Addressing this matter ahead of time makes it easier to resolve should such problems occur. Some termination without cause provisions limit the right to exercise the option, usually tying it to the contract's anniversary date. There are a variety of reasons for this, none of them serious enough to invoke with cause termination. So you send notice to HMOx that you intend to drop out of its network, effective in 90 days. HMOx responds that it is sorry you wish to end the relationship, but refers you to the agreement, which allows without cause termination only if notice is given more than 90 days prior to the contract renewal date.
Simplicity is often the better path.
Plain language allowing either party to end the relationship without cause by giving written notice at a defined period before termination should serve both parties well. Post-termination Existing patients may be partially through their prescribed plan of care, and new patients may come through the door after the agreement ends. Obviously, you want to address the patients' needs while avoiding medical and financial risk. Many managed care contracts automatically renew on their anniversary date. This can be a good arrangement.