The Role of Managed Care in Today’s Healthcare System

Tuesday, September 28th, 2021
12:00 PM - 1:00 PM

Add to Calendar: Add to Calendar: 2021-09-28 12:00:00 2021-09-28 13:00:00 The Role of Managed Care in Today’s Healthcare System Event Description This lecture will discuss the impact of Medicaid Managed Care in the U.S. healthcare system—with a specific emphasis on Ohio. Details within such topic will include:  1.  Managed Care and the role MCO’s play in the healthcare system 2.  Characteristics of Managed Care Plans and Access to Care, Enrollment and Spending 3.  Managed Care Payment 4.  Managed Care Program Integrity 5.  Managed Care’s Effect on Outcomes/Social Determinants of Health (SDOH)/Complex Populations  6.  What is to come moving forward. Please review these reading materials in advance of the lecture. Vince Daniele is an attorney within CareSource’s Office of the General Counsel, where he focuses on providing legal advice on health insurance law and regulatory compliance to CareSource. He advises CareSource on state and federal health insurance reform, strategic planning and product development across multiple lines of business, and participation in government programs such as Medicaid managed care and Medicare Advantage. Prior to joining CareSource, Vince served as an attorney at Wright-Patt Credit Union to implement their Marijuana Related Business banking solutions. He also spent 8 years in private practice at the law firm of Wilmer Cutler Pickering Hale and Dorr focusing on defending clients against governmental investigations. Increasing COVID-19 cases within Northeast Ohio have prompted Case Western Reserve to resume its requirement that masks be worn indoors until further notice. In addition, only those who are fully vaccinated (two weeks past their final dose) should attend any campus event. Leaders continue to monitor pandemic developments and may need to adjust health protocols further as circumstances warrant. In-person is subject to change based on COVID-19 guidelines. Attendance is virtual for non-students. Students (only) attend in person at the following location: CWRU School of Law Room A59 Moot Courtroom 11075 East Blvd. Cleveland, Ohio 44106   School of Law School of Law America/New_York public

Case Western Reserve University School of Law Law-Medicine Center

The Elena and Miles Zaremski Law-Medicine Forum

1 hour of CLE credit has been approved

Event Description

This lecture will discuss the impact of Medicaid Managed Care in the U.S. healthcare system—with a specific emphasis on Ohio.

Details within such topic will include: 
1.  Managed Care and the role MCO’s play in the healthcare system
2.  Characteristics of Managed Care Plans and Access to Care, Enrollment and Spending
3.  Managed Care Payment
4.  Managed Care Program Integrity
5.  Managed Care’s Effect on Outcomes/Social Determinants of Health (SDOH)/Complex Populations 
6.  What is to come moving forward.

Please review these reading materials in advance of the lecture.

Vince Daniele is an attorney within CareSource’s Office of the General Counsel, where he focuses on providing legal advice on health insurance law and regulatory compliance to CareSource. He advises CareSource on state and federal health insurance reform, strategic planning and product development across multiple lines of business, and participation in government programs such as Medicaid managed care and Medicare Advantage.

Prior to joining CareSource, Vince served as an attorney at Wright-Patt Credit Union to implement their Marijuana Related Business banking solutions. He also spent 8 years in private practice at the law firm of Wilmer Cutler Pickering Hale and Dorr focusing on defending clients against governmental investigations.

Increasing COVID-19 cases within Northeast Ohio have prompted Case Western Reserve to resume its requirement that masks be worn indoors until further notice. In addition, only those who are fully vaccinated (two weeks past their final dose) should attend any campus event. Leaders continue to monitor pandemic developments and may need to adjust health protocols further as circumstances warrant. In-person is subject to change based on COVID-19 guidelines.

Event Location

Attendance is virtual for non-students.

Students (only) attend in person at the following location:

CWRU School of Law

Room A59 Moot Courtroom

11075 East Blvd.

Cleveland, Ohio 44106
 

Vincent P. Daniele
Vincent P. Daniele, Office of the General Counsel, CareSource