Managed Care

The Health Law Group represents a variety of managed care organizations (MCOs). Such organizations include partially and fully integrated physician organizations, physician-hospital organizations, provider networks and third party administrators, all of which engage in managed care contracting or the administration of such contracts. The primary thrust in the development of these managed care organizations is the affiliation of otherwise independent professionals and organizations in order to accept, allocate and manage economic risk. This partial integration of independent competitors implicates a wide range of otherwise unrelated bodies of law, including the antitrust laws, ERISA and employee benefit plan regulation, state laws prohibiting the corporate practice of medicine, state and federal taxation, state and federal health insurance and HMO regulation.

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