Managed Care Organizations (MCOs) such as HMOs, doctor-hospital networks, and insurance companies turn to McGlinchey Stafford’s healthcare attorneys for guidance on the complex and constantly evolving legal issues in the world of managed care.
We routinely provide advice to MCOs in connection with regulatory hearings, contract negotiations and disputes, mergers and acquisitions, credentialing and peer review processes, state and federal licensing issues, creating contracts and plan documents, and compliance. Our attorneys have significant experience in the courtroom defending denial-of-benefit claims, including ERISA claims; class action lawsuits in federal and state courts; federal and state antitrust litigation; and claims of unfair trade practices.
Our healthcare team provides general advice and guidance to MCOs in the areas of the Consolidated Omnibus Budget Reconciliation Act (COBRA) and HIPAA and also represents MCOs in related litigation. We have also defended claims under the Medicare Advantage Program, including prescription drug plans under Medicare Part D.