1:00 PM - 2:00 PM (EST)
  • Zoom

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  • Thursday, December 10th at 1pm ET

    NEMEP Session # 6
    MANAGED CARE CONTRACTING
      Jeff Baird, JD, Brown & Fortunato

  • "Managed Care Contracting Made Simple ”


  • In the past, DME Supplier’s payor mix consisted entirely of Medicare & Medicaid (“FFS”).  However, this is no longer the case.  The market is more competitive & industry initiatives have forced suppliers to expand

    payor mix.  This program will discuss the challenges facing suppliers as they enter MC arena, including (i) the refusal of an MC Plan to allow new suppliers on their panels; (ii) coverage & reimbursement policies

    that are different than FFS programs; (iii) the prohibition against selling cash items to “covered lives” under the Plan; (iv) a “take it or leave it” attitude by the Plan; and (v) Plans entering into “sole source” and

     “preferred supplier” arrangements.  Equally as important, the program will discuss the steps that suppliers can take to overcome these challenges



 



© 2017 Northeast Medical Equipment Providers Association 

Contact

Beth Bowen, Executive Director
Email: beth@northeastmep.org


Address:
PO Box 4411

Cary, NC 27519-4411

Direct Dial: (919) 387-1221
Fax: (919) 249-1394

    

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