Many managed care organizations (MCOs) are deploying artificial intelligence (AI) to enhance their existing processes. In some cases, politicians and policyholders seem to believe that MCOs are not abiding by current rules and regulations when using this new technology in some of their business processes and procedures, such as claims processing. As a result, politicians have held hearings and made written inquiries of certain MCOs, and policyholders have filed suit against some MCOs claiming that AI is causing noncompliant claims processing. In-by improving transparency around the use of AI and preparing now for potential government inquiries and litigation in the future. On Thursday, March 6 the team of Wendell Bartnick, Michelle Lyu Cheng, and Vanessa Perumal presented a webinar advising how in-house counsel can take steps to mitigate these risks and build (or re-build) trust. If you would like to watch a recording* of the webinar, please reach out to mjilek@reedsmith.com. #ManagedCare #AI #MCO *𝘗𝘭𝘦𝘢𝘴𝘦 𝘯𝘰𝘵𝘦 𝘵𝘩𝘢𝘵 𝘊𝘓𝘌 𝘤𝘳𝘦𝘥𝘪𝘵 𝘧𝘰𝘳 𝘰𝘯-𝘥𝘦𝘮𝘢𝘯𝘥 𝘷𝘪𝘦𝘸𝘪𝘯𝘨 𝘪𝘴 𝘰𝘯𝘭𝘺 𝘢𝘷𝘢𝘪𝘭𝘢𝘣𝘭𝘦 𝘪𝘯 𝘊𝘢𝘭𝘪𝘧𝘰𝘳𝘯𝘪𝘢, 𝘊𝘰𝘯𝘯𝘦𝘤𝘵𝘪𝘤𝘶𝘵, 𝘐𝘭𝘭𝘪𝘯𝘰𝘪𝘴, 𝘕𝘦𝘸 𝘑𝘦𝘳𝘴𝘦𝘺, 𝘕𝘦𝘸 𝘠𝘰𝘳𝘬, 𝘗𝘦𝘯𝘯𝘴𝘺𝘭𝘷𝘢𝘯𝘪𝘢, 𝘛𝘦𝘹𝘢𝘴, 𝘢𝘯𝘥 𝘞𝘦𝘴𝘵 𝘝𝘪𝘳𝘨𝘪𝘯𝘪𝘢.
About us
At Reed Smith, we pride ourselves on having one of the largest legal practices dedicated to the managed care industry. With over 60 attorneys focusing exclusively on managed care, we're here to help you deliver high-quality, cost-effective care by addressing both opportunities and challenges in the healthcare market. With deep industry insight, we build lasting relationships grounded in trust and understanding of your business. We adeptly navigate complex litigation, regulatory, and business challenges for some of the largest health plans. We’ve practiced across all 50 states, with specialized knowledge in key areas such as the Affordable Care Act, Medicare and Medicaid regulations, benefits determination, pay disputes, and more. From Mental Health Parity to False Claims Act issues, we offer comprehensive support tailored to your unique needs. Reed Smith takes an interdisciplinary, collaborative approach, combining insights from various fields like labor and employment, bankruptcy, antitrust, and intellectual property to create holistic solutions for your organization. Our proprietary technology enhances our services, streamlining litigation management and providing quick access to cutting-edge legal resources. At Reed Smith, we're not just your legal counsel; we're your strategic partner in navigating the complexities of the healthcare industry. Count on us for unparalleled support and tailored solutions that propel your business forward with confidence.
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https://www.reedsmith.com/en/capabilities/services/managed-care
External link for Reed Smith Managed Care
- Industry
- Legal Services
- Company size
- 1,001-5,000 employees
- Specialties
- Managed Care, Health Care Litigation, and Health Plans
Updates
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Abortion coverage is a constantly changing legal landscape which creates exposure and compliance risk for managed care organizations. Reed Smith’s award-winning, proprietary Post-𝘋𝘰𝘣𝘣𝘴 Tracker offers a comprehensive coverage map to enable in-house legal teams to make real-time informed decisions. If you’re interested in hearing more about this software, please reach out to mjilek@reedsmith.com. #ManagedCare #ManagedCareOrganization #Dobbs [May require subscription] https://lnkd.in/d39ENU9g
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ERISA’s requirements for notifying members of appeal procedures and responding to appeals are intricate, confusing and can vary across federal circuits. On Thursday, July 11 Rebecca Hanson and Thomas Hardy are hosting a webinar to aide in-house counsel for claim administrators in understanding the rules, knowing the traps for the unwary, and being equipped to advise their internal clients on how to structure and implement appeal procedures that will withstand legal challenges. If you would like to register for this webinar or receive a recording, please reach out to mjilek@reedsmith.com. #ERISA #ManagedCare #ClaimsAdministrators
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Our team recently launched Managed Care On Demand which is a quarterly newsletter with links to recordings of our past webinars. These recordings are available for CLE in certain jurisdictions*, but our team would be more than happy to present live and customize the topics to your legal needs. To join the mailing list for Managed Care On Demand, please email mjilek@reedsmith.com. *𝘗𝘭𝘦𝘢𝘴𝘦 𝘯𝘰𝘵𝘦 𝘵𝘩𝘢𝘵 𝘊𝘓𝘌 𝘤𝘳𝘦𝘥𝘪𝘵 𝘧𝘰𝘳 𝘰𝘯-𝘥𝘦𝘮𝘢𝘯𝘥 𝘷𝘪𝘦𝘸𝘪𝘯𝘨 𝘪𝘴 𝘰𝘯𝘭𝘺 𝘢𝘷𝘢𝘪𝘭𝘢𝘣𝘭𝘦 𝘪𝘯 𝘊𝘢𝘭𝘪𝘧𝘰𝘳𝘯𝘪𝘢, 𝘊𝘰𝘯𝘯𝘦𝘤𝘵𝘪𝘤𝘶𝘵, 𝘐𝘭𝘭𝘪𝘯𝘰𝘪𝘴, 𝘕𝘦𝘸 𝘑𝘦𝘳𝘴𝘦𝘺, 𝘕𝘦𝘸 𝘠��𝘳𝘬, 𝘗𝘦𝘯𝘯𝘴𝘺𝘭𝘷𝘢𝘯𝘪𝘢, 𝘛𝘦𝘹𝘢𝘴, 𝘢𝘯𝘥 𝘞𝘦𝘴𝘵 𝘝𝘪𝘳𝘨𝘪𝘯𝘪𝘢.
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