Managed Care is a health care delivery system that is designed to manage cost, utilization, and quality. For example, Medicaid managed care provides for the delivery of program health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs).
They are adept in areas such as healthcare compliance, risk assessment, and risk management. They also know government programs including Medicare and Medicaid, as well as their regulations and compliance. In addition to hospital administrators, ForensisGroup has healthcare attorneys who are experienced with managed care fraud and abuse, regulatory compliance and reimbursement issues, managed care contracting, representation in administrative tribunals, managed care payment law and regulations, and regulatory affairs.
These expert witnesses have been in hospital and healthcare facility management positions, executives of health systems, and CEOs of hospitals. Some have been corporate compliance officers, compliance analysts, auditors, and health care billing analysts. They are members of national organizations such as the American Health Information Management Association (AHIMA).
Retain a credentialed and knowledgeable managed care expert witness to assist you with your case. For more than two decades, ForensisGroup connects clients with leading experts in healthcare and related fields to testify on complex and technical issues. Our experienced professionals have been helping attorneys and insurance professionals in hiring well-qualified experts in more than 10,000 cases. Contact ForensisGroup immediately to request the right expert for your case.