We assist clients with health care regulatory matters and compliance issues. Our regulatory experience in both federal and state matters is comprehensive, and includes:
Our representative projects include:
Fraud & Abuse / Stark Law & Illegal Remuneration
We help health care clients structure contracts, joint ventures and other transactions to comply with Stark Law, state and federal fraud and abuse laws, and other related state and federal laws. While our efforts are often directed at identifying issues before they become the basis of an investigation, our lawyers have extensive experience dealing with government investigations, audits and claims disputes. We advise clients about sanctions, civil money penalties, false claims and qui tam matters. Our lawyers are experienced at analyzing health care transactions for compliance with:
Locke Lord's fraud and abuse counsel also includes:
A Locke Lord team led by Ashlee Knuckey (Chicago) represented WellCare Health Plans, Inc., as national insurance and health care regulatory counsel, in the sale of its Missouri and Nebraska Medicaid plans to Anthem, Inc., in connection with its merger with Centene Corporation.
A Locke Lord team led by Ashlee Knuckey and Tim Farber (Chicago) represented WellCare Health Plans, Inc. as insurance and healthcare regulatory counsel, in the completed acquisition of Meridian Health Plan of Michigan, Inc., Meridian Health Plan of Illinois, Inc., and MeridianRx, a pharmacy benefit manager (PBM).