At Buchalter, our managed care litigation practice has earned a national reputation for successfully representing hospital systems, physician groups, and other health care providers in high-stakes disputes with health insurance companies. Our attorneys have litigated and arbitrated against every major health plan in the country, advocating for our clients in state courts, federal courts, and arbitration forums nationwide.
Proven Experience in Complex Managed Care Disputes
Health care providers today face increasing pressure from commercial insurers and managed care organizations, including unlawful payment denials, underpayments, delayed reimbursements, and network terminations. These disputes not only threaten provider revenue but also impact the delivery of patient care.
Our managed care litigation lawyers bring decades of combined experience to the table, with a track record of securing significant recoveries and favorable settlements for providers in disputes involving:
- Reimbursement disputes and underpayment claims
- Breach of managed care contracts
- Improper claims denials
- Out-of-network payment issues
- Network termination and credentialing disputes
- Violations of state and federal health care laws
Strategic and Aggressive Representation Against National Insurers
We understand how major health plans operate—and how to hold them accountable. Our team has gone up against the largest managed care organizations in the United States, including national carriers and regional insurers. We are skilled at navigating the procedural and substantive complexities of commercial payer litigation, whether in binding arbitration or in trial and appellate courts.
Nationwide Reach, Industry-Focused Insight
Because we represent health care providers across the country, our attorneys have developed deep insight into the legal and operational challenges facing hospitals, health systems, ambulatory surgery centers, and physician practices. We know how to interpret complex managed care contracts, identify patterns of wrongful payer conduct, and pursue strategies that maximize recovery while minimizing disruption to patient care.
Why Providers Choose Buchalter
- Extensive experience litigating against every major health plan
- Proven track record in both arbitration and court litigation
- In-depth knowledge of managed care contracts and reimbursement law
- Nationwide representation with the ability to act quickly and decisively
- Relentless advocacy to protect provider rights and revenue
Protecting Provider Rights in a Challenging Health Care Environment
The relationship between health care providers and payers is more contentious than ever, and the stakes are high. Our mission is simple: to ensure our clients receive the payments they are rightfully owed under their contracts and the law. We work tirelessly to deliver results that safeguard our clients’ financial health so they can focus on their mission—providing quality patient care.
