2023 Virtual Managed Care Compliance Conference

Third-Party Administrators and FDR Oversight: What Is Your Responsibility as a Health Plan?

  • Third-Party Administrators and FDR Oversight: What Is Your Responsibility as a Health Plan?

    Jennifer Lacey, Chief Compliance Officer, Longevity Health Plan.

    Beth Socoski, Medicare Compliance Director, Longevity Health Plan.

    2023-02-01

    • Development and incorporation of enforceable Service Level Agreements: Don't leave your health plan metrics and regulatory requirements to vague, subjective contract language

    • Conducting a thorough and meaningful pre-delegation audit: Your TPA's policies and processes directly impact your success

    • Build an effective TPA monitoring and oversight program, including SLA dashboards and protocols: The art of influencing cooperation and collaboration through clear oversight

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About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

952.988.0141

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