Caitie is a complex commercial litigator focusing on health care enforcement defense. She defends Medicare Advantage Organizations (MAOs), insurers, and providers in government investigations and litigation involving the federal False Claims Act (FCA) and similar state laws. She has a deep understanding of complex organizations such as Medicare, Medicaid, and TriCare providers, who face significant exposure to enforcement actions. Caitie counsels these clients through all phases of enforcement including internal investigations, self-disclosures, responding to Civil Investigative Demands, and litigation. She also advises on internal compliance best practices to mitigate future risk, including risk adjustment and regulatory audits such as Risk Adjustment Data Validation (RADV) audits.
In addition to her health care work, Caitie has significant experience handling complex commercial litigation matters. She represents clients in high-stakes disputes involving contractual, regulatory, and operational issues, and regularly navigates cases that require sophisticated risk assessment and strategic resolution. Her litigation practice spans trial and appellate courts, as well as administrative forums, where she develops creative strategies to protect client interests and minimize exposure.
Caitie also advises and represents gaming industry clients in regulatory and litigation matters. She has appeared before the Massachusetts Gaming Commission in connection with licensing, compliance, and enforcement proceedings, and counsels gaming operators and licensees on risk mitigation strategies to avoid regulatory pitfalls and litigation.
Caitie also maintains an active pro bono practice, representing individuals in civil rights, housing, and immigration matters, including asylum seekers. During law school she was a student representative for the Clinic for Asylum, Refugee, and Emigrant Services and served as a law clerk extern for the Honorable Joel H. Slomsky in the United States District Court for the Eastern District of Pennsylvania.
Experience
Health Care Enforcement Defense:
- Defended numerous clients, including health plans, laboratories, and Medicare Advantage Organizations, in government FCA investigations and FCA litigation in jurisdictions around the country.
- Advised Medicare Advantage plans in connection with civil investigative demands related to risk adjustment activities.
- Represented large medical supply company in connection with a whistleblower action alleging that the resolution of certain rebate disputes with a Medicare Advantage Organization resulted in illegal kickbacks and violation of the federal FCA.
Product Liability Defense:
- Part of the team that obtained summary judgment in ten out of ten related cases against our clients, a publicly traded biotechnology company and a pharmaceutical company, in multi-jurisdictional product liability disputes involving an FDA-approved drug.
Complex Commercial Litigation:
- Helped to secure dismissal on behalf of a former Saudi intelligence official in a case brought by the kingdom’s sovereign wealth fund and its subsidiaries, alleging our client embezzled billions of dollars.
- Won a complete dismissal with prejudice of a $3 billion RICO case filed against our client, Wynn Resorts in the District of Massachusetts. The case was brought by Sterling Suffolk Racecourse as part of an ongoing legal battle with Wynn over competing casino projects in the greater Boston area. The matter involved a collection of salacious allegations cutting across multiple jurisdictions, but our team was ultimately successful in arguing that Suffolk had failed to prove a pattern of racketeering activity, a necessity in a RICO case.
- Representing energy company in administrative appeals of wetlands and Chapter 91 waterways permitting for natural gas infrastructure.
- Successfully defended energy company against administrative appeals of an Air Quality Plan Approval for natural gas infrastructure.
- Part of the team representing gaming company Wynn MA, LLC surrounding community arbitrations against Somerville and Chelsea.
- Represented the general contractor on major hospital renovation project against bankrupt millwork subcontractor’s performance bond surety in a 9-day arbitration for delay and impact damages.
viewpoints
Medicare Advantage Under the Microscope: Enforcement Priorities and Legal Battles — EnforceMintz
January 20, 2026 | Article | By Tara E. Dwyer, Caitie Hill, Melody Mathewson
Explore 2025 managed care enforcement trends under the Trump administration. Learn about DOJ and CMS priorities, Medicare Advantage risk adjustment cases, key cases interpreting regulatory changes, and compliance strategies for MAOs.
Health Care Enforcement Trends & 2025 Outlook
January 17, 2025 | Blog | By Karen Lovitch , Samantha Kingsbury, Keshav Ahuja, Eoin Beirne, Grady Campion, Daniel Cody, Tara E. Dwyer, Laurence Freedman, Hope Foster, Jane Haviland, Nicole Henry, Caitie Hill, Robert Kidwell, Nick A. LaPalme, Scott Lashway, Kevin McGinty, Payton Thornton, Matthew Stein, Rachel Yount
Our 2025 edition of EnforceMintz reflects on health care enforcement trends, predicts how health care enforcement may evolve, and offers practical guidance about what these trends and predictions mean for health care providers, payors, and other stakeholders.
EnforceMintz — Medicare Advantage and Part D Programs to Remain in the Enforcement Spotlight in 2025
January 16, 2025 | Blog | By Tara E. Dwyer, Nicole Henry, Caitie Hill
In 2024, the Department of Justices and Centers for Medicare & Medicaid Services intensified enforcement in Medicare Advantage and Part D, with a focus on risk adjustment audits and Star Ratings disputes. Key developments, including litigation and regulatory changes, signal heightened scrutiny for MAOs, PDP Sponsors, and their vendors in 2025.
Consumer Suits Against Gerber Baby Foods Dismissed
November 10, 2022 | Blog | By Caitie Hill
Obtaining Justice for a Judicial Advocate
October 27, 2022 | Article
Mintz represented a former Turkish judge in his six-year odyssey to obtain asylum in the United States, preparing his application, voluminous exhibits, and a persuasive brief and guiding him through the asylum interview process.
Six Contracting Tips for Property Owners and Real Estate Developers to Protect Themselves from Contractor Distress and Related Bankruptcy Filings
May 5, 2021 | Blog | By Caitie Hill, Tim McKeon, Samuel M. Tony Starr
FDA Releases Ambitious Action Plan for Further Reducing Children’s Exposure to Toxic Elements from Foods
April 28, 2021 | Blog | By Joanne Hawana , Jane Haviland, Caitie Hill
Seventh Circuit Adds to Circuit Split Over Standard for DOJ Dismissals in FCA Cases
August 25, 2020 | Blog | By Laurence Freedman, Geoffrey Friedman, Caitie Hill
Massachusetts U.S. Attorney’s Office Enters into MOU with Office of the Special Inspector General for Pandemic Recovery
July 30, 2020 | Blog | By Karen Lovitch , Caitie Hill
COVID-19 Relief Programs: The Anticipated Wave of False Claims Act Cases and Oversight Agency Enforcement Activities
July 2, 2020 | Blog | By Brian Dunphy, Geoffrey Friedman, Caitie Hill, Jane Haviland, Karen Lovitch
News & Press
Mintz Announces New Member Growth
December 16, 2022
We're thrilled to announce the addition of 17 new Members to Mintz. Along with seven attorneys recently elevated to membership in the firm, we’ve welcomed ten lateral Members in 2022. They add depth to our experience and capabilities in life sciences, health care, financial services, private equity, sports & entertainment, technology, and other sectors.
35 Mintz attorneys have been named Massachusetts Super Lawyers and 25 Mintz attorneys have been named Massachusetts Rising Stars for 2022.
Best Lawyers® recognized 108 firm attorneys in the 2023 edition of The Best Lawyers in America©. Notably, two Mintz attorneys – Poonam Patidar and Scott M. Stanton – received 2023 “Lawyer of the Year” awards, and 28 firm attorneys were included in the inaugural edition of Best Lawyers: Ones to Watch.
Contractor Distress, Construction Law, and Bankruptcy
January 14, 2022
Healthcare Enforcement & Litigation 2022
August 27, 2021
Civil RICO Report: Court Finds No Pattern of Racketeering Activity
January 17, 2020
Federal Judge Dismisses Claims Against Wynn Resorts Filed by Former Suffolk Downs Owner
November 18, 2019
Recognition & Awards
Best Lawyers in America "Ones to Watch": Product Liability Litigation - Defendants, Litigation - Construction
Massachusetts Lawyers Weekly: Up & Coming Lawyer Honoree
Massachusetts Super Lawyers: Rising Star - Business Litigation
Involvement
- Member, Women's Leadership Program, Greater Boston Chamber of Commerce (2019-2020)
