Managed Care Contracting

 

Our lawyers are experienced at negotiating and drafting contracts between providers and commercial, governmental, and international plans and networks.  With years of experience litigating healthcare payment disputes, we know what your contracts must say to improve your bottom line. 

Healthcare Business & Managed Care Counseling

The attorneys of Wolfe Pincavage, LLP actively counsel healthcare clients on strategies for optimizing their healthcare business operations and managed care relationships. We educate our clients on everything from updating their assignment of benefits language to implementing workflows and processes for managing ERISA claims.  

We understand the ever-changing healthcare industry and its unique contracting arrangements, licensure requirements, fraud and abuse laws, and privacy rules. We apply our knowledge of the healthcare industry to craft unique solutions to the business problems that healthcare providers face. We counsel healthcare clients on issues such as ownership disputes, non-compete agreements, and commercial contract matters.

Litigation & Dispute Resolution

The attorneys of Wolfe Pincavage, LLP implement creative solutions to resolve their clients' disputes. We deliver results and will efficiently utilize all tools available to achieve the best possible outcomes for our clients.  We have implemented health plan policy changes through informal dispute resolution mechanisms and have successfully resolved a myriad of payment and operational disputes without resorting to litigation. 

We are seasoned litigators and will fight for our clients in state court, federal court, and arbitration. We regularly represent hospitals, physicians, and provider groups in reimbursement disputes and business matters. Our firm is sensitive to the financial pressures that healthcare providers face and is able to offer a variety of alternative billing arrangements to achieve the client’s goals.