Atlanta Managed Care Contract Lawyers
The process of pursuing and negotiating contracts with managed care organizations can be complex and overwhelming. Working with a lawyer who understands health care law can simplify the process and ensure you make the most informed decisions.
At Allen & McCain, P.C., we have extensive experience in the drafting, negotiation, litigation, voiding and termination of managed care contracts. As one of the only law firms in Atlanta representing health care providers exclusively, we have the knowledge needed to help you create and negotiate contracts that meet your needs.
Atlanta, Decatur, and Surrounding Areas Managed Care Contract Litigation Attorneys
In addition to employment agreements, health care providers and practitioners have responded to the concept of “managed competition” by moving toward managed care and forming alliances, which integrate hospitals and physicians through corporate structures. These range from simple contracting entities such as independent practice associations to foundations that actually acquire physicians’ practices and employ them.
These structures are generally designed to maintain access and provide cost-efficient and high-quality service through consolidation of the various components of hospital and professional services. Regardless of the particular form or structure used, success is generally determined by how well the health care providers involved assure and document their quality of care, manage their utilization, and control their costs.
From our office in Atlanta, Allen & McCain, P.C., assists physicians, hospitals and other health care clients in pursuing and entering into managed care contracts with:
- Health plans
- Health maintenance organizations (HMOs)
- Preferred provider organizations (PPOs)
- Various other forms of managed care organizations (MCOs)
While these contracts have the potential to expand the providers’ patient base, they require the provider to evaluate the risk assumed for the care provided to the MCO’s enrollees. Whether contracting through a provider-sponsored network/integrated delivery system or individually, the provider needs to understand the conditions of this risk assumption and the relationship created with each MCO through contract.
Contact Allen & McCain, P.C.
At Allen & McCain, P.C., we strive to meet all of your legal needs in a first-rate, cost-effective manner. To discuss your legal concerns with one of our knowledgeable attorneys in a no-cost, no-obligation consultation, contact us online or call 404-874-1700 or 888-874-2002.
The information you obtain on this website is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation. Past results do not guarantee similar outcomes in future cases. Transmission of the information on this website is not intended to create, and receipt does not constitute, an attorney-client relationship.