King & Spalding regularly represents clients in the dynamic interface between payors and providers that shapes our system of healthcare. Our lawyers counsel health systems on the development of managed care contracting strategies that help hospitals and affiliated physicians to achieve recognition of their bargaining power in payment and other key terms they negotiate with payors.
King & Spalding represents clients in the design and formation of multi-provider networks. Our healthcare antitrust specialists give sophisticated structuring and implementation advice to facilitate joint contracting by competing providers consistent with antitrust laws.
Our healthcare litigation attorneys also represent payor clients in “bet the company” and other high-profile disputes, including payor disputes and consumer class actions. Our deep familiarity with complex and specialized managed care legal issues, such as ERISA preemption, has helped us to achieve a number of significant litigation victories for payor clients.
King & Spalding’s Managed Care Industry lawyers include a former in-house counsel for a national managed care company and a co-editor of the Managed Care Contracting Handbook, 4th ed., published by the American Health Lawyers Association.