Hospital-Physician Contracting and Alignment

In the 1990s, Hospitals and physicians entered into a number of unsuccessful alignment arrangements.  In the health care reform era, it is widely recognized that hospitals and physicians need to find better ways to align their common interest in providing high quality, coordinated, patient-centric care in a cost-efficient manner.  Miller Health Law Group attorneys have advised more than 100 clients on alignment options and strategies.  We have decades of experience in structuring and negotiating “traditional” hospital-physician contracts, as well as the most cutting edge contractual relationships, including:

  • Hospital-based physician agreements for anesthesiologists, radiologists, emergency department and other physicians
  • Medical Director Agreements
  • On-call coverage agreements
  • Hospitalist, intensivist and trauma service arrangements
  • “1206(d)” clinics and “1206(l)” medical foundations
  • Co-management arrangements
  • Bundled payment arrangements
  • Gain-sharing arrangements
  • Practice acquisitions
  • Physician recruitment and relocation agreements
  • Preparation of responses to Requests for Proposals for exclusive contracting
  • Disputes over department closure and scope of exclusive contracts
  • Provider (Re)Alignment
  • ACOs and HMOs

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