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Specialty Health Organizations – Should You Join This Type of Managed Care Entity? |
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Description: |
In this live web conference, we explore a "new" type of managed care entity commonly referred to as "Independent Physician Associations" or "Specialty Health Organizations." Should you join a SHO upon announcement of a contract with a carrier? Should you not join? What are some of the factors you may wish to consider in making your decision? |
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A 1.25-Hour Session Open Free to the General Public (Pre-Registration is Required) |
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Meeting Information |
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Date & Time: Tuesday, February 7, 2006, 1:00pm-2:15pm ! Eastern Time ! |
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Primary Organizer: ProviderLAW – ph: 610-756-3795; fax: 610-756-3796 The opinions of the primary organizer / speakers do not necessarily reflect the opinions of co-organizers, sponsors, promoters, or any other Ancillary Entity. See Legal Notice for more details. Speakers: Keith Pendleton, JD |
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Brief Description of Event |
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Increasingly it seems, managed care entities such as HMOs and Preferred Provider Organizations are outsourcing components of their claims processes to specialty-specific, third-party companies. These companies are commonly referred to as "Independent Physician Associations" or "Specialty Health Organizations." Oftentimes, the very rumor of an outsourcing contract between a carrier and a SHO in a particular region will send shock waves throughout the healthcare specialties affected.
Most recently, for example, Aetna announced that it had formed a contract with American Specialty Health, Inc. (ASH) with respect to certain HMO products (at least in certain states in the northeast region of the country). Following the announcement by Aetna, the Pennsylvania Chiropractic Association issued a letter to all PA chiropractors encouraging them not to join the organization.
The existence and practices of SHOs have raised enough concerns that state and national professional associations across the country have begun to challenge the model. Several years ago, for instance, the California Chiropractic Association filed a lawsuit against two ASH subsidiaries regarding their claims practices. The American Chiropractic Association also has made the SHO model one of its top priorities.
The purpose of this live web conference is to explore SHOs further. What are some of the risks posed by the model? Should you join a SHO upon announcement of a contract with a carrier? Should you not join? What are some of the factors you may wish to consider in making your decision?
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Special Instructions |
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Eastern Time. Please note that all web conferences are scheduled Eastern Time. If you are located in a different time zone, make sure to account for this when arranging your schedule.
Conference Slides and Handouts. If you are a ProviderLAW subscriber, or the conference is being made freely available to the public, you should be able to access the conference materials in many instances through the ProviderPRO.net website. To obtain the conference materials in this fashion, visit www.providerpro.net, click on "Conferences," then click on "Conference Archives." Note – If you are paying a registration fee to attend or participate in a ProviderLAW-organized program, and are not a ProviderLAW subscriber, the conference materials will be sent to you several days prior to the event.
Practice Logging in to a Live Web Conference From a Particular Computer. To minimize the chances of delays when logging in to live web events, we strongly recommend that you practice logging in several days in advance and that you do so from the computer which you actually plan to use to access the event. Here is why we recommend this. Whenever you login to a live web event facilitated through ProviderPRO.net, you will be asked to download the GoToMeeting software program to the particular computer at which you are located. By practicing logging in ahead of time, you will go through this download process, and will have the opportunity to address any technical issues which may arise prior to the live program. To practice logging in, visit www.providerpro.net, click on "Conferences," then click on "Practice Logging in to a Live Web Event." Participants – We Ask That You Commence Logging in 30 Minutes Prior to the Live Event. This will give the organizer sufficient time to confirm your registration. To login, visit www.providerpro.net, click on "Confereces," then click on "Login to a Live Web Event NOW." Once you successfully login, you should see a revolving series of PowerPoint slides. These slides will instruct you on how to access the conference call portion of the presentation immediately before it commences. Only One Login and One Conference Call Per Registration Is Allotted / Permitted; How to "Broadcast" the Conference.... If you wish to have a number of employees attend or participate in the event, we recommend that you carefully review Web Conference Information, beginning with the item which reads: "If My Office Pre-Registers for a Live Web Conference, How Many of My Employees Can Actually Attend?" A number of alternatives for "broadcasting" the voice / audio component of the program are discussed in this and the following sections. If the Meeting "Rooms" Are FULL When Your Registration is Received.... In the event that all meeting "rooms" are FULL at the time your registration is received, it may be possible for you to participate in the event as an "Attendee." Please let us know on the registration form if you do Not want us to process you as an Attendee should the event become "Full." |
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Terms of Conference Participation |
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All Conferences Are Subject to the Terms of the Legal Notice ("Terms") Located on the Providerlaw Website at http://www.providerlaw.com/legal_notice.php (See Below). Please Read the Terms Carefully. Any Use Of, or Reliance Upon, or Attendance At, the Conferences, Shall Indicate Your Agreement to Such Terms. Conference Fees Are Non-refundable. All Prices Are Subject to Change at Any Time.
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