Kevin Malone, Member of the Firm, co-presents a webinar, "Negotiating Managed Care Agreements with Health Plans: Key Provisions, Anticipating Areas of Dispute, Court Treatment," hosted by Strafford.

The past two years have brought many changes to the health care industry, impacting the relationship between providers and health plans. Negotiating favorable rates and terms in the new environment is more challenging than ever.

Recent litigation serves as a good reminder about the importance of negotiating managed care contracts, which govern the cost and quality of health care services between providers and patients. A recent decision from the California Court of Appeal, San Jose Neurospine v. Aetna Health of California (2020), held a miscoded bill was not a proper basis for the health plan to avoid payment. The court rejected the plan's argument that the provider's technical error precluded the provider from obtaining payment. It is important to anticipate potential areas of dispute when negotiating the managed care agreement, including the resolution of technical errors.

Counsel should carefully consider complex arrangements and take steps to reduce potential exposure for the provider of nonperformance of obligations under the agreement.

Kevin and others discuss negotiating managed care agreements with health plans. The panel offers best practices for providers, examine current trends in contract negotiations, and discuss recent court treatment, key contract provisions, and ways to address common areas of dispute.

For more information, please visit StraffordPub.com.

Event Detail

Recording of a 90-minute CLE video webinar with Q&A
Jump to Page

Privacy Preference Center

When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalized web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.

Strictly Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

Performance Cookies

These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.