New Managed Care Contract Clauses!

Incorporate these three new clauses into your clients’ managed care agreements between insurers and healthcare providers. Address notice, amendment, and term and termination provisions. Establish how the parties to managed care agreements govern the form and timing of legally binding notice given by one party to another, modify their existing agreements, and define how long their agreements will have effect and how they can be terminated (the latter of which whether for cause or without cause).

Read notice clause now »

Read amendments clause now »

Read term and termination clause now »

Related Content

• Managed Care Risk Contracting
  Understand risk contracts between managed care organizations (MCOs) and their participating providers. Advise providers that, although utilization review, management information systems, and clinical pathways might allow them to better manage the intensity of utilization and therefore allow them to benefit from risk contracts, those agreements still require review of the reimbursement methodologies used to understand the financial risks those providers might be taking on.
• Managed Care Contracting: Key Provider Considerations Checklist
  Guide your healthcare clients through key legal and business considerations providers must consider when evaluating managed care opportunities and when contracting with MCOs. Employ this checklist when advising healthcare providers, including group practices, hospitals, and healthcare systems.
• Managed Care: Plan Structure and Operation
  Review the background, structure, and operation of managed care plans. Learn about the scope of medical services provided under managed care plans, including how to access and finance them. Focus on risk-bearing aspects most closely related to the financing of the delivery of services.

Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.   

• Explore the Practical Guidance Journal Spring 2024 Edition, featuring guidance on protecting attorney-client privilege and work product in a generative AI world, using AI to manage the attorney client relationship, an overview of privacy regulations in the United States, and a primer on the new Corporate Transparency Act requirements.
• For related Practical Guidance content on important recent trends, please review these easy-to-use Resource Kits on a variety of emerging topics:
  • Healthcare Fraud and Abuse Compliance Resource Kit
  • Healthcare Fundamentals Resource Kit
  • Healthcare Transactions, Licensing, and Regulation Resource Kit
  • Health Information Privacy and Security Resource Kit
• Generative Artificial Intelligence (AI) Resource Kit is a frequently updated collection of current Practical Guidance materials on generative AI, ChatGPT, and similar tools.
• Public Interest, Pro Bono, and Non-Profit Resource Kit offers valuable guidance for those providing pro bono legal services and assisting non-profit organizations and public interest groups. It includes useful content on topics including tenant's rights, fair housing and lending, discrimination, immigration, and general non-profit resources. 
• Listen Up! The Practical Guidance and Law360 Podcasts Resource Kit features interviews with industry-leading attorneys on cutting edge issues in the law: NFTs, Cannabis, COVID-19, and more.
• Legal Developments provide the latest updates and analyses of emerging topics impacting your practice area. Visit the Legal Developments page to see the latest topics, which also include breaking legal news and related Practical Guidance content.
• Learn about the 2000+ leading attorney authors contributing to our 26 practice areas in the Practical Guidance Author Center. Interested in becoming a Practical Guidance author? Click here for details. Practical Guidance is committed to amplifying diverse voices of attorneys across all differences, including gender and race.
• Document alerts allow you to stay current on legal developments that affect your practice. Find out how to set up your document alerts.

PRACTICAL GUIDANCE CUSTOMER EMAIL EDITION ON THE WEB

Experience results today with practical guidance, legal research, and data-driven insights—all in one place.

Experience Lexis+