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OVERVIEW

Managed care plans have always been a challenge to administer because of the variability in plan requirements, lack of specificity in the actual contracts and lack of understanding by providers regarding their resources and options for effective management. The addition of the Affordable Care Act and the marketplace insurance exchange adds another layer of complexity and uncertainty that must be effectively administered to secure and retain revenue. This Managed Care Workshop will cover how to understand and identify the various types of managed care plans, including the Affordable Care Act “Marketplace” plans, and identify the similarities and differences as well as risks and requirements of each. The seminar will include sample tips, tools and techniques designed to help providers standardize the management of the various managed care scenarios with an emphasis on the newly-created marketplace plans of the Affordable Care Act.