Overview
Our national health care practice litigation team includes trial lawyers who are routinely called upon to represent the interests of managed care, health plan and health care insurers, hospitals, multi-hospital health systems, physicians and physician groups, academic medical centers, medical device, pharmaceutical companies and skilled nursing, home health and long term care facilities in a range of litigation, including high-profile matters involving cutting edge issues. We also defend clients in prosecutions and civil enforcement actions before the U.S. Attorney and state Attorneys General and other government bodies. We have extensive experience with regulatory appeals and alternative dispute resolutions, and many of our attorneys serve as hearing officers.
Our trial lawyers have gained unique experience working closely with our health care corporate attorneys and have a proven record of representing the interests of our clients in major litigation.
We have tried cases for clients in the following areas:
- Licensure proceedings
- Certification and survey, and de-certification, suspension and termination proceedings
- Cost reporting
- Claims Reimbursement
- Post pay
- Fraud and abuse and Stark Law allegations
- Civil monetary penalties, exclusion and sanctions
- Qui tam matters
- Corporate integrity agreements
- Change of ownership
- Employment and labor, medical staff, corporate, contract and non-competition issues
- Peer review and staff privilege disputes
- Insurance and managed care disputes
- ERISA
- Restrictive covenants, deed restrictions, statutory charity care obligations and charitable trust restrictions
- Antitrust
- Medical malpractice and products liability matters
- Pharmaceutical industry matters
Our representative cases include:
- Defense of health plans and other managed care organizations in connection with reimbursement claims involving contractual arrangements, risk sharing, stop loss and medical procedure coding issues.
- Defense of consumer litigation against managed care plans, including bad-faith actions, coverage decisions and unfair business practice allegations.
- Defense of False Claim Act cases involving allegedly fraudulent business practices.
- Defense of putative class actions filed by providers against managed care companies.
- Representation of health system in response to Attorneys General charitable trust claims.
- Defense of antitrust claims concerning physician group’s exclusive contract with hospital.
- Defense of hospital board in response to Attorney General action to block merger.
- Defense of hospital and systems in putative class actions challenging pricing practices.
- Defense of coordinated Attorneys General actions challenging pharmaceutical pricing practices.
- Defense of physicians in defamation litigation.
- Representation of health plan association in challenge to state laws and regulations based on federal preemption.
- Representation of managed care plans, hospitals and other provider organizations in peer review hearings.
- Defense of professionals before state professional boards and licensing authorities.
- Representation of a physician provider group in a suit over alleged improper billing practices.
- Representation of a group of companies in a large, complex suit involving liability claims for medical and other employee plans of related or subsidiary companies in bankruptcy.
- Representation of Chapter 7 Trustee of bankrupt osteopathic hospital to prosecute D&O and professional claims caused by financial mismanagement and ultimate failure of hospital.