National Healthcare Law

Managed Care Organizations

• HMOs
• PPOs
• Managed Behavioral Healthcare Organizations

In a rapidly changing business and regulatory environment, the most successful managed care organizations are the ones that adapt most effectively to each new challenge. Keeping pace financially could require growing through a major transaction, while new regulations could require a shift in operating procedures. To navigate these challenges, managed care organizations need legal advisors who vigilantly monitor industry trends and understand the many components of managed care practice. With years of multidisciplinary experience in the health insurance industry, Nelson Mullins' healthcare team serves all the legal needs of managed care clients, including:

• Analysis of managed care contracts and payment structures, ensuring compliance with state and federal laws;
• Advice and representation in coverage decisions including contract interpretation, negotiation, and dispute litigation; and
• Tracking of public policy developments such as Medicare/Medicaid program changes, as well as representation at the federal and state governmental level by Nelson Mullins' government relations team.