Praised by clients for its ‘practicality and deep knowledge’, King & Spalding LLP is noted for its extensive knowledge of commercial disputes between service providers and health insurers, in addition to cases regarding new HHS and CMS rules concerning allegations of underpayment for out-of-network services, and Medicare payment rates for home health services. Jim Boswell and Mark Polston jointly lead the team from Atlanta and Washington DC respectively; heading up the Medicare reimbursement litigation team, Polston regularly acts for health systems, hospitals and clinical laboratories in healthcare fraud investigations. Houston’s Adam Robison. In the Washington office,  Medicare reimbursement specialist Dan Hettich assists clients with Medicare-related claims arising under the False Claims Act (FCA); Chris Kenny is noted for his expertise in compliance and payment issues experienced by health systems and hospitals; and senior associate Alek Pivec regularly appears before the Provider Reimbursement Review Board on behalf of healthcare providers in cases involving government payors. Atlanta’s Jon Harris is a key name for corporate transactions involving providers and investors.

Predominantly based in Illinois, the broad team at McDermott Will & Emery LLP handles the full spectrum of matters within the healthcare industry, notably including women’s healthcare delivery models, and the expansion of telehealth businesses. Jerry Sokol leads the team from Florida and is known for his vast expertise in healthcare-related private equity transactions, with a strong focus on ambulatory surgery centers, while Gary Scott Davis maintains a managed care-focused practice, routinely advising on reorganizations and joint ventures. Noted for her longstanding expertise, Bernadette Broccolo stands out for her knowledge of healthcare delivery from a privacy perspective, and Monica Wallace is particularly adept at handling fraud and abuse issues, and reimbursement and billing matters. Sandra DiVarco routinely advises healthcare facilities and health systems on the full gamut of transactional issues, in addition to handling Emergency Medical Treatment and Active Labor Act (EMTALA) investigations. Gregory Fosheim utilizes his scientific background to advise on outbreak responses and emergency preparedness, in addition to assisting with licensing and accreditation matters, while Boston’s Christopher Jedrey handles transactional issues for both nonprofit and for-profit providers, and faculty practice plan structures for academic medical centers. Kerrin Slattery regularly assists clients with major transactions, with a niche focus on the interplay between corporate and Canon legislation, and Jiayan Chen is a key name for privacy compliance and data transactions within the healthcare and life sciences spaces in Washington DC.

The diverse offering at Ropes & Gray LLP is well known for its extensive capabilities in healthcare data privacy, and administrative litigation relating to reimbursement and billing. In the Chicago office, practice co-head Deborah Gersh is known for her specialism in value-based care initiatives and data privacy under HIPAA, while Jennifer Romig primarily handles transactional and regulatory matters for healthcare and digital health clients. Boston’s Timothy McCrystal co-leads the team, with his recent areas of focus including the regulatory aspects of telehealth and access to care, and David Peloquin is noted for his knowledge of fraud and abuse laws on both a state and federal level. Working out of the Washington DC office, Stephanie Webster regularly acts for hospitals and academic medical centers in transactions. Stephen Warnke advises a range of government-funded managed care organisations and non-profit health systems in New York, while Sarah Blumenthal focuses on university-hospital relationships and third-party payment issues. In Los Angeles, Torrey McClary is particularly adept at handling joint ventures and acquisitions within the healthcare sector, and Ranee Adipat was promoted to partner in November 2023, having notable experience in corporate healthcare mandates. Thomas Bulleit retired in late 2022.

Primarily based in Washington DC, the team at Hogan Lovells US LLP is known for assisting a varied client list of academic medical centers and health systems with reimbursement issues, antitrust matters, and the restructuring of clinical assets. Practice head Ronald Wisor has notable regulatory expertise, particularly in relation to the reimbursement of novel technologies, Anti-Kickback rules, and healthcare fraud and abuse issues. False Claims Act expert Jonathan Diesenhaus is noted for his litigation capabilities, regularly acting in cases concerning civil healthcare fraud, and assisting the American Hospital Association (AHA). With longstanding expertise in transactional matters, Clifford Stromberg acts for a range of health systems and managed care organizations. New York’s Jeffrey Schneider is well equipped to assist provider clients with the full range of transactional issues relating to hospitals. Experienced litigator Sheree Kanner‘s workload consists of high-profile Medicare and Medicaid cases at a federal level, and Kenneth Field joined the Washington DC practice in March 2023, bringing his deep knowledge of healthcare and antitrust law.

Jones Day‘s ‘professional, knowledgeable, and intelligent’ team regularly acts for a varied client list of academic medical centers and digital health entities, with the group’s specialism being government enforcement litigation. Co-leading the team from Washington DC, Alexis Gilroy is well known for her deep knowledge of telemedicine and telehealth matters, routinely assisting clients with regulatory issues surrounding health AI. Chicago-based co-head Heather O’Shea is particularly adept at handling both federal and state government investigations concerning FCA and Anti-Kickback Statute (AKS) issues. Claire Castles works out of the Los Angeles office, contributing her experience in emerging public health threat response and regulatory waiver strategies, while San Francisco’s James Dutro represents a range of health systems and hospitals in affiliations and joint ventures. Based in Dallas, Kurt Copper is an FCA investigations expert who handles an array of payor-provider disputes. Kenneth Field left the firm in March 2023.

The team at Latham & Watkins LLP handles a growing number of disputes concerning pandemic and telemedicine-related fraud. John Manthei, Ben Haas, and Jason Caron co-lead the team from Washington DC. California’s Jason Ohta focuses on white-collar criminal defence work, regularly appearing before the Ninth Circuit Court of Appeals, while Terra Reynolds represents clients in cases concerning allegations of healthcare fraud and abuse in Illinois. In Washington DC, Jason Caron is well versed in mandates concerning coverage, including surprise billing and medical necessity, while Eric Greig is noted for his regulatory expertise, particularly in relation to Medicare billing policy compliance and Sunshine laws on both a state and federal level. Working out of the Boston office, David Tolley regularly acts for hospital systems on FCA and Anti-Kickback related issues, in addition to a range of government investigations.

Primarily based in New York, Manatt, Phelps & Phillips, LLP‘s practice is well known for its strong expertise in payment and delivery systems, in addition to its broad experience in healthcare-related corporate governance and health IT. Known for his expertise in AI, digital health, and transactional healthcare matters, William Bernstein leads the team, while Helen Pfister regularly assists mental health facilities and hospitals with regulatory and transactional issues. Working out of the Los Angeles office, Paul Carr-Rollitt assists a varied client list of academic medical centers and e-health companies, and Washington DC’s Blair Cantfil has ample knowledge of federal healthcare program access and fraud and abuse work. Regulatory expert Randi Seigel advises a number of women’s health companies and post-acute care providers on payment arrangements, and fraud and abuse issues. Brian Bewley left the team in 2023.

Predominantly based in California, Sheppard, Mullin, Richter & Hampton LLP‘s practice is noted for its expansive transactional expertise. Practice head Eric Klein acts for a diverse client roster of hospitals and physician organizations in joint ventures and M&A, while Lynsey Mitchel primarily represents value-based care enterprises and accountable care organizations in HMO regulatory mandates. Working out of the Washington DC office, Michael Paddock‘s areas of expertise include healthcare fraud and abuse cases arising under the Stark Law and the FCA, and Erica Kraus, who is noted for her extensive knowledge of health policy, assists clients with government investigations and regulatory compliance. In New York, corporate transactional and tax expert Jay Gerzog‘s client base consists of provider and payor institutions. Carolyn Metnick joined the Chicago team from McDermott Will & Emery LLP in June 2023, contributing her deep knowledge of privacy and digital health.

Known for assisting investment entities and health systems with the full gamut of transactional matters and the regulatory compliance issues which arise as a result, the group at Dentons also advises clients on FCA and whistleblower investigations. California-based practice head Kimberly Kerry‘s workload primarily consists of healthcare corporate transactions, routinely advising on the certification and licensing of medical facilities. In Washington DC, Holley Thames Lutz is noted for her deep knowledge of Medicare and Medicaid coverage and reimbursement-related mandates, and healthcare fraud and abuse regulatory expert Gadi Weinreich routinely advises health systems. New York’s Charles Luband is a regulatory specialist with longstanding expertise in both federal and state healthcare programs regarding Medicaid financing and supplemental payments.

The ‘extremely professional‘ team at McGuireWoods LLP maintains a private equity focused practice, handling transactions for health systems and hospitals. The group also acts in a range of FCA cases and investigations. In Chicago, practice head Holly Buckley is a corporate healthcare specialist who advises private equity funds and physician owned hospitals. Also based in Chicago, associate Amanda Roenius regularly assists clients with regulatory matters involving state corporate practice of medicine. Working out of the North Carolina office, Bart Walker leads the firm’s dental services organization team, while Kayla McCann Marty primarily acts for women’s health providers and hospitals, and is also active on mandates involving the dental industry. Kate Hardey left the practice in 2023.

The predominantly New York-based practice at Nixon Peabody LLP handles a broad range of issues for its varied client list, including corporate governance and HIPAA compliance work. Practice head Lindsay Maleson routinely advises medical schools and teaching hospitals on peer review and physician disciplinary matters, while Peter Armstrong Egan has deep knowledge of fraud and abuse issues and healthcare transaction structures. Los Angeles-based Jill Gordon has ample expertise in joint ventures and managed care agreements, and Harsh Parikh is known for assisting healthcare companies and hospital systems with HIPAA data breaches. Rebecca Simone is particularly experienced in assisting healthcare companies and investors with M&A. Promoted to partner in early 2024, Alexandra Busto regularly advises academic medical centers and long-term care facilities. Patrick Callaghan joined the Los Angeles office from Sheppard, Mullin, Richter & Hampton LLP in January 2024, contributing his experience in assisting dental and veterinary clients.

Noted for handling a broad array of healthcare issues, the team at Arnold & Porter regularly advises on Anti-Kickback issues, fraud and abuse compliance, and government investigations. Mahnu Davar focuses on assisting a variety of clients including diagnostics laboratories and digital health companies with internal investigations and data-related mandates. With prior medical experience, Allison Shuren is well placed to advise clients on Medicare reimbursement mandates and regulatory issues. Daniel Kracov is an FDA expert, and a key name within the practice.

Predominantly working out of the New York office, Debevoise & Plimpton LLP‘s team is noted for its focus on private equity transactions within the healthcare and life sciences spaces. The group regularly advises on equity and debt financing arrangements, and class actions concerning overbilling practices. Key names within the team include corporate and M&A expert Andrew Bab, and Paul Rubin, who leads the FDA regulatory team from Washington DC. Mark Goodman and Maura Monaghan are noted for their expertise in commercial litigation, with Goodman standing out for his experience in handling white-collar crime matters and government investigations. Kevin Rinker and Jennifer Chu are both known for their expansive knowledge of M&A and private equity buyouts within the healthcare and life sciences sectors.

DLA Piper LLP (US) handles the full gamut of transactional mandates for its diverse client list of pharma companies and service provider groups. Miami’s Joshua Kaye leads the team with his broad expertise in healthcare-related private equity transactions. In Washington DC, Kristi Kung has a strong focus on digital health, regularly assisting healthcare investors with transactional issues; David Kopans often acts for managed care organizations with value-based pay arrangements; and regulatory expert Tracy Weir is noted for her knowledge of Medicare reimbursement and coverage. Darren Patz and Melesa Freerks joined the Miami and Chicago practices respectively; Patz is well versed in governmental affairs, often liaising with legislators, while Freerks has exceptional knowledge of healthcare service platform mergers. Joshua Samek left the practice in August 2023.

Known for its strong focus on transactional issues, Goodwin routinely acts for emerging tech companies, and healthcare and life sciences investors. David Cappillo and Chris Wilson jointly head up the practice from Boston, while James Gatta leads from New York; Cappillo primarily assists tech and healthcare companies with M&A and growth equity issues, Wilson is a private equity expert, and Gatta focuses on both government and internal investigations. Miranda Hooker, John Jones and Allison DeLaurentis all joined the firm as part of a team from Troutman Pepper in early 2023, contributing their expertise in fraud and abuse and governance matters. Greg Demske frequently assists clients with their responses to government investigations and enforcement actions in Washington DC. Delphine O’Rourke left the practice in July 2023.

Jointly led by Tricia Asaro in New York and David Peck in Florida, the team at Greenberg Traurig LLP is known for its focus on healthcare investment, and reimbursement and payment claims. Peck has broad corporate expertise, assisting clients with M&A and the structuring of equity and debt financings. Nancy Taylor works out of the Washington DC office, and is noted for her longstanding expertise in healthcare policy related matters and compliance. Joining the Philadelphia practice from Reed Smith LLP in August 2023, Brad Rostolsky contributes his deep knowledge of HIPAA, and Cate Galea maintains a health data-focused practice, handling matters relating to information blocking regulations.

Jointly led by Maria Currier, Jeffrey Mittleman and Jennifer Weaver, the team at Holland & Knight LLP handles an increasing number of mandates involving consolidation within the service providers sector. Working out of the Florida office, Currier utilizes her medical background to assist clients with regulatory issues, and Shannon Hartsfield is noted for her broad knowledge of healthcare data breaches and the regulatory aspects of transactions. Based in Tennessee, Weaver’s primary areas of expertise include FCA litigation and government investigations, while Mittleman is a key name within the Massachusetts practice. In the New York office, Brian Platton is noted for his longstanding expertise in the structuring of joint ventures and M&A.

Praised for its ‘deep-rooted‘ knowledge, Husch Blackwell LLP‘s practice is known for its broad strength in telehealth matters. Curt Chase leads the team from Missouri, regularly advising hospitals and health systems on integration arrangements and reimbursement issues, while Hal Katz is a key name within the Texas team for his deep knowledge of transactional matters within the healthcare space. In Boston, Robert Blaisdell has longstanding experience in mandates concerning medical staff and governance, and Crystal Bloom has extensive regulatory knowledge, regularly acting for psychiatric hospitals and academic medical centers. Wisconsin’s Tom Shorter often advises clients on restructurings and joint ventures. Jonathan Porter and Rebecca Rodman joined the Washington DC and Boston practices respectively in 2023, with Porter bringing his deep knowledge of FCA federal investigations, and Rodman contributes her experience in Determination of Need applications.

Ken Marlow, Limo Cherian and Gary Qualls lead the team at K&L Gates, which acts for a varied client list of hospital systems and health consortiums. In the Nashville office, Marlow has vast corporate expertise, often handling joint ventures and M&A, while Cherian focuses on regulatory mandates involving Stark and Anti-Kickback regulations in Chicago. John Lawrence divides his time between Tennessee and North Carolina, assisting clients with government investigations and FCA claims. Seattle’s Carla DewBerry is well versed in Medicare and Medicaid reimbursement issues, and healthcare M&A.

Katten houses a broad offering which assists clients with a whole host of mandates, including managed care issues, and matters arising under the FCA. Sitting in the Dallas office, Lisa Atlas Genecov and Kenya Woodruff jointly lead the practice; Genecov is noted for her strong transactional capabilities, assisting health systems and medical groups with private equity related issues, and Woodruff often assists clients with regulatory compliance with HIPAA and CMS conditions. Chicago’s Kenneth Davis is noted for his deep expertise in the formation of new healthcare businesses and networks, while New York’s Joseph Willey regularly acts in disputes concerning Medicare and Medicaid reimbursement, and fraud and abuse issues on both a state and federal level.

Morgan, Lewis & Bockius LLP‘s team, primarily based in Washington DC, regularly collaborates with the firm’s life sciences practice to assist with the full range of regulatory and transactional healthcare-related mandates. Kathleen Sanzo’s main areas of expertise include regulatory matters concerning the distribution of FDA regulated products. Fraud and abuse expert Howard Young has longstanding experience in handling government audits and disputes. Michele Buenafe advises clients on USDA compliance for digital health technology, while Scott McBride represents a number of physician groups and hospitals in FCA litigation in Texas.

Norton Rose Fulbright houses a practice known for its broad transactional capabilities, regularly advising on affiliation agreements and M&A. The group is also noted for its handling of disputes concerning out-of-network payments. D’Lesli Davis, Stacey Murphy and Susan Feigin Harris co-lead the practice. In the Missouri office, Murphy handles a broad range of issues for hospitals and physician groups, including joint ventures, and academic and clinical affiliations. Harris is a key name within the Texas group, and is known for her knowledge of reimbursement mandates, while Jerry Bell regularly assists clients with M&A and corporate governance issues. Jim Wiehl left the firm in late 2023.

David Manko leads the New York-based practice at Proskauer Rose LLP, which handles a wide variety of mandates within the healthcare sector, notably including a class action alleging New York’s failure to provide services, resulting in a mental health crisis. Manko has longstanding corporate expertise within the healthcare space, having represented a range of private equity investors, healthcare delivery systems, and portfolio companies. Primarily handling governance and healthcare payment mandates, Edward Kornreich routinely advises both for-profit and not-for-profit providers. Working out of the Los Angeles office, Vinay Kohli is well versed in cases concerning fraud and abuse, and the prosecution of managed care disputes. Jason Madden is a key name within both the corporate and healthcare groups, assisting clients with M&A, and fraud and abuse compliance issues, while Whitney Phelps’ primary areas of expertise include value-based contracting and managed care work.

BakerHostetler handles a broad range of issues across the healthcare space, including FCA investigations, data breach responses, and M&A. Working out of the Atlanta office, litigator Derek Bauer acts for a varied client base of hospital systems, pharmacies, and physician practices, while Charlene McGinty handles an array of transactional and operational mandates for physicians and physician organizations. Ohio-based Frank Miller is a telemedicine expert who often assists nonprofit managed healthcare providers with transactional issues. In Dallas, Lynn Sessions leads the firm’s healthcare privacy and compliance group, and is noted for her knowledge of website tracking technologies under HIPAA, and Jim Wiehl joined the group in October 2023 from Norton Rose Fulbright, contributing his vast knowledge of Stark Law and Anti-Kickback waivers, and private equity transactions.

With strong presence in the Southeast, Nelson Mullins Riley & Scarborough LLP‘s practice notably acts for the Rural Healthcare Initiative. Thomas Moran leads the team from South Carolina, often assisting hospitals and physicians with joint ventures and financing disputes, while Eli Poliakoff focuses on mandates relating to hospital-physician relationships. Litigator Gabriel Imperato is a key name within the Florida group for his handling of qui tam actions. Georgia’s Gina Greenwood is a data privacy expert who often advises clients on licensure and Emergency Medical Treatment and Labor Act (EMTALA) compliance. In North Carolina, Noah H. Huffstetler III is particularly adept at handling litigation before appellate courts, and Robert Wilson has a great deal of expertise in corporate healthcare issues, including M&A and integration agreements.

The Washington DC-based group at Williams & Connolly LLP acts for a diverse client base of medical product distributors, insurance companies, and pharma companies in antitrust disputes concerning drug pricing and rebates. Practice co-head Enu A. Mainigi is an experienced healthcare litigator who handles a range of cases, including bet-the-company litigation and class actions. Co-head Jennifer Wicht is well known for her expertise in FCA disputes, often acting for pharmacy benefit managers and hospitals, while Grant Geyerman often represents pharmacy benefit manufacturers in a range of disputes involving professional liability.

Winston & Strawn LLP‘s varied offering handles the full spectrum of issues relating to healthcare fraud and money-laundering allegations, investments into providers, and Certificate of Need approvals. Life sciences regulatory expert Reed Stephens leads the practice, and often handles fraud and abuse mandates and risk management issues. Lawrence Block, Elizabeth Leavy and Lawrence Sher joined the practice as a team from Reed Smith LLP in May 2023, contributing their broad expertise in government contracts. Of counsel Brendan Donahue joined from an in-house position in May 2023, bringing his specialism in M&A, while Guy Collier retired in February 2023.