Health insurers and managed care organizations routinely seek the assistance of Hogan Lovells US LLP on regulatory, litigation, and transactional matters across Medicare, Medicaid, and commercial insurance markets. The practice acts for national and regional health plans on insurer-side antitrust and ERISA litigation, privacy and cyber incident response, FCA and Medicaid enforcement matters, and challenges to medical coverage and utilization policies, including system-wide and multidistrict proceedings. Leading from the Washington, DC office, Ronald Wisor heads the practice, whose main focus is healthcare fraud and abuse compliance. Also based in the Washington, DC office, Scott Loughlin is a key name for matters involving cybersecurity risks and data privacy in the healthcare space. In Miami, Craig Smith is highly experienced in Medicare and Medicaid program issues. New York-based Jeffrey Schneider's extensive experience spans compliance, governance, coverage, reimbursement, and survey and certification matters.
Legal 500 Editorial commentary

Accolades

Client satisfaction: Lawyer & team quality
Client satisfaction: Sector knowledge
Client satisfaction: NPS ®

Testimonials

Collated independently by Legal 500 research team.

  • 'Expert in the regulatory space and in litigation that impacts healthcare providers and payors. Client service–focused, with committed longtime partners.'
  • 'Exceptional leaders include Stephanie Yonekura on investigation matters and Allison Ryan on privacy litigation.'
  • 'I have worked almost exclusively with Craig Smith. His level of preparation at each step of the Medicaid Fair Hearing process (pre-hearing meetings, discussions with opposing counsel, and presentation during the hearing) has been superb. He has provided sound advice and input, solicited my input appropriately, and expertly prepared me for each step of the process. He is almost always one step ahead of opposing counsel. He is a superb attorney, and I have very much appreciated working with him.'

Key clients

  • UnitedHealth Group
  • Simply Healthcare
  • Kaiser Permanente
  • Blue Cross Blue Shield of Florida, Inc. d/b/a Florida Blue
Practice head

Ronald Wisor

Other key lawyers

Scott Loughlin; Craig Smith; Jeffrey Schneider; Stephanie Yonekura; Allison Ryan