Biography

Managed care companies, insurers, hospitals, health systems, physicians, and other payors and providers turn to Greg Mitchell to represent them in managed care and reimbursement arrangements. Greg assists his clients in negotiating every form of reimbursement arrangement, including fee-for-service agreements, full-risk capitation models, and all other value-based payment models.

Greg facilitates the entire arrangement process, from advising on the corporate structures necessary to enter into value-based payment models in each state, to drafting and preparing network participation agreements between IPAs, PPOs, and similar intermediary networks and providers, to drafting and negotiating complex compensation arrangements between payors, intermediary networks, and providers.

Clients appreciate Greg’s understanding of managed care issues facing entities of all types and sizes, as well as his calm and friendly demeanor when interacting with clients or opposing parties. Greg also holds a Master of Science in Bioethics, which provides him with distinctive insight into health care policy and its effects.

In addition, Greg has spoken and written on various health care topics, including value-based payments, price transparency, social determinants of health, and the Affordable Care Act’s impact on health insurance and providers. He is a co-editor of the 2021 edition of the American Health Law Association’s Health Plans Contracting Handbook: A Guide for Payers and Providers, and an author of Epstein Becker Green’s Value-Based Payments: A Comprehensive State Survey.

Experience

  • Negotiated and drafted a full-risk, pre-paid capitation arrangement between a large academic health system and a payor across multiple lines of business, including agreements to delegate the performance of management services from the payor to the health system.
  • Negotiated and drafted various documents, ranging from corporate documents to participation agreements with value-based compensation, for a joint venture between a payor and a large academic health system to jointly offer a Medicare Advantage plan.
  • Represented a large provider group on contract negotiations with various payors.
  • Advised a telehealth care management provider on a corporate strategy for creating provider networks in 50 states and entering into risk-based contracting arrangements with payors in all 50 states.
Education
  • Emory University School of Law (J.D., 2013)
  • Union Graduate College/Mount Sinai School of Medicine (M.S., 2013)
  • Union College (B.A., cum laude, 2010)
Bar Admissions
  • New York
  • New Jersey
Court Admissions
  • U.S. District Court, Eastern District of New York
  • U.S. District Court, Southern District of New York
Recognitions