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False Claims Act Litigation - Pharmacy/Pharmacy Benefit Management Company (E.D. Pa.) Representing one of the nation's largest pharmacy/pharmacy benefit management companies in False Claims Act (FCA) litigation in the U.S. District Court for the Eastern...
Insurance Coverage Dispute Involving Challenge to Validity of Outpatient Benefit Limit Represented Time Insurance Company in a lawsuit pending in federal court in Mississippi. The plaintiff alleged that Time improperly applied an outpatient benefit...
Defined Benefit Trust Agreement Reviewed defined benefit plan trust agreement and negotiated changes with bank trustee on behalf of hospital employer.
Self-Insured Group Health Plan Counseled a hospital employer on establishing a self-insured group health plan, including reviewing third-party administrative services agreement and summary plan...
Transition of Vendor for Multiple Retirement Plans Assisted large hospital group with transition of vendor for multiple retirement plans (including two 401(k) plans, a 403(b) plan, and a 457(b) plan). Reviewed several...
False Claims Act Litigation - In re Cardiac Devices Qui Tam Litigation (MDL) Represented a major health care network of hospitals and providers in In re Cardiac Devices Qui Tam Multi-District Litigation, involving allegations of...
Securities Class Action - Senior Officer of UnitedHealth (D. Minn.) Represented a former senior officer of UnitedHealth Group, Inc. in a securities class action alleging stock options backdating.
False Claims Act Defense of Medicare Administrative Contractor (Fiscal Intermediary) Charged with "Recklessly" Failing to Uncover Fraudulent Billing Foley represents one of the nation's largest Medicare Administrative Contractors (MAC) in a False Claims Act case that claims that the MAC should have uncovered...
Repricing of Term Loan Facility Represented Hanger Orthopedic Group, Inc. in the repricing of $300 million term loan facility.
California Department of Health Compliance Issue Assisted client in addressing regulatory compliance and registration issues with the California Department of Health Services.