Highlights from HCCA 2023 Managed Care Compliance Conference

Presentation by Amanda Brown, ATTAC Consulting Group | Bailey Wendzel, Epstein, Becker Green

  • Current & Future Parity Landscape
  • DOL & CMS Mental Health Parity Audits & Investigations:
    • DOL/CMS regulatory enforcement
    • DOL/CCIIO process for parity investigations
    • Best practices when responding to audit request
  • Themes in Regulatory Compliance Risk
    • Utilization management
    • Prescription drug benefits
    • Provider reimbursement
    • Benefit design or exclusions
    • Inadequacy of documentation
  • Considerations for Plan Sponsors & ASOs
    • Liability for noncompliance
    • Service provider agreements & parity concerns
    • Key considerations for ASO oversight
  • Assessing Your Parity Compliance Program & Determining Next Steps for Improvement
  • Comprehensive Approach to Implementation
  • Best Practices for Compliance Programs
  • Next Steps

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