Risk Adjustment Litigation and FCA Claims

November 17-18, 2020
American Bar Association National Managed Care Institute
Virtual Conference

Bass, Berry & Sims attorney John Kelly will participate on a panel session titled, “Risk Adjustment Litigation and FCA Claims,” at the American Bar Association’s (ABA) Inaugural National Managed Care Institute taking place November 17-18, 2020 over a virtual platform.

John will be joined by Alex Oliphant (Director, BRG) and Elizabeth Bock (O’Melveny and Myers LLP). The session will discuss False Claim Act actions related to data submissions and payments associated with Medicare Risk Adjustment and will cover the background and the mechanics of Medicare Risk Adjustment, including an overview of how risk adjustment works. The panel will also review the recent trends in litigation and enforcement related to MRA and provide insight into the key concepts.

The two-day institute provides a rewarding educational experience for professionals who need to better understand the many varied legal questions surrounding managed care, including litigation/claims trends, ERISA updates, value-based reimbursement/delivery-model changes, vendor contracting, and more.