Health Plans
Our health care lawyers have substantial
experience counseling health plans in connection with a wide
range of legal issues, including:
- Medicare Advantage, Medicare Part D, and
Medicare Secondary Payer Compliance, operations and regulatory
enforcement;
- Medicaid health plan matters;
- The Patient Protection and Affordable Care
Act (PPACA) including with respect to exchanges, benefits, coverage
and consumer protection issues;
- Fraud and abuse and other regulatory
matters;
- The formation and licensing of
health plans and third-party administrators (including state
licensure compliance);
- Mergers, acquisitions, sales and
reorganizations; and
- Litigation, administrative proceedings, and
civil and criminal audits and investigations.
Areas of focus:
- Antitrust and Competition
- Clinical Research and Clinical Trials
- Corporate and Transactional Matters
- Coverage and Reimbursement
- Employee Benefits and Executive
Compensation
- Fraud and Abuse and Corporate Compliance
- Government Relations and Public Policy
- Health Information Technology and
E-Health
- Licensure and Accreditation
- Litigation
- Managed Care and Indemnity Insurance
- Medical Staff and Peer Review
- Medicare Secondary Payer and Other
Coordination of Benefits
- Privacy and HIPAA Compliance
- Public and Private Finance
- Regulatory Counseling
- Taxation