Representative Health Care Litigation Matters
Member of the trial team defending a health care insurance company for breach of contract and bad faith for its refusal to reimburse out-of-network providers for substance use treatment services allegedly provided to insureds. After a seven-week jury trial, the jury returned a complete defense verdict in favor of the insurer and awarded $47.5 million against the providers and their owner for common law fraud and violations of RICO (Racketeer Influenced and Corrupt Organizations Act).
Lead counsel defending numerous health care service plans and insurance companies in multiple lawsuits filed in federal and state courts by an assignee of a substance use treatment provider seeking millions of dollars in reimbursement for services allegedly rendered to members and insureds. Disposed of the actions on a motion to dismiss.
Member of the trial team defending a health care insurance company in over 30 lawsuits filed by out-of-network providers seeking reimbursement for substance use treatment and mental health services allegedly rendered to insureds. Most lawsuits have been successfully resolved or dismissed.
Member of the trial team defending a health care service plan in a wrongful death and bad faith lawsuit involving an untested and experimental cancer treatment. Disposed of the action on a motion for summary judgment.
Lead trial counsel defending a health care service plan in a lawsuit involving coverage for prescription drugs. Disposed of the action on a motion for summary judgment.
Lead trial counsel defending a health care service plan and insurance company in complex lawsuits involving coverage for hepatitis C treatment. Successfully resolved the cases through favorable settlements.
Member of the trial team defending a health care service plan in a high-profile administrative action in which the California Department of Managed Health Care sought the second-largest fine in the department’s history for the health plan’s alleged failure to provide timely access to mental health care. Settled on the eve of trial.
Lead counsel representing a health care service plan in a lawsuit alleging breach of contract, bad faith and unfair business practice claims for services rendered by out-of-network providers. Disposed of the case on a summary judgment motion.
Lead counsel defending a health care service plan in ERISA and non-ERISA lawsuits alleging failure to pay for mental health care services. Actions voluntarily dismissed or disposed of through summary judgment motions.
Successfully resolved multiple lawsuits filed against a health care service plan concerning representations about provider networks in the health care service plan’s advertising, marketing and other communications.