Push the envelope when contracting with highly scrutinized payers

In recent months, managed care payers have been riddled with lawsuits, investigations, and fines regarding the transparency of physician quality ratings, the criteria used to assign physicians to tiered networks, the mishandling of claims payments, and the violation of the Racketeer Influenced and Corrupt Organizations Act—commonly known as RICO—to deny and delay physician payments. And payers’ reputations are reeling.