Insights
Publication | ABA Health Law Section
A Practical Guide to Reimbursement in Managed Care
JoAnna Younts, Frank Stevens, Steven Hamilton, and Mackenzie Wallace
November 2023
JoAnna Younts, Frank Stevens, Steven Hamilton (partner, Reed Smith), and Mackenzie Wallace (partner, Thompson Coburn) coauthored A Practical Guide to Reimbursement in Managed Care.
This book provides a detailed historical account of Medicare reimbursement and payment approaches used across nearly all provider types, along with a practical discussion of commercial payer contracting and payment strategies. It concludes with a deep dive into legal issues that arise in payer-provider disputes, including the most common issues and case examples.