Manatt, Phelps & Phillips, LLP advises health insurers and related service providers through its Manatt Health practice, which combines legal services with regulatory, policy, reimbursement, and data analytics advisory functions. The team has a particular focus on Medicaid and Medicare managed care and advises clients on federal and state regulatory compliance. William Bernstein oversees the team from the New York office and is ably supported by Robert Belfort, whose practice spans regulatory compliance and transactional matters, notably transactions that raise complex regulatory issues, and Randi Seigel, who possesses deep regulatory knowledge, particularly in HIPAA and state privacy laws, state licensure and scope of practice law, telehealth, AI, and Medicare and Medicaid conditions. In the Los Angeles office, Greg Pimstone is a reputed appellate litigator known for his work in class actions and government investigations. Also based in Los Angeles, Paul Carr-Rollitt focuses his practice on transactional mandates, as well as corporate governance and licensure matters. Ileana Hernandez left the firm in February 2025.
Health insurers in United States
Manatt, Phelps & Phillips, LLP
Responsables de la pratique:
Bill Bernstein
Autres avocats clés:
Robert Belfort; Greg Pimstone; Randi Seigel; Paul Carr-Rollitt; Michael Kolber; Adam Finkelstein
Principaux clients
Sanford Health Plan
CareSource
Point 32 Health
North Carolina Department of Health and Human Services
Vermont Agency of Human Services
California Department of Health Care Services
Humana
Blue Shield of California
Renown Health
UCLA Health Medicare Advantage Plan
Sanford Health Plan
CareSource
Point 32 Health
North Carolina Department of Health and Human Services
Vermont Agency of Human Services
California Department of Health Care Services
Humana
Blue Shield of California
Renown Health
UCLA Health Medicare Advantage Plan
Principaux dossiers
- Represented CareSource in a strategic alliance with Massachusetts-based health plan and care delivery organization, Commonwealth Care Alliance (CCA).
- Advised the North Carolina Department of Health and Human Services (NC DHHS) on creating a new model for alleviating medical debt.
- Represented Renown Health (Renown) in a joint effort to introduce Kaiser Permanente’s (Kaiser) health plan model to Nevada by 2027
Crowell & Moring LLP
Crowell & Moring LLP is noted for its particular experience representing managed care organizations in complex litigation and arbitration, government investigations and enforcement actions, including fraud and abuse matters, RADV audits, Star Ratings matters, No Surprises Act disputes, and coverage-related challenges. The group also advises health plans on regulatory compliance under Medicare, Medicaid and the Affordable Care Act. At the helm of the practice are Troy Barsky, who excels in Medicaid and Medicare matters and is based in the Washington DC office; Mike Lieberman, also based in Washington DC, who is the go-to for commercial healthcare disputes at the federal, state, and arbitral levels; and Chicago-based Martin Bishop, who joined the firm in August 2025, along with 15 other partners from Reed Smith LLP, where he acted as practice head. Key arrivals from the Reed Smith LLP hires include Steven Hamilton, Bryan Webster, Rebecca Hanson, Alexandra Lucas, and Amir Shlesinger. In the wider team, Jennifer Romano is a healthcare litigation expert in the Los Angeles office, and Kelly Hibbert, based in Washington DC, is highly skilled in government investigations, qui tam actions, and commercial disputes.
Responsables de la pratique:
Martin Bishop; Troy Barsky; Michael Lieberman
Autres avocats clés:
Jennifer Romano; Kelly Hibbert; Steven Hamilton; Bryan Webster; Rebecca Hanson; Alexandra Lucas; Amir Shlesinger
Principaux clients
Health Care Service Corporation
Elevance Health (Formerly Anthem)
Kaiser Foundation Health Plan
United HealthCare
Blue Cross Blue Shield of New Mexico
Optum, Inc.
Humana
Blue Cross Blue Shield Healthcare Plan of Georgia
Principaux dossiers
- Secured a win for Health Care Service Corporation (HCSC) on the issue of whether providers have a private right to enforce IDR awards under the NSA or ERISA
- Represented Privia in its $113 million acquisition of Evolent Care Partners, expanding its value-based care reach to approximately 1.5 million lives across commercial, Medicare, Medicare Advantage, and Medicaid programs.
- Represented UnitedHealthcare in a case involving mental health parity claims under MHPAEA, with the court adopting our arguments and reaffirming key principles of parity law.
Dentons
Dentons advises on the full spectrum of regulatory, transactional, litigation, and compliance matters. The group represents insurance companies offering commercial health insurance, Medicare Advantage, and Medicaid managed care products. The practice is anchored by San Francisco-based Kimberly Kerry, who is highly experienced in Medicare and Medicaid enrollment and licensing issues. Key names from the New York office include Janice Ziegler, who is skilled in managed care matters; Charles Luband, who is well versed in financing and rate-setting issues; Medicaid expert Claire Bornstein; and Sean Cenawood, whose specialty lies in fraud and internal investigations. In Washington, DC, Bruce Merlin Fried has a strong reputation in the healthcare space; Christopher Janney is experienced in structuring compliant business and clinical arrangements; and Gadi Weinreich is the go-to for fraud and abuse matters. Kate Sullivan Morgan is a key name for multi-state health insurance matters. Margo Wilkinson Smith is also a name to highlight in the Kansas City office.
Responsables de la pratique:
Kimberly Kerry
Autres avocats clés:
Janice Ziegler; Charles Luband; Bruce Merlin Fried; Christopher Janney; Claire Bornstein; Sean Cenawood; Gadi Weinreich; Kate Sullivan Morgan; Margo Wilkinson Smith
Les références
‘Dentons has a first-rate healthcare practice with deep expertise across many complex parts of the healthcare industry. Their size and breadth of expertise allows for them to handle virtually everything in house, and they prioritize value delivery over billable hours. My attorney is an expert at finding me cost effective resources and only bills me for work where she is the most cost-effective, highest-value option due to her expertise. It is not cheap, but in the overall value equation, it is the highest value.’
‘Kate Sullivan-Morgan is my primary contact at Dentons, and she is a bona fide expert in her field. She is the person many outside of Dentons will refer to for their work in her field.’
‘The team has extraordinarily broad and deep knowledge of Medicare managed care–related issues, and they have been great thought partners on how best to proceed when the guidance is unclear.’
Principaux dossiers
- Providing UCare with federal government relations and health care regulatory counsel.
- Defending Milliman in connection with a federal False Claims Act qui tam litigation filed by a trio of relators with respect to a rate filings submitted by Optima Healthcare in connection with individual plans under the Affordable Care Act.
Greenberg Traurig
Greenberg Traurig advises health insurers and health plans on regulatory, transactional, and compliance matters, including work for commercial insurers and Medicare Advantage and Medicaid managed care organizations. The team is highly skilled in health insurance transactions and regulatory due diligence, including state licensure, provider contracting, and compliance with federal and state insurance requirements, as well as audits, investigations, and enforcement actions. The practice is jointly anchored by Tricia Asaro, who is highly experienced in regulatory compliance matters for health plans, and Fort Lauderdale – based David Peck, who provides corporate expertise. Key names in the practice include Eileen Hayes, who is an expert in regulatory matters, and Harold Iselin , who is active in matters that sit at the intersection of healthcare and government affairs. All lawyers mentioned are based in the Albany office unless otherwise stated.
Responsables de la pratique:
Tricia Asaro; David Peck
Autres avocats clés:
Eileen Hayes; Harold Iselin; Elizabeth Sacco
Les références
‘Greenberg Traurig LLP has developed a strong and diverse healthcare team within its Government Affairs operations. Members of the team have a depth of expertise in New York’s healthcare system and the legislative and regulatory structures that govern healthcare in the state. Many team members developed their knowledge in previous roles working in the legislature or agencies and are able to use these experiences to assist clients in their legislative and regulatory interactions on issues of importance to the client.’
‘Tricia and Eileen both have a deep understanding of the regulatory landscape, providing insights on approaches to take in our discussions with regulators, helping with our efforts to advocate on our members’ behalf on regulations and agency oversight, as well as assisting in drafting comments on regulatory proposals.’
‘This practice is not only familiar with the latest developments in Albany but also understands the business challenges and pressures insurers are facing. This allows the firm to provide strategic solutions to some of the regulatory challenges insurers face today.’
Principaux dossiers
- Represented Emblem Health in the sale of ConnectiCare for $350 million.
- Represented Liberty in the sale of its substance use disorder treatment centers (and their affiliates) to Upstate Recovery for $60 million.
Hogan Lovells US LLP
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.
Responsables de la pratique:
Ronald Wisor
Autres avocats clés:
Scott Loughlin; Craig Smith; Jeffrey Schneider; Stephanie Yonekura; Allison Ryan
Les références
‘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.’
Principaux clients
UnitedHealth Group
Simply Healthcare
Kaiser Permanente
Blue Cross Blue Shield of Florida, Inc. d/b/a Florida Blue
Principaux dossiers
Sheppard
Sheppard is distinguished by its expertise advising health plans on mergers, acquisitions and joint ventures, including the formation of new Medicare Advantage plans, insurer–provider risk-bearing arrangements, and transactions involving national health insurers, as well as related state and federal regulatory approvals. Overseeing the running of the practice are Los Angeles-based Eric Klein, who is reputed for his M&A work in the healthcare space; Amanda Zablocki, who is noted for her deep experience advising on Medicare Advantage, Medicaid and consumer-focused projects in New York; Christine Clements, who leads on the regulatory-focused work from Washington DC; San Francisco-based Eric Newsom, who serves as transactions lead in the group; and Danielle Vrabie, who is the resident litigation expert situated in the New York office. In the wider practice, Lynsey Mitchel, in Century City, is experienced in the managed care space and Moe Keshavarzi is skilled in disputes, based in Los Angeles. Matthew Goldman is a key name in Century City for regulatory work.
Responsables de la pratique:
Eric Klein; Amanda Zablocki; Christine Clements; Eric Newsom; Danielle Vrabie
Autres avocats clés:
Lynsey Mitchel; Moe Keshavarzi; Matthew Goldman
Les références
‘Moe Keshavarzi and his team are very knowledgeable about issues that impact health plans, especially for purposes of litigation.’
‘Moe Keshavarzi is incredibly dedicated to finding business friendly outcomes and addressing business needs. He also comes up with reasonable and thoughtful alternative fee arrangements.’
‘They have a breadth of experience in nearly every jurisdiction. Their attorneys take balanced and practical approaches to litigation that align with client objectives. The work product is great, and they collaborate with other practice groups on complex matters.’
Principaux clients
The Regents of the University of California (UCLA Health, UCSF Health, UC Irvine Health, UC San Diego Health)
Ascension Health
Prospect Health System / Prospect Medical Holdings
Compassus
Clayton, Dubilier & Rice
Baird Capital Partners
City of El Centro and El Centro Regional Medical Center
Florida Cancer Specialist & Research Institute (FCS) and its management service organization affiliate, Community Oncology Revitalization Enterprise Ventures, LLC (Core Ventures)
OneOncology
TowerBrook Capital Partners
Principaux dossiers
- Representing Ascension Health in its acquisition of AMSURG for a media-reported price of $3.9 billion.
- Advised Compassus in forming a global risk joint venture with Providence.
- Represented Prospect Medical pre-petition in the sale of its managed care physician business to Astrana Health, and secured $50.3 million at auction.
Gibson, Dunn & Crutcher LLP
Grounded in its insurance expertise, Gibson, Dunn & Crutcher LLP regularly represents insurers in False Claims Act and Anti-Kickback Statute matters, risk-adjustment and reimbursement disputes, and coverage and payment litigation. This includes parallel civil, criminal, and administrative proceedings, as well as national class actions and bad-faith claims. The practice is jointly led by Geoffrey Sigler in the Washington, D.C., office, who focuses on insurer-side litigation and advisory work involving ERISA, the Affordable Care Act, Medicare, and False Claims Act matters; and Los Angeles-based Deborah Stein, who excels in litigation involving insurance coverage and business-practices disputes. Also in the Los Angeles office, Heather Richardson is a go-to for advice on reimbursement policy and coverage determinations, and Richard Doren represents health insurers and plan administrators in federal and state courts. Winston Chan is a key contact for advice on FCA and healthcare fraud enforcement matters in the San Francisco office.
Responsables de la pratique:
Deborah Stein; Geoffrey Sigler
Autres avocats clés:
Heather Richardson; Winston Chan; Richard Doren
Principaux clients
PacifiCare Life and Health Insurance Company
United Behavioral Health
Inland Empire Health Plan
Principaux dossiers
- Assisted PacifiCare with vacating the Insurance Commissioner’s $173,603,750 penalty against PacifiCare Life and Health Insurance Company.
- Retained by United Behavioral Health to reverse adverse rulings and curtailed the use of “reprocessing” as a remedy in ERISA class actions.
- Representing UnitedHealth Group and its subsidiaries, OptumRx, Inc. and Emisar Pharma Services, LLC, in connection with an FTC investigation and enforcement action targeting the Pharmacy Benefit Management industry.
Groom Law Group, Chartered
Groom Law Group, Chartered advises health insurers and managed care organizations on regulatory, compliance, and policy matters affecting the design, administration, and regulation of health insurance products. The Washington DC-based practice is led by a quartet of co-heads: Kathryn Bjornstad Amin, who is highly skilled in health plan regulatory compliance; Lisa Campbell, who excels in matters involving ACA, Medicare, and Medicaid compliance; Seth Perretta, a trusted advisor on ERISA and health insurance tax compliance; and Tammy Killion, whose strengths lie in ACA compliance and government enforcement matters. Key figures in the wider team include Xavier Baker, active in managed care regulatory work; Jon Breyfogle, whose expertise spans ERISA and ACA health insurance regulation; Christy Tinnes, well-versed in HIPAA privacy compliance; Malcolm Slee, experienced in ACA health plan compliance; and Ryan Temme, distinguished by his knowledge of mental health parity compliance.
Responsables de la pratique:
Lisa Campbell; Seth Perretta; Kathryn Bjornstad Amin; Tamara Killion
Autres avocats clés:
Xavier Baker; Jon Breyfogle; Christy Tinnes; Malcolm Slee; Ryan Temme
Principaux dossiers
Latham & Watkins
Latham & Watkins is well equipped to represent payors in civil and criminal healthcare fraud investigations, False Claims Act and qui tam litigation, internal investigations and compliance matters, and to advise on Medicare and commercial reimbursement, coding, and coverage issues, including disputes before CMS and its contractors. The practice is led from the Washington, D.C., and Chicago offices. Washington, D.C.–based co-heads include disputes specialist John Manthei;Ben Haas, who focuses on FDA regulatory compliance; and Jason Caron, who advises on healthcare reimbursement matters. Chicago-based co-head Terra Reynolds specializes in healthcare fraud and enforcement defense. The Washington, D.C., office also features Daniel Meron, who is noted for his expertise in healthcare regulatory enforcement and fraud investigations. In Boston, Daniel Meron specializes in fraud and government investigations.
Responsables de la pratique:
John Manthei; Ben Haas; Jason Caron; Terra Reynolds
Autres avocats clés:
Daniel Meron; David Tolley
Principaux clients
Oscar Health
Molina Healthcare
UnitedHealth
Cigna Healthcare
Independent Health Association (IHA)
Principaux dossiers
- Advised Oscar Health on its upsized convertible senior subordinated notes offering.
- Advised Molina Healthcare on its US$750 million of 6.250% Senior Notes Offering due 2033.
- Representing UnitedHealth in an ongoing False Claims Act (FCA) litigation related to UnitedHealth’s Medicare Advantage (MA) plans.