Kaplan Johnson Abate & Bird handles a wide range of matters for healthcare payers, including Medicare, Medicaid, and ERISA plans. Our team brings significant knowledge of the relevant industry, as well as federal and state regulatory guidelines, which we combine with our litigation experience to ably and effectively represent our clients.
Among other things, the firm’s attorneys have: served as national counsel for a Medicare Advantage Organizations in groundbreaking litigation to establish MAO recovery rights under the Medicare Secondary Payer Act; served as plaintiff’s counsel in litigation initiated by payers against opioid and other pharmaceutical manufacturers; represented payers in numerous arbitrations brought by providers and insurance agents; and defended a Medicaid MCO in novel litigation seeking to force MCOs to pay hospitals for treating non-emergent conditions in emergency rooms. We also have represented payers in connection with internal investigations and False Claims Act litigation.
The firm’s attorneys are frequently recognized for their expertise in representing payors, particularly in the area of representing MAOs, and are often asked to speak on these issues at CLEs and conferences around the country. In addition, our managed care litigation attorneys serve as appellate counsel to a major trade association of health plans, filing amicus briefs in multiple cases in the U.S. Supreme Court and various U.S. Courts of Appeals.