From sourcing strategy to signed agreement — and everything that comes after.
Counsel and advisory built for Hospitals, IDNs, Provider Groups, Physician Practice Groups, Revenue Cycle Management organizations, and Healthcare Intermediaries navigating complex outsourcing and managed services arrangements.
Strategic Outsourcing Advisory for Healthcare
Outsourcing decisions in healthcare carry weight far beyond the contract. They shape patient experience, revenue performance, regulatory exposure, and workforce stability. Global Link Law’s Strategic Outsourcing Advisory practice helps Hospitals, Integrated Delivery Networks (IDNs), Provider Groups, Physician Practice Groups, Revenue Cycle Management organizations, and Healthcare Intermediaries (MSOs, IPAs, TPAs, PBMs, and clearinghouses) translate outsourced and offshored strategies into well-structured agreements and operationally sound programs — built to perform from day one and to hold up over time.
Led by Audrey Cushing, a nationally recognized outsourcing advisor and Vice Chairman of the Strategic Advisory Board of the International Association of Outsourcing Professionals (IAOP), our advisory work spans the full outsourcing lifecycle: sourcing strategy, contract structuring support, governance design, service-level frameworks, transition planning, and post-deal optimization.
Who We Serve
Hospitals
Single-facility and multi-facility hospitals navigating outsourced clinical support, IT, coding, billing, patient access, and back-office services.
Integrated Delivery Networks (IDNs)
Health systems and IDNs structuring enterprise-wide outsourcing, shared services, and managed services agreements across multiple sites of care.
Provider Groups
Physician groups, medical groups, and specialty practices outsourcing RCM, credentialing, IT, scheduling, and administrative functions.
Physician Practice Groups
Multi-site and specialty-focused physician practices outsourcing RCM, billing, credentialing, IT, scheduling, prior authorization, and back-office operations.
RCM Organizations
Revenue cycle vendors and customers negotiating performance, data, compliance, and risk-sharing terms in complex RCM arrangements.
Healthcare Intermediaries
MSOs, IPAs, TPAs, PBMs, clearinghouses, and other intermediaries that sit between payers, providers, and patients — structuring outsourced operations, data flows, and risk arrangements that hold up commercially and under regulatory scrutiny.
How We Help
Sourcing Strategy
Define the right scope, model, and provider profile for your outsourcing or offshoring initiative — grounded in business outcomes, not just cost.
RFP & Vendor Evaluation
Shape RFPs, score responses, and pressure-test vendor commitments so the right partner is selected for the right reasons.
Contract Structuring Support
Build durable agreements covering scope, SLAs, pricing, data rights, security, compliance, and exit — aligned to healthcare realities.
Governance Design
Stand up the operating model, committees, reporting cadence, and escalation paths that keep multi-year engagements on track.
Transition & Implementation
Plan and oversee knowledge transfer, staffing, technology cutover, and risk controls so go-live doesn’t disrupt operations or patients.
Performance Management
Operationalize SLAs, KPIs, and service credits with the data and rhythms needed to hold vendors accountable.
Issue Resolution & Renegotiation
Address underperformance, scope drift, and changes in business need through structured remediation, amendments, or renegotiation.
Renewal, Recompete, or Exit
Position the organization for the best outcome at the next inflection point — whether that’s renewing, going back to market, or insourcing.
Why Revenue Cycle Management Is Different
RCM outsourcing sits at the intersection of cash flow, compliance, technology, and patient experience. Vendor commitments around clean claims, denial rates, AR days, and collections directly affect financial performance — and missteps can be hard to unwind. We help RCM customers and vendors structure agreements that align incentives, protect data, and create the operational guardrails that complex revenue cycle work demands.
A Senior Advisory Team Behind Every Engagement
Audrey’s outsourcing advisory work is supported by Global Link Law’s senior healthcare and health technology advisors, so clients gain seamless access to deep regulatory, transactional, and commercial counsel when projects need it.
Audrey Cushing
Vice Chairman of the Strategic Advisory Board of the International Association of Outsourcing Professionals (IAOP). Leads engagements across sourcing strategy, contract structuring, governance, and post-deal optimization for healthcare clients.
Robyn D. Marino
Healthcare and health tech transactional counsel — commercial agreements, partnerships, and growth-stage matters that shape outsourcing relationships.
Why Clients Work With Us
Healthcare leaders — from Hospitals and IDNs to Provider Groups, Physician Practice Groups, RCM organizations, and Healthcare Intermediaries — choose Global Link Law because we combine senior outsourcing advisory experience with a full healthcare and health technology legal team. Audrey Cushing brings decades of strategic sourcing leadership and IAOP-recognized expertise, while Robyn, Daniel, and Kevin provide the transactional, regulatory, and commercial depth that complex healthcare engagements demand. Clients get a senior, integrated bench — not a hand-off between unrelated specialists.
Ready to Strengthen Your Outsourcing Strategy?
Whether you’re scoping a new RFP, restructuring an existing arrangement, or preparing for a renewal or exit, we’d be glad to talk through where you are and where you want to go.
Outsourcing Counsel Built for Healthcare
From Hospitals and IDNs to Provider Groups, Physician Practice Groups, RCM organizations, and Healthcare Intermediaries, we help leaders structure outsourcing and managed-services arrangements that perform — commercially, operationally, and from a compliance standpoint.
Audrey Cushing’s IAOP-recognized outsourcing advisory experience, backed by Global Link Law’s senior healthcare and health technology legal bench, gives clients an integrated team for sourcing strategy, contract structuring, governance, transition, performance management, and renewal or exit decisions.
Strategic Legal Counsel for Healthcare & Health Technology
Your organization faces legal and regulatory complexity that demands more than outside counsel — it demands a partner who has sat on your side of the table.
From government investigations and FCPA matters to healthcare M&A and payer contracting, we’ve handled it from the inside and from the courtroom.
Whether you need fractional leadership, transactional support, or a defensible compliance framework, we deliver counsel built around what the business actually needs. What sets us apart is real-world in-house experience — our partners have served in senior legal roles within large and publicly traded companies, giving them a direct understanding of what business leaders and boards actually need from legal counsel.