Managed Care Relationships

Our Healthcare Practice assists hospitals, health systems, physician groups, skilled nursing facilities and other providers in coping with the challenges of providing health care in a managed care environment. We advise providers in reviewing and negotiating contracts with health plans and third-party payors, both commercial and governmental. We also advise providers as to the complex federal and state regulatory requirements that govern in this area. We counsel Accountable Care Organizations (ACOs), Independent Practice Associations (IPAs), and Physician-Hospital Organizations (PHOs) on various issues related to managed care, including how to structure and operate such organizations in compliance with federal antitrust, Anti-kickback, and physician self-referral (Stark) laws, as well as analogous state law.