Insights from OIG’s Strategic Plan for Oversight of Managed Care (Part II)

Following the first discussion surrounding the Strategic Plan for Oversight of Managed Care for Medicare and Medicaid and its impact on the first two phases of the managed care life cycle: plan establishment and enrollment and associated enforcement and regulatory actions, Ropes & Gray litigation & enforcement partner Andrew O’Connor provides an overview of the final two stages of the managed care life cycle: payment and services to people. He discusses ongoing enforcement trends in light of the Strategic Plan and note a market shift among plans, providers, and vendors, to a more proactive approach to monitoring and oversight.