Addressing Disputes among Contracted Providers and Payors
Rania M. Basha
Senior Legal Counsel
Humana (Louisville, KY)
Michael W. Lieberman
Crowell & Moring (Washington, DC)
Senior Litigation Counsel
HCA (Nashville, TN)
- As payment methodology moves toward “pay-for-performance” type of an arrangement, how can payments to providers be determined without it turning into a litigation issue?
- How to reimburse individual providers and have enough transparency where providers believe that it is fair and complying with the contract
- If there can be no transparency, what are the strategies for most efficient resolution of these disputes?
- Best strategies for handling disputes in an arbitration context