Managed Care


Managed care addresses the cost of providing healthcare benefits and delivering improved quality of care. Our health care lawyers represent managed care clients and health insurers in healthcare disputes and regulatory matters involving public and private sector healthcare benefits.

Medical Defense Lawyer


We have over a decade of experience in defending managed care clients and health insurers and our representation covers:

  • Utilization management

  • Coordination of care

  • Medical case management

  • Patient safety

  • Provider disputes

  • Member disputes

  • Billing and reimbursement

  • Fraudulent business practices

  • Network contracting

  • ERISA litigation

  • State regulatory complaints

  • Medicare billing disputes

  • Medicaid managed care


Utilization Management


Utilization Management involves coordinating how much or how long care is given for each patient, as well as the level of care. The goal is to ensure care is delivered cost-effectively, at the right level, and doesn't use unnecessary resources. Tools include authorization requirements to approve services before they occur, concurrent review for continuing cases, and profiling of cases after they occur for analysis.

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