Healthcare contracting

Cost control increasingly depends on contracting decisions

Healthcare costs continue to rise, and the focus is shifting towards cost control. Increasingly, this takes place through healthcare contracting. You need to understand the scope within these frameworks and how to act strategically.

Our service

Where contracts define the playing field

Cost control is becoming less dependent on NZa tariff regulation and more driven by contracting by health insurers. This creates complex dynamics. Healthcare providers aim to grow, while purchasing parties focus on cost control. At the same time, the interests of patients and clients must remain central.

This tension leads to discussions on tariffs, budgets, claims and contract terms. How do you stay on the right legal course while balancing the interests of all parties involved?

Navigating between growth and control

As your partners in progress our lawyers have extensive experience in healthcare contracting, including tariff, budget and claims regulation, and insured entitlements.

We understand the interests on both sides of the table and help you navigate complex issues with practical solutions. In doing so, we combine legal precision with a clear understanding of day-to-day practice.

Our expertise

  • Formal and substantive audits
  • Healthcare procurement
  • Cost pass-through obligations
  • Reasonable tariffs
  • Turnover caps
  • Tariff regulation
  • Fraud investigations
  • Registration and billing of healthcare services

Who do we work for?

We advise and represent healthcare providers in disputes with health insurers, care offices and local authorities. We also assist clients in tariff and budget disputes with the NZa.

Our team regularly supports independent treatment centres, start-ups and international healthcare providers.

Track record

Recent cases Healthcare contracting

  • Assisting healthcare providers in disputes with health insurers regarding the outcomes of substantive and formal audits of healthcare claims
  • Advising a clinic in a dispute with a health insurer regarding exceeding a turnover cap
  • Advising healthcare providers on the contracting of fair tariffs by health insurers and local authorities