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| Managed Care Contracting |
Managed care arrangements are becoming more widespread and are penetrating more markets.
Our health care lawyers have helped our clients create and participate in various types of managed care arrangements. Our multi-disciplinary team consists not only of our health care attorneys, but also of attorneys who have extensive experience in insurance laws and regulations, ERISA and litigation. The Firm has represented a diverse group of clients in managed care arrangements, both from a network development side and a provider contracting side.
Representative Matters:
- Represented a national practice management company in establishing its provider network affiliates in the Atlanta market
- Advised both providers and employers in connection with their managed care arrangements, including representation of providers establishing preferred provider organizations, independent practice associations and physician-hospital organizations
- Represented a publicly traded company that provides self-funded health plan benefits to its employees in its direct managed care contracting arrangements with providers
- Defended a managed care organization against claims by a TPA for injunctions and damages arising out of the relationship between the two organizations
- Assisted a Georgia health maintenance organization in obtaining the appropriate licensure from the Georgia Department of Insurance
- Challenged "silent PPO" complaints on behalf of health care providers
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