Managed Care Contracting & Network Development

We maximize your expertise and bring our breadth of real time contracting knowledge to your managed care negotiations.

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Our Approach

Successful managed care arrangements require a thorough understanding of the practical and operational considerations unique to contracting in this industry —from traditional fee-for-service to risk-based, bundled payment.

Our attorneys understand the importance of policies and procedures. They are highly skilled at developing strategies and writing contract language that lead to successful implementation and enforcement of negotiated terms.

We represent healthcare providers in evolving Managed Care models, including risk-sharing, capitation arrangements, and bundled payments.

We also routinely advise providers on pay-for-performance programs, quality bonuses, gain sharing programs, fee-for-service arrangements, value-based contracting models, clinical integration initiatives and litigation and arbitration over pay or contracts.

We have developed and structured numerous provider networks, including multi-specialty, single specialty and carve-out networks, often advising on clinical and economic integration issues and corporate structure, including the use of the messenger model.

We also represent physician networks in Federal Trade Commission (FTC) investigations.

We work with

Our attorneys represent the legal interests of a wide variety of managed care clients, including:

  • Long-term managed care providers
  • Healthcare provider networks
  • Medical homes
  • Hospitals and healthcare systems
  • Mental health and developmental disabilities providers
  • Nursing homes
  • Physicians and group practices
  • Statewide provider associations and coalitions


Jill H. Gordon

Co-chair, Life Sciences Practice
Strategic Impact Partner

Phone: 213-629-6175

  • U.S. News/Best Lawyers has named Nixon Peabody “Law Firm of the Year” in Health Care Law in 2016
  • Ranked nationally in U.S. News/Best Lawyers 2019 “Best Law Firms” in Health Care Law, and received metropolitan rankings in Health Care Law in Albany, Chicago, Long Island, Los Angeles, New York City and Rhode Island
  • Ranked in Illinois, Massachusetts and New York for Health Care in Chambers USA: America’s Leading Lawyers for Business
  • Recognized lawyers by Best Lawyers in America in the field of Health Care law
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