Health Law

State & Federal Audits, Investigations & Litigation

Companies in the health care industry constantly face a gauntlet of intricate statutory and regulatory requirements. This close government scrutiny could trigger government audits and investigations of your company’s business practices, or even civil or criminal lawsuits.

Our Health Law attorneys regularly provide guidance on health care compliance issues, which allows us to offer creative and effective defenses and strategies in adversarial proceedings. We also have considerable experience representing companies that find themselves involved in civil and criminal cases in state and federal courts, and administrative tribunals. When needed, we assemble integrated, interdisciplinary teams to meet difficult litigation challenges your company might face. Our health care industry clients have enjoyed successes such as trial victories, pretrial dismissals, rejection or decertification of plaintiff classes, and advantageous settlements.

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Roy M. Albert

Roy M. Albert

Associate

Washington, DC 202.434.7422
Boston 617.348.4425
Stamford 203.658.1700
New York 212.692.6231
Stamford 203.658.1700
Washington, DC 202.434.7300
Boston 617.348.1676
Washington, DC 202.661.8787
Boston 617.348.1662
Boston 617.348.1829
Boston 617.348.4865
New York 212.692.6889
Boston 617.348.1689
Tara E. Swenson

Tara E. Swenson

Associate

Washington, DC 202.585.3504
Nili S. Yolin

Nili S. Yolin

Member

New York 212.692.6799

Representative Experience

  • Negotiated a $21 million settlement for a hospital client in a Medicare reimbursement appeal before the Provider Reimbursement Review Board.
  • Served as health care regulatory counsel to a hospital executive and his management company in a criminal cost report fraud case, United States v. Jones (5th Cir. Jan.16, 2007), and obtained reversal of the district court’s sentencing and restitution order based on weaknesses in the government’s case.
  • Successfully defended a for-profit hospital chain in a suit where the plaintiff sought to enjoin our client’s leveraged buyout.
  • Obtained a favorable resolution for a large retail pharmacy client involved in a government investigation into pharmacy reimbursement for generic pharmaceuticals.
  • Successfully defended a hospital client in a matter involving an elderly patient against a preliminary injunction motion and multiple follow-up motions regarding medical decision-making rights, patient visitation issues, and access to medical records.
  • Convinced the Accreditation Council for Graduate Medical Education and the Residency Review Committee to rescind its proposal to withdraw accreditation on an expedited basis and to restore the accreditation of a teaching hospital’s residency program.
  • Obtained a favorable resolution for a national, multisite anatomic pathology laboratory subject to a federal False Claims Act investigation that had arisen as a result of a qui tam case filed under seal by a relator against eight corporate defendants and 20 John Does.

Upcoming

Past