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
