Salvatore G. Rotella Jr., shareholder in the firm’s healthcare section, will present Finding the Value in Value-Based Contracts as part of the Pennsylvania Bar Institute's (PBI) virtual conference, A Day on Health Law 2020.
In this presentation, attendees will learn how to negotiate managed care contracts on behalf of health care providers with commercial payors that include value-based elements.
Some of the issues include:
Shared savings arrangements
Privacy law considerations
Attribution of patients to providers for performance measurement purposes
Payment mechanics, including upside and downside provider risk, care coordination fees and the timing of supplemental payments
Key contract provisions, such as termination rights, rights to recoup by offset and incorporation of general payor policies and procedures into value-based contracts
Manasa Gopa, Esq., Columbia University, will co-present.