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Provider Agreements

By Adrienne Hersh, JD, ICS Legal Counsel · July 22, 201412 min read
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Whether you view managed care as a necessary evil, or simply as an integral part of doing business in today’s health care environment, most ICS members opt to participate in health plan provider networks. To be a network provider, you know that health plans require you to sign written agreements that govern the relationship between the provider and the plan.

Even though these agreements create binding, legal contracts, many providers sign them without reading them or knowing much of their contents. Doctors reason that they need to belong to the network to get business and insurers may be resistant to negotiating terms, so doctors believe they may as well sign, regardless of the particulars.

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About the Author

Adrienne serves as Illinois Chiropractic Society general counsel and provides legal advice and support on a wide range of legal issues affecting chiropractic physicians, including licensing and other health care regulations, scope of practice, insurance and reimbursement, business structuring, labor and employment, contracts, and litigation. Adrienne previously served for 8 years as general counsel to the Illinois Department of Professional Regulation (now the Division of Professional Regulation, Department of Financial and Professional Regulation), where she was chief legal counsel responsible for overseeing all legal issues and advising the 50+ licensing and disciplinary boards, including the Medical Disciplinary Board and the Medical Licensing Board. She is a member of the Illinois State Bar Association Health Care Section, the Illinois Association of Healthcare Attorneys, and the National Association of Chiropractic Attorneys.

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