Following their first discussion surrounding the Strategic Plan for Oversight of Managed Care for Medicare and Medicaid and its impact on the first two phases of the managed care life cycle: plan establishment and enrollment and associated enforcement and regulatory actions, Ropes & Gray health care partner Devin Cohen and litigation & enforcement partner Andrew O’Connor provide an overview of the final two stages of the managed care life cycle: payment and services to people. They discuss ongoing enforcement trends in light of the Strategic Plan and note a market shift among plans, providers, and vendors, to a more proactive approach to monitoring and oversight.