Managed Care Contracts
At Thomson, Rhodes & Cowie, P.C., we have extensive experience in the review, negotiation and drafting of managed care contracts between hospitals, physicians, physician-hospital organizations (PHOs), physician organizations (POs), ambulatory surgical facilities, dentists, nursing facilities, home health care agencies and managed care organizations (MCOs). We have negotiated complex benefit management contracts as well as full-service and limited-service integrated delivery system (IDS) agreements.
Our in-depth experience includes interaction with governing regulatory agencies, including the Pennsylvania Insurance Department, Department of Health, Department of Public Welfare and Health Care Financing Administration (HCFA). We have a broad range of knowledge in public sector reimbursement, including that involving the Pennsylvania HealthChoices program and federal Medicare and CHOICES legislation.