Health Plan Tiering Arrangements: A New Paradigm
January 10, 2008
This teleconference will discuss a range of legal issues surrounding the development and implementation of tiered provider networks based upon an evaluation of physician and hospital quality and efficiency. Such tiered arrangements, while designed to improve health care quality and efficiency, have been the subject of litigation and critical regulatory inquiry. In November 2007, the New York State Attorney General announced settlement agreements with the four largest national health insurers; the settlement agreements create a model physician ranking program based on certain measurements and processes. The teleconference will address the implications of this model arrangement for designing and implementing tiered provider networks based upon quality and efficiency.
David Florin is one of the presenters at this teleconference.
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