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Presentations and Testimony
Representative Presentations:
American Hospital Association; American Medical Association; Medical Group Management Association; American Health Lawyers Association; InterQual, Incorporated Seminars; American Association of Preferred Provider Organizations; American Bar Association; National Managed Health Care Congress; National Business Group on Health; HRMAC Benefits Focus Group; National Pharmaceutical Council; Managed Health Care Pharmacy Fellowship Program; Infoline Seminars; Health Insurance Association of America; Blue Cross Blue Shield Association; Colorado Business Coalition on Health; Connecticut Business Coalition; American Hospital Association; MediQual’s Annual National Symposiums; Catholic Managed Care Consortium; Managed Care Outlook Seminars; Ohio Pharmaceutical Seminar; RxNet Affiliated PSAOs (PPO) Meeting; National Association of Retail Druggists; American College of Utilization Review Physicians; American Optometric Association; Insurance Accounting & Systems Association; Healthcare Financial Management Association; American Association of Medical Society Executives; National Pharmaceutical Alliance; Illinois Institute for Continuing Legal Education and Loyola Law School Health Care Conference; Medical Card System, Inc.; Chicago Chapter of the International Society of Certified Employee Benefit Specialists; Physician Radio Network/Institute for Applied Economics National Radio Conference; Northwestern University School of Business; AMCRA; Institute for International Research; Illinois Association of Preferred Provider Associations; Southeast Regional Chapter of the American Association of Preferred Provider Organizations; New England Regional Chapter of the American Association of Preferred Provider Organizations; Western Regional Chapter of the American Association of Preferred Provider Organizations and Bethesda PsycHealth, Colorado; Illinois College of Law; The New Mexico Psychological Association; Chicago Association of Commerce and Industry Seminar; El Paso Chamber of Commerce.
Representative Subjects:
Hospital Peer Review; External Review; Credentialing of Providers; Risk Contracting; Due Diligence for PSOs; AAPPO Contracting Guidelines; Liability for Credentialing and Recredentialing; Liability for Utilization Management; Protection of Managed Care Entities from Liability; Consumer Protection; Structuring Managed Care Entities; Structuring Healthcare Purchasing Organizations; Legal Liability Issues in Healthcare; Criteria for the Selection of Managed Care Organizations; PPOs: Structure, Establishment and Contracting Issues for Managed Care; Antitrust Issues for Managed Care; Silent PPOs, Gag Clauses in Managed Care Contracts; PPO Accreditation Issues; Malpractice Issues; Employer Liability Issues in Managed Care; Liability Issues in Managed Care; Liability Issues for Formularies; Healthcare Contracting; Healthcare Negotiating; American Accreditation Program; Formation of a Healthcare Purchasing Organization; Direction of the Healthcare Marketplace; Directions in Managed Care; Information and Utilization Management; Medicare PPOs; Quality Issues Important to Managed Healthcare; Review of PPOs - Past, Present and Future.
Expert Testimony:
Testimony before the Physician Payment Review Commission of the Congress of the United States (“PPRC”) with respect to The Medicare PPO Proposal, November 10, 1987, Washington, DC.
Testimony before the Chicago City Council Budget Committee with respect to the evaluation and selection of PPOs, May 20, 1988, Chicago, Illinois.
Special Presentation:
Health Care Financing Administration presentation to Administration and Staff regarding the Medicare PPO Proposal (1988)