NEXT SOLUTION

Payor Contracting &
Value Based Care

We provide strategic and legal support relating to commercial contracting and business development, with special expertise structuring deals involving health programs that do not fit squarely within traditional contracting pathways (e.g., value-based contracts, digital health and telehealth services arrangements, etc.).

Our work in these areas include:

  • Helping businesses structure and negotiate relationships with health plans, managed care organizations, self-funded employers, and other payors of health care services.

  • Guiding the design and implementation of telehealth, remote monitoring, and other digital health products and solutions for Medicare, Medicaid, and other government and commercially insured populations.

  • Helping organizations develop, negotiate, and prepare agreements, applications, and operational approaches for participation in value-based care arrangements within specific payment populations (Medicaid managed care, Medicare Advantage, ACOs, employer-funded programs, CMS innovation programs, etc.).

  • Strategically deploying consultants and making key industry contact introductions to further bridge the legal and operational landscape.

  • Creating and operationalizing value based contracting organizations like clinically integrated networks, direct contracting entities such as ACO Reach and accountable care organizations.

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Our team is ready to help with all your Corporate and Governance questions and needs.