Payor Contracting and Value-Based Care
Telehealth, digital health, and other technology enabled care delivery models often lead to challenges relating to health plan contracting because they do not squarely fit within existing contracting and reimbursement pathways or involve a novel combination of services that may include both clinical and non-clinical features. Value-based care, with its own dynamic, novel innovations adds further layers of complexity in the contracting world.
We specialize in helping businesses overcome these challenges and support health care organizations in their partnerships with health plans and government payors, including complying with health insurance, managed care, and government program requirements; managing and expanding risk-based arrangements, drafting and negotiating agreements; and advising on reimbursement pathways, business development opportunities, and government policies.
Our work in this area includes:




