Government Inquiries

• Defending a national managed-care organization in a qui tam False Claims Act investigation into compliance with Medicare Advantage regulations, including allegations related to inflated premiums resulting from inaccurate risk-adjustment submissions

Internal Investigations

• Conducting an internal investigation into whistleblower allegations related to a national managed-care organization’s compliance with Medicare Advantage regulations and the federal anti-kickback statute, which has led to disclosures to the US Department of Justice, the Centers for Medicare and Medicaid Services, the Office of the Inspector General of the US Department of Health and Human Services, and state regulatory and enforcement authorities

Strategic Counseling

• Advising a pharmaceutical manufacturer in connection with its compliance program, sales and marketing practices, and issues related to the Medicaid Rebate Program

Transactional Diligence and Structuring

• Representing a private equity fund in an $84 million leveraged buyout of a dental practice management company

Trial Experience

• Defending Alvarado Hospital Medical Center in US v. Weinbaum, et al. Alvarado and its codefendants were accused of violating the federal anti-kickback statute by paying bribes, disguised as physician-relocation payments, to local doctors in exchange for patient referrals. After a seven-month trial in US District Court and four months of deliberations, the jury deadlocked and the court declared a mistrial. The government thereafter dismissed all criminal charges against Alvarado and its codefendants pursuant to a civil settlement.