Epstein Becker Green was one of the innovators of, and is a prominent law firm in, managed care delivery systems. The firm has worked with managed care organizations for more than three decades, and firm attorneys have provided key technical advice to Congress, federal agencies, and states throughout the development, passage, and implementation of managed care legislation. Epstein Becker Green has provided hundreds of managed care organizations with critical assistance in developing successful organizational responses to managed care operational and regulatory issues and has served as counsel to the leading professional trade associations for managed care organizations. The firm also represents numerous managed care organizations in mergers and acquisitions and integrated delivery system developments. 

The firm's extensive experience in managed care payment systems means that Epstein Becker Green attorneys are able to understand the complex legal issues relevant to the full range of risk assumption payment methodologies.

Managed care has undergone significant changes over the past three decades with many organizations assuming national leadership roles in reshaping the American health care delivery system. Many of the changes in health law have paralleled the evolution of managed care, and Epstein Becker Green attorneys have been at the forefront, working closely with managed care organizations in this area.

Our Services

Epstein Becker Green provides complete legal support for managed care organizations, including:

  • Providing guidance in connection with strategic initiatives on creating more integrated delivery systems, as well as structuring and negotiating joint ventures and agreements with a variety of third parties, including other health care providers, administrative service providers, and other vendors, to create integrated delivery systems
  • Developing new and innovative payment structures with managed care payors
  • Representing managed care and other organizations in licensure applications and regulatory investigations
  • Representing managed care clients in mergers and acquisitions
  • Providing public policy analysis and representation for health care organizations involved in managed care development
  • Providing strategic advice and legal assistance in connection with the development of managed care organizations and contracts with managed care organizations
  • Litigating managed care issues
  • Representing clients in managed care contract negotiations
  • Developing compliance plans conforming to applicable federal and state laws and regulations
  • Drafting medical group leases, services contracts, and employment arrangements for managed care organizations
  • Representing managed care organizations with government payors, such as CHAMPUS, TriCare, Medicare, Medicaid, and the Federal Employee Health Benefits Program