Finding the Value in Value-Based Contracts

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
• Quality incentives
• Privacy law considerations
• Antitrust concerns
• 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.