Health Care

Health Care Litigation

Protecting the interests of our clients with the know-how to navigate complex litigation in the health care industry.

Meet the team
WHY LOCKE LORD

Our health care practice litigation team includes trial lawyers who routinely represent the interests of multinational pharmaceutical companies, medical device companies, distributors, health insurers and MCOs, hospitals, multihospital health systems, physicians and physician groups, academic medical centers, skilled nursing centers, and home health, hospice, long-term care facilities in a range of litigation, arbitration, investigations, civil investigative demand (CID) proceedings, administrative proceedings and threatened litigation, including high-profile matters involving billion-dollar claims and cutting-edge issues.

We have tried cases and presented at evidentiary hearings in matters across the United States 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, sealed and unsealed
  • State and federal false claims allegations
  • Corporate Integrity Agreements
  • Change of ownership or control evidentiary hearings
  • Employment and labor, medical staff, corporate, contract and non-competition issues
  • Peer review and staff privilege disputes
  • Insurance and managed care disputes
  • Defense of health plans and other MCOs in connection with reimbursement claims involving contractual arrangements, risk sharing, stop loss and medical procedure coding issues
  • ERISA
  • Restrictive covenants, deed restrictions, statutory charity care obligations and charitable trust restrictions
  • Antitrust
  • Medical malpractice and products liability matters
  • Pharmaceutical industry matters, such as product recalls and product liability claims

Enforcement Investigations & Proceedings

Our lawyers have defended multinational pharmaceutical companies, medical device companies, distributors, MCOs, physician groups, hospitals, academic medical centers, health systems and other industry clients in significant criminal, civil and regulatory enforcement inquiries and proceedings, including parallel civil actions across the United States.

Our experience includes:

  • Attorneys General consumer fraud probes
  • Medicare and Medicaid fraud and abuse matters
  • Civil monetary penalty matters
  • HHS, CMS, State health agencies and State department of insurance compliance investigations, examinations and audits
  • False Claim Act matters
  • Whistleblower and qui tam litigation
  • Internal investigations and voluntary disclosures
  • OIG, DOJ, DEA, FDA, FTC and other federal enforcement investigations
  • State Attorney General investigations
  • Grand jury and parallel civil investigations
  • Defense of fraud and abuse investigations and enforcement proceedings
  • Anti-kickback and Stark Law matters
  • Pricing and consumer fraud issues
  • Medical device and drug marketing and pricing issues
  • Price fixing, market allocation, conspiracy and other antitrust claims