This conference will focus on the "next generation" medical management tactic everyone is talking about: Accountable Care Organizations (ACOs).
The passing of the Healthcare Reform bill has led health plans, physicians and hospitals to seriously re-think the management of the chronically ill, who by 2011 will make up 60 percent of the Medicare Advantage population. More patients with more complex chronic medical conditions will lead to costly hospital readmissions, enrollment adjudication, risk adjustment, and claims processing.
The ACO is now thought of as a possible, if not controversial solution to this financial problem. Three distinct groups: hospitals, physicians and health plans will come together at this event to collaborate on the ACO.
Hogan Lovells partner Bob Leibenluft will be speaking on "Navigating the Antitrust Issues in ACOS" on Monday, 23 January. His presentation will focus on the following talking points:
- What are the principal antitrust concerns raised by ACOs?
- How are market shares calculated for an antitrust analysis?
- What types of contractual provisions and contracting practices raise "antitrust red flags?"
- What are the implications of the DOJ/FTC Policy Statement on ACOs?
- Should an ACO seek an advisory review from the antitrust agencies?
- How can antitrust risks be reduced?
- How do ACOs compare to clinical integration and other types of provider collaborations?