![]() We also counseled on risk-based contract negotiations, gain sharing, insurance, and licensure. Represented provider networks and quasi-networks such as IPAs, PHOs and ACOs in provider contracting, quality assurance, utilization review, and claims payment.Assisted ACOs in negotiations with health plans for commercial products and analyzed antitrust issues regarding the joint negotiation with health plans based on clinical integration.Assisted multispecialty physician groups in developing and applying for approval from Centers for Medicare and Medicaid Services (CMS) as shared savings ACOs.Assisted hospital systems and physician groups with the sale and acquisition of medical practices and other affiliations.Represented hospital systems and medical groups in developing, negotiating and implementing service line management agreements.
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