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How Managed Care and AI Changed Who Wins-Who Pays: The New Economics of Payment Integrity
May 20 @ 3:00 pm – 4:00 pm EDT
Join Holland & Knight and BDO for a timely joint webcast exploring how managed care and artificial intelligence are redefining healthcare payment risk.
This session will examine the structural and economic forces driving payment adjudication, the expanding role of AI in utilization management and coverage decisions, and why traditional revenue cycle strategies are no longer sufficient. Attendees will gain practical insights into how leading organizations are using analytics, escalation strategies, and legal and regulatory avenues to address payment integrity challenges in today’s evolving reimbursement environment.
1.0 CPE Credit in the field of Specialized Knowledge (SK)
Learning Objectives
- Identify shifts in managed care models.
- Explain how AI-driven utilization management affects.
- Evaluate traditional vs. automated revenue cycle workflows.
- Describe current legal and regulatory developments affecting AI-driven coverage and payment decisions.
- Determine when escalation strategies, including payer dispute processes, regulatory engagement, arbitration, or litigation, may be appropriate.
CPE Information
Delivery: Group Internet Based
Prerequisites: None
Advanced Prep: None
Program Level: Basic
Cost: There is no fee to attend this session
Information about CPE Eligibility
To receive CPE credit for participation in a BDO webcast program, you must respond to the occasional polls that appear throughout the program and be in attendance for a minimum of 50 minutes. You will receive an email notification following the program if you completed the necessary polls and qualified for CPE credit. This email will include instructions on how to access your CPE certificate.
Please Note: Per BDO USA’s CPE Compliance policy, CPE will not be issued for programs that fail to comply with the NASBA Standards, or to individuals who do not meet the attendance requirements. For example, a professional attending a webcast must respond to at least 3 polls per CPE credit.
For questions regarding CPE credit, please contact [email protected].
BDO USA, P.C. is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org
