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Advocating for Patients in the Current Legal and Regulatory Landscape


Wednesday, February 17, 2016: 9:00 AM-12:00 PM
Talbot (Omni Amelia Island Plantation)

Background: This presentation will explain the fine print of Mental Health Parity Laws (including the Final Rules), and guide clinicians in addressing parity violations/insurance denials. In addition, this presentation will clarify the relationship between MHPAEA and the ACA, including how to best advocate for patients under the most recent legal updates.

I. Mental Health Parity

  • Background
  • Financial Requirments
  • Treatment Limitations
  • The Final Rules

II. Affordable Care Act

  • FAQ's
  • Implementation
  • Preventative Care Requirements
  • Who needs to comply
  • ACA and MHPAEA relationship

At this presentation, participants will learn how to maximize insurance coverage for eating disorder patients.  This presentation will explain the fine print of Mental Health Parity Laws (background on the law, treatment limitations, financial requirements, and the Final Rules), and guide clinicians in addressing parity violations/insurance denials. In addition, this presentation will address common quetsions about the ACA, clarify the relationship between MHPAEA and the ACA, and explain how to address implementation and compliance issues. Partipcants will gain a better understanding on how to best advocate for their patients under the most recent legal updates.  The Kantor & Kantor legal team will also answer the most frequently asked questions about paying for eating disorder treatment, and will be available to answer specific questions participants have about coverage for eating disorder treatment.

Participants will be able to identify common mental health parity violations, explain how the new regulations can be used to access mental health treatment, and advocate for patients in the current legal and regulatory landscape.

Primary Presenter:
Lisa S. Kantor, Esq.

Lisa Kantor has been practicing law for over thirty years, recently becoming the country’s premier advocate for patients with eating disorders who have been denied benefits by their health insurance carrier. Ms. Kantor has obtained several key victories for clients with eating disorders including cases that have changed the law in California. Partner Lisa Kantor's devotion to her work lead her all the way to the U.S. District Court of Appeals, creating one of the most influential decisions of our time, and paving the way to making treatment and recovery for various types of mental illnesses attainable.



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