
| PRESENTER: |
Joseph
L. Romano, Esquire |
| SUBJECT: |
Keynote
Presentation |
| WHEN: |
Wednesday, April
14, 1999 - 11:00 AM |
| WHERE: |
Atlantic
City, New Jersey |

- What is managed care? Is
it managed care or managed money?
- The role of managed care in allocating
health resources
- Special Education Benefits: "A
Powerful Weapon in Pediatric Brain Damage Cases"
- Obtaining the insurance contract/insurance
policy to define the health insurance benefits available in a
managed care setting in an acute-care hospital
- How do osteopathic physicians, office
personnel, patients, and health care providers obtain the information
to define health insurance benefits available in a managed care
setting?
- Contractual roadblocks erected by
managed care health insurers to deny or limit coverage for your
patients
- Exclusions - "we
will not pay if..."
- Limitations
- Definitions (medical necessity,
custodial care, etc.)
- Experimental limitations
- Managed Care: The precertification
process - what you want, they won't pay for
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