Managed Care Entities

We are tactical problem-solvers in an era of healthcare reform driven by cost reduction initiatives and heightened review of utilization and medical necessity. Nelson Hardiman lawyers help managed care providers navigate the industry’s most complex business and regulatory concerns. Our experienced team understands the nuances of managed care delivery models and has a successful history advising managed care businesses.

Our clients depend on Nelson Hardiman’s deep experience in healthcare licensing, operations, and reimbursement, combined with our expertise in the compliance requirements for managed care entities under the Knox-Keene Act and the Employee Retirement Income Security Act (ERISA). We address Medicare and HIPAA compliance issues and investigations, help create integrated delivery systems, negotiate contracts and develop payment structures. From strategic issues to solution-focused engagements, Nelson Hardiman resolves the legal challenges of managed care entities.