This primer examines the minimum benefits that must be included in order for a health insurance policy to comply with the US Affordable Care Act (ACA).
Corporate policyholders and their insurance companies often resemble old married couples: They argue periodically. Occasionally they have a real quarrel and unkind things are said. Maybe one of them moves into a hotel for a couple of weeks. Maybe they hire a counselor, or even lawyers, to help resolve the dispute. But at the end of the day, neither is willing to leave the table for good. This characterization of the insurer–insured relationship will resonate with corporate counsel assigned the task of recovering an unpaid insurance claim without ending a relationship in which both parties have invested much. Using a case study, learn how to manage and prevail in a coverage dispute with your insurance company without ending the relationship permanently.
Competition law is not necessarily seen as falling squarely within the compliance remit, but recent global enforcement actions in China and threatened actions in the European Union demonstrate the importance of having a robust global competition law risk and compliance program. This program will focus on best practices including policies and training, risk assessments and controls, preparing and managing dawn raids and monitoring changes in global antitrust laws.
A list of ACC legal resources related to each session presented at the Risk Management Track of the Mini MBA Business Education course held at Boston University.
Review various types of business insurance including D&O, E&O and special lines of coverage. Learn to understand standard policy clauses, insurers' interpretation of those clauses and practical steps you can take to maximize your company's insurance recoveries.
Part of risk management is managing the enterprise’s insurance coverage, submitting claims and getting claims paid. Insurance companies often avoid paying claims. You will learn: what the insurance companies’ obligations are with respect to claims adjusting; how to manage the process and maximize your recovery; insurer duties and the insured’s obligations; what to do when you get denials or reservation of rights letters; how the tri-party relationship of insurer, defense counsel and insured works; whether you can get in-house attorneys’ fees paid; and some creative ways to settle claims with insurers.
With over 900 pages of law & tens of thousands of pages of regulations, “ObamaCare” has been in the news and courts & now it’s on your desk and in your board room, C-suite and business units. Get your "cheat sheet" to navigating the implications of the Patient Protection Affordable Care Act (PPACA). The panel will tackle the hottest Affordable Care Act issues including: (1) Medicaid expansion - what states are expanding and what will be the impact to states that are not expanding; (2) New regulations - what are some of the most significant and controversial regulations and can more be expected in the near future; (3) Accountable Care Organizations (ACO) - great rewards are promised for healthcare companies willing to be accountable for better outcomes and savings, but what “pay for performance” and quality controls are being implemented, measured and reported and is it really worth it?
Each of the respective industries in healthcare face different issues when negotiating contracts. This program will highlight what are essential provisions to be included in health care agreements from the perspective of hospitals, providers, medical device companies, pharmaceutical companies and health plans. Concepts to be discussed include the requirements of the variety of U.S. and international laws impacting the healthcare industry, the different needs of for-profits and non-profits, and the changes imposed by healthcare reform.
Privacy laws are proliferating. This session will discuss how to implement a global privacy compliance program to address the EU Directives, as well as current updates and implementation of key country privacy laws, such the Personal Information Privacy Act in South Korea and similar laws in Malaysia and other Asian countries. This session will also address equally important US state law privacy developments.