MANAGED CARE CONTRACTING

Moran Company consultants have extensive experience with all facets of the complex contractual relationships that define modern managed care arrangements. Our consultants have assisted public and private health benefits plan sponsors in procuring both general and specialty managed care services. In areas where we don’t work with plan sponsors, we assist health plans with plan sponsor procurements. Our consultants also have considerable experience with the design, implementation and evaluation of provider network contracting programs.

Our hands on experience with managed care contracting provides important insights for our work with clients who seek to influence the legislative and regulatory framework governing Federal managed care contracting programs. We assist clients in analyzing policy alternatives, and help them understand the impact of changes in Medicare Advantage, Medicaid, and the Department of Defense’s TRICARE program.