We counsel many clients on direct provider contracting, including a diversified multinational mass media and entertainment conglomerate and a national manufacturing company.
We advise on direct provider contracting for a large, regional, multicampus nonprofit health system.
We represent an organization made up of large, self-insured employers regarding data rights and regulatory compliance. We have negotiated employer-favorable data-sharing agreements with industry-leading third-party administrators that are allowing this organization to conduct advanced data analytics on the health plan data of millions of covered lives on behalf of its employer members. These analytics are providing employers with insights on both the quality and cost fronts.
We regularly work with a variety of clients with traditional health plan structures in protecting their ownership of their own data in agreements with vendors, including third-party administrators.
We have counseled employers with traditional pharmacy benefit management arrangements in carving out specific services, such as specialty pharmacy.
We have represented an aerospace manufacturer in the negotiation of a bundled pricing arrangement for surgery services.
We have represented several employers in establishing a reference-based pricing infrastructure for the payment of healthcare based on a multiple of Medicare reimbursements.
As counsel to a multinational retailer, we advise regarding plan design, direct provider contracting, data rights and regulatory compliance. We negotiated the network services agreement and coordination of a tiered network structure for this very large employer as it sought to provide employees in two geographically concentrated areas with access to high-quality providers.
We represent a multiemployer coalition of 50-plus major private-sector corporations in data use, medical and pharmacy contracting strategies to transform and improve the purchase of healthcare through the members’ self-insured health plans representing over 7 million covered lives and $27 billion in annual healthcare spending.
