Building Structure and Support for an Effective Compliance Program
May 15, 2012
2:00 - 3:30 pm ET
This session is specifically designed for health insurance companies that are either beginning to formalize an internal compliance program, or need to evaluate the efficacy of a program which is already “up and running.”
Topics for discussion will include:
- How compliance programs are organized
- How compliance programs operate day-to-day
- How compliance programs minimize organizations risk
- How to benchmark compliance efforts
You will gain an overview on developing structure and support for an effective compliance program. The speakers will take a closer look at:
- Ways to Build Internal Support for Compliance Efforts
- Compliance Program Benefits
- Elements of Effective Compliance Programs and Legal Requirements
- How to Determine Overall Effectiveness
Who Should Attend:
- Health insurance professionals who are responsible for any aspect of compliance in their day-to-day career
- Leadership engaged in compliance and regulatory outreach and advocacy strategies
- Health plan compliance and risk management professionals
- Attorneys and legal staff
- Health care consultants
|II||Building Support for an Effective Compliance |
• Sources of Authority
• Managed Care Enforcement Precedents
• Knowing the Benefits of Compliance Programs
• The Roles and Duties of the Board
• Having an Effective Compliance Officer and Management Compliance Committee
|III||Seven Elements of an “Effective” Compliance Program |
|IV||Compliance Effectiveness Reviews|
Lynn Shapiro Snyder, Senior Member of the Firm, Epstein Becker & Green, P.C.
Joseph J. Kempf, Jr., Senior Attorney, Epstein Becker & Green, P.C.
Lynn Shapiro Snyder is a Senior Member of the Firm in the Health Care and Life Sciences and Litigation practices in the firm's Washington, DC, office, and she is Strategic Counsel with EBG Advisors, Inc. She has over thirty years of experience at Epstein Becker Green, advising clients about federal, state, and international health law issues, including Medicare, Medicaid, TRICARE, compliance, and managed care issues. Her clients include health care providers, payers, pharmaceutical/device manufacturers, and those companies and financial services firms that support the health care industry. She is a frequent speaker and publishes extensively
Joseph J. Kempf, Jr. is a Senior Attorney in the Health Care and Life Sciences practice, in the firm’s New York office. He has over twenty-five years of experience handling managed care and related regulatory matters. He has extensive experience dealing with state regulators in successful negotiations on compliance matters, benefit mandates and interpretation, the creation and approval of new products, and plan features. He has provided legal and business advice on the management and resolution of member appeals and grievances, whether initiated directly or through state regulatory authorities, and on plan compliance issues.
For information on the Healthcare Compliance ProfessionalTM designation, click here, e-mail Support@AHIPInsuranceEducation.org or call 800.509.4422.
The content presented in this webinar is solely attributable to the speaker and does not represent an endorsement by America's Health Insurance Plans (AHIP) of the accuracy of the information presented in the audio conference or any opinion expressed by the speaker.