Medical Loss Ratio: New Developments and What’s to Come
With headlines predicting $1.3 billion in rebates to consumers this year, the Affordable Care Act medical loss ratio (MLR) mandate has a significant impact on managed care companies and plans. Navigant’s Ernest Dixon and Melissa Hulke will present on this webinar which will provide a brief background of the MLR, an analysis of the preliminary data on MLR rebates, and a thorough discussion of the nuances of the MLR regulations and relevant legal and compliance issues to consider when analyzing or reporting MLR data. Importantly, the webinar will also address the impact of the MLR regulations and incentives on plans’ relationships with pharmacy benefit managers, providers, and brokers.
Mr. Dixon is a Managing Director in the Disputes & Investigations practice. With 20+ years experience, his work has included accounting investigations, litigation consulting, expert witness testimony, financial due diligence, among others.
Melissa J. Hulke
Ms. Hulke is an Associate Director in the Healthcare Compliance & Investigations practice. She has led large, complex engagements in litigation, investigations, and compliance-related matters, with experience in national high-profile cases.