Oppenheimer’s health care litigation team—which includes 3 former government health care litigators—represents payors, third-party administrators, providers, and pharmaceutical and medical device manufacturers in court cases and arbitrations for numerous types of health care litigation matters, including:
Payor and Third-Party Administrator disputes with providers and subscribers
False Claims Act/Medicaid/Medicare fraud investigations/litigation
Medicare Part D compliance litigation
Insurance/reinsurance coverage matters
- Antitrust/unfair competition litigation
Recent Experience
Represented health care payors in numerous provider and subscriber disputes in court and arbitration proceedings across the country
Handled insurance and reinsurance coverage disputes in which we obtained substantial coverage recoveries in favor of our payor clients
Handled cases and governmental investigations involving allegations of health care fraud, including alleged False Claims Act violations (Medicare and Medicaid fraud)
Defended a health care payor against claims for alleged violations of the Medicare Part D prescription benefit program
Represented hospitals and physicians in provider licensing, credentialing and disciplinary disputes
Defended a large pharmaceutical company in antitrust litigation relating to the importation of prescription drugs from Canada
- Nursing and assisted living home malpractice liability
- Pharmacy benefit manager litigation
- Third-party subpoenas
- Medicare/Medicaid exclusion proceedings
- ERISA litigation
- Vendor disputes with health care clients
- Corporate governance litigation matters
- Represented our health care clients in responding to private third-party subpoenas and government investigations by state attorneys general
- Defended a health care client against a shareholder derivative suit relating to corporate governance issues involving the client’s stock options program
- Defended a pharmacy benefit manager in a class action arbitration commenced by pharmacies alleging improper calculation of payments for prescription drugs
- Defended medical device manufacturer against whistleblower claims relating to alleged Sarbanes-Oxley violations
- Represented a national nursing home company in civil and criminal proceedings relating to alleged failures to provide appropriate care for resident patients
| Arizant Healthcare | BlueCross BlueShield of Minnesota | Prime Therapeutics |
| UnitedHealth Group | | |