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Payers, Plans, and Managed Care Practice Group

‚ÄčAHLA's Payers, Plans, and Managed Care Practice Group keeps you up to date on all legal issues concerning health plans, insurers, third-party administrators, pharmacy benefit managers, and other hybrid organizations. And when you enroll in the Payers, Plans, and Managed Care Practice Group, you will gain access to exclusive content only available to Practice Group members, like:

Planning for Health: A Health Plan Emergency Preparedness Checklist

The checklist gives tips on coordinating with federal, state, tribal, regional, and local emergency preparedness systems and focuses on the following key areas:

  • Adaptability
  • Leadership
  • Infrastructure and information management
  • Planning and preparation
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Managed Care Contracting Toolkit

Originally created in June 2009 and updated in December 2016, the updated Managed Care Contracting Toolkit (Toolkit) follows the previous form but provides updated information in light of changes in law, including the implementation of the Affordable Care Act. The Toolkit is organized in the order of a typical managed care contract and outlines general principles that should be considered when negotiating contract provisions as a Provider or Managed Care Organization (MCO). Where applicable and unambiguous, sample contract language has been marked as either MCO- or provider-friendly, or neutral. Important principles have been listed at the beginning of each section to provide a roadmap and some general thoughts for contracting parties.

Practical Considerations for Analyzing Telemedicine and Telehealth Legal Issues

This Toolkit covers all of the basics and need-to-know legal issues affecting telemedicine and telehealth today, including:

  • The Overarching Principles of Telemedicine
  • What is Telemedicine?
  • How is Telemedicine and Telehealth Used Today?
  • State Regulatory Framework: Legal Issues and Key Questions to Ask
  • Federal Regulatory Framework and Legal Issues