The TMA III ruling carries substantial implications for payors in the healthcare industry, necessitating a revamp of QPA calculations and compliance practices. While additional guidance from agencies is expected, it's crucial for stakeholders to adapt to these changes promptly.
During this webinar, the Managed Care team will describe the impact of the decision for payors. Additionally, we will take a deep dive into the QPA calculation changes, including those related to:
- "Ghost Rates"
- Specialty-Specific Rates
- Bonus and Incentive Payments
- Calculations by Third-Party Administrators (TPAs)
- Single Case Agreements
Join us as we explore these topics in detail and navigate the evolving landscape of healthcare regulations.
Important CLE information:
This program is presumptively approved for 1.0 CLE credit in California, Connecticut, Illinois, New Jersey, New York, Pennsylvania, Texas and West Virginia. Applications for CLE credit will be filed in Delaware, Florida, Ohio and Virginia. Attendees who are licensed in other jurisdictions will receive a uniform certificate of attendance but Reed Smith only provides credit for the states listed. Please allow 4-6 weeks after the program to receive a certificate of attendance.
