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ABA’s National (Virtual) Managed Care Institute

November 18, 2020

O’Melveny counsel Elizabeth Bock and Amanda Genovese will speak at the American Bar Association’s National (Virtual) Managed Care Institute on November 17-18, 2020. This conference will host industry experts to discuss legal issues related to government program participation, litigation and claims trends, ERISA updates, value-based reimbursement/delivery model changes, vendor contracting, qui tam claims, antitrust, and other relevant themes.

Bock will speak on the panel “Risk Adjustment Litigation and FCA Claims” on November 18, which will cover:

  • False Claim Act actions related to data submissions and payments associated with Medicare Risk Adjustment
  • the background and the mechanics of Medicare Risk Adjustment including an overview of how risk adjustment works
  • recent trends in litigation and enforcement related to MRA and provide insight into the related key concepts

Genovese will speak on the panel “Ethical Considerations for Certain Fee Arrangements and Early Pleading Considerations in Payor/Provider Disputes” on November 18, which will explore:

  • alternative fee arrangements, along with applicable ethical considerations, to payor-provider disputes
  • recent trends in payor-provider litigation with particular emphasis on early pleadings and fee-shifting motion practice  

Bock represents managed care and other health care organizations in complex enforcement, regulatory, and litigation matters involving the False Claims Act, anti-kickback laws, Medicare and Medicaid regulations, the Affordable Care Act, and other laws regulating managed care organizations.

Genovese is a health care litigator who defends claims against insurers, plan administrators, employers, and managed care organizations.

Register for the conference here.