Chicago partner Fred A. Smith III participated on a panel discussing cost efficiency tactics for health plan providers at the ABA Health Law Section 9th Annual Conference on Emerging Issues Conference in Healthcare Law. Mr. Smith's presenation was among the Concurrent Interest Group CLE Sessions.
Official Presentation Description
The relationships between providers and health plans often take on the characteristics of Dr. Jeckyl and Mr. Hyde as the parties look for ways to improve quality cost efficiently while continuing to be confronted with managed care disputes. On the litigation front, the traditional focus of managed care disputes has shifted from bodily injury claims to business practice litigation. At the same time, payors and providers are working together to explore new types of programs and plan arrangements. This panel will discuss the litigation trends and factors leading to this shift in litigation, and provide consideration as to whether the competing interests of the parties preclude them from reaching common goals of delivering quality, cost-efficient care.