Saturday, November 18, 2023
HomeHealth LawOIG Publishes New “Featured Subject” on Managed Care Oversight

OIG Publishes New “Featured Subject” on Managed Care Oversight

On August 28, 2023, the U.S. Division of Well being and Human Providers Workplace of Inspector Basic (“OIG”) revealed a brand new “Featured Subject” webpage on managed care oversight. The OIG’s Featured Subjects embrace compilations of the OIG’s current work associated to a selected subject material space and are up to date as new materials is revealed.

Because of the development of managed care and the numerous variations between fee-for-service and managed care packages, the OIG has designated oversight of managed care as a precedence space and has developed a coordinated plan for managed care oversight (the “Managed Care Strategic Plan”). Efficient implementation of the Managed Care Strategic Plan would require the OIG to conduct rigorous oversight of managed care plans throughout every stage of the managed care life cycle (i.e., plan institution and contracting, enrollment, cost, and companies).  To deal with the dangers related to every stage of the managed care plan life cycle, the OIG has recognized three strategic targets: (1) promote entry to take care of individuals enrolled in managed care, (2) present complete monetary oversight, and (3) promote knowledge accuracy and encourage data-driven selections. Underneath every of those classes, the OIG has specified sure targets to struggle fraud, waste, and abuse.

Managed care plans ought to seek the advice of this Featured Subject to grasp potential danger areas and how you can deal with them.  The Managed Care Strategic Plan, in addition to different OIG managed care assets, may be discovered on the OIG’s new “Featured Subject” webpage on managed care at

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Hector Antonio Guzman German
Dr. Hector A. Guzman
Graduado de Doctor en medicina en la universidad Autónoma de Santo Domingo en el año 2004. Luego emigró a la República Federal de Alemania, dónde se ha formado en medicina interna, cardiologia, Emergenciologia, medicina de buceo y cuidados intensivos.


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