[Webinar] Accessing Out-of-Network Cancer Care: Policy Challenges & Solutions

September 2nd, 2:00 pm - 3:00 pm ET
Manatt, Phelps & Phillips, LLP
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Manatt, Phelps & Phillips, LLP

September 2nd, 2021
2:00 PM - 3:00 PM ET

In a New Webinar, Manatt and the Leukemia & Lymphoma Society Share the Obstacles Cancer Patients Face to Receiving Proper Treatment—and the Policies States and Plans Can Implement to Improve Network Adequacy and Access. Click Here to Register Free.

Blood cancer takes a demanding physical, mental and emotional toll on the 1.3 million patients living with this disease in the United States. Many blood cancer patients also face the daunting task of managing their own care—a process that is fraught with obstacles. Challenges are exacerbated when provider networks are limited, raising barriers that prevent patients from accessing appropriate treatment due to high out-of-pocket costs associated with out-of-network care.

In many cases, patients may be able to receive medically necessary out-of-network care with in-network levels of cost sharing. However, doing so often requires patients to navigate their plans’ coverage determination and appeals processes, which can be complex and time intensive.

In a new webinar based on a just-released report, Manatt Health and the Leukemia & Lymphoma Society (LLS) examine policy challenges that hamper patients’ ability to obtain proper treatment for their cancer. Based on a review of four states and their policy and regulatory frameworks governing marketplace plans, the webinar examines the findings through the lens of a patient navigating the cancer care journey. Click here to register free. Key topics will include:

  • Background on the regulatory landscape and its impact on cancer care access
  • The complexity of the patient journey from diagnosis to treatment, particularly when care is needed outside of the patient’s insurance network
  • Coverage-associated rules put in place by plans and states, including findings from interviews with state regulators, insurers and cancer care providers
  • Variations among state regulatory frameworks governing plan network development, network maintenance, appeals and grievance rights and processes, and other cancer care-related consumer protections
  • Opportunities and best practices for enhancing regulatory frameworks and improving the customer experience

Even if you can’t make our original airing on September 2, click here to register free now, and you’ll receive a link to view the program on demand.

Presenters:

Joel Ario, Managing Director, Manatt Health
Alex Morin, Director, Manatt Health
Lucy Culp, Executive Director, State Government Affairs, LLS

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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