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Healthcare disputes

We have built a healthcare disputes team that includes trial lawyers who are routinely called upon to represent the interests of hospitals, multi-hospital systems, physicians and physician groups, managed care organizations, academic medical centers, medical equipment suppliers, skilled nursing facilities, home health, long term care facilities and others in a range of disputes, including highly publicized matters involving legal issues of first impression.

Our lawyers are experienced in all aspects of healthcare disputes, including discovery, class certification, motions practice, settlement negotiations, arbitration, trial and appeal. We have managed complex and multi-district litigation on a national level, serving as National Coordinating Counsel and National Discovery Counsel for our clients.

Many of our senior lawyers have written, lectured and taught healthcare providers and other lawyers on the issues involved in healthcare industry litigation. Our lawyers author and co-publish the widely respected Texas Medical Jurisprudence.

Our areas of work include

  • licensure proceedings
  • provider de-certification, suspension and termination proceedings, including EMTALA matters
  • payment and cost report disputes before contractors and the Provider Reimbursement Review Board
  • medical staff peer review and staff privilege disputes
  • insurance and managed care disputes, including “prompt pay” claims
  • medical malpractice matters
  • contract claims

Our recent work

  • One of the largest healthcare providers in the US in a US$550m arbitration involving rate disputes with a global health insurance company involving networks across the country.
  • Several hospitals, including the largest non-profit health system in the US, in a nationwide recall of steroid injections in state and federal MDL proceedings. This suit is the first of its kind in the nation - combining an MDL, with bankruptcy of the entity that will not be restructured, and criminal indictments against alleged wrongdoers.
  • Twenty-seven hospitals across 6 states against an HMO for breach of network provider agreements covering military dependents and retirees. The complex contractual and regulatory matter was settled after substantial discovery, including depositions of dozens of hospital and HMO personnel.
  • Pediatric hospital in Texas and a number of key employees in the criminal trial of a former nurse accused of felony injury to a child. With our assistance, the client was able to minimize its involvement in the matter and effectively manage press coverage.