Payor contracting can seem daunting, particularly for new companies and innovative organizations that are unfamiliar with the nuances of providing a product to health insurers and health maintenance organizations. Navigating regulatory considerations and payor contract complexities requires a solid understanding of the basics. During this webinar, McDermott Partners Gregory Mitchell, Mimi Alexandre, and Erin Kelly discussed some key principles of payor contracting.
Webinar Recording: Understanding the Basics of Payor Contracting
Posted In Employee Benefits, Health and Welfare Plans
Gregory MitchellGreg Mitchell works with healthcare payors and providers to meet the full spectrum of their managed care and reimbursement arrangement needs. He helps managed care organizations, third-party administrators, independent practice associations, risk-bearing entities, management services organizations, hospitals and health systems, digital healthcare providers, and other organizations both large and small negotiate and draft a range of managed care and value-based agreements. Greg has experience with a variety of arrangements and models, including fee-for-service, bundled payment, shared savings and shared loss models, gainsharing and capitation arrangements. Read Greg Mitchell's full bio.
Mary Moll AlexandreMary Moll (Mimi) Alexandre counsels clients across the healthcare industry with a particular focus on entities in the managed care arena. Mimi routinely works with health plans, health maintenance organizations, private equity funds and vendors, helping them navigate complex regulatory schemes and facilitate business objectives. Read Mary Moll Alexandre's full bio.
Erin KellyDrawing from more than two decades of diverse legal experience, Erin Kelly advises healthcare organizations on transactional and regulatory matters. Erin brings to her clients unique insights from her tenure as in-house counsel at various healthcare organizations and her time practicing as a transactional attorney at a global law firm. She has particular expertise in regulatory matters, including Medicare Advantage, Medicare risk adjustment, compliance and issues affecting downstream service providers to health plans. She has counseled healthcare organizations on risk-bearing intermediary challenges, provider-enablement strategies, innovative care model designs, new product development, Center for Medicare & Medicaid Innovation programs, value-based care arrangements and commercial contracting. Read Erin Kelly's full bio.
Related Posts
- California SB 923: New Trans-Inclusive Healthcare Requirements for Health Plans
- DOJ Proposes Restrictions on Transactions Involving Bulk Sensitive Data, Including Health Data
- McDermott+ Check-Up: July 2024
- Ending Free COVID Tests Risks Worsening the Pandemic
- Issues Mount as Health Plans Offer At-Home COVID-19 Tests
BLOG EDITORS
STAY CONNECTED
TOPICS
ARCHIVES
RECENT POSTS
- Trump Administration Places DOL’s ESOP Proposals in Regulatory Moratorium
- Congress Extends Certain Telehealth Flexibilities Through March 31, 2025
- FAQs for Employers and Federal Contractors on Navigating the DEI Landscape
- Understanding the Trump Administration’s Executive Orders on DEI and Immigration
- DOJ Announces Largest Employee Retention Credit Fraud Indictment
