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Program Overview

This webinar will provide guidance on the appropriate methodology to measure the value of medical services in personal injury suits. We will discuss why the approach typically taken by life care planners in personal injury suits is incorrect and does not account for how payments are made in the healthcare marketplace. While most life care planners rely on billed charges to establish the value of healthcare services, providers’ charges do not reflect what is actually paid for care. In fact, billed charges are almost never paid, and providers willingly accept less (sometimes substantially less) than charges. The presenters will describe these issues and how the issues are addressed in personal injury lawsuits.

Who Should Attend

  • Defense counsel involved in personal injury lawsuits
  • Internal counsel for insurance companies
  • Life Care Planners

What You Will Learn

  • An understanding of what charges represent in the healthcare marketplace
  • A high level overview of the approaches used to pay healthcare providers
  • Reasonable approaches to calculating payments for healthcare services in the context of personal injury lawsuits  

Speakers

Henry Miller

Henry Miller is a managing director in BRG’s Phoenix office. He has more than 45 years of experience working on healthcare issues for the federal government, state governments, insurers, providers, and attorneys. He has testified in the US Congress, state legislatures, and federal, state, and local courts. He has been retained to examine past and future costs related to personal injuries in more than one hundred cases.




Greg Russo

Greg Russo is a managing director in BRG’s Washington, DC office, who specializes in providing strategic advice and offering expert witness testimony to healthcare organizations through his use of complex data analyses, financial modeling, and understanding of the healthcare marketplace.





JoAnna Younts

JoAnna Yountsis a director in BRG’s Washington, DC office. She provides strategic advisory services, as well as expert support in disputes and investigations regarding billing and coding, payment policy issues and provider reimbursement. She has worked with providers, payers, and government agencies on billing and claims analysis, reimbursement benchmarking and fee schedule design.





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