Health Plans & Other Insurers
Practical Know-How for a Rapidly Shifting Market
Health plan providers and other insurers face constant pressure to minimize costs and increase innovation. In a highly regulated industry, being able to manage these roadblocks — while remaining compliant at both the state and federal levels — requires guidance from experienced counsel. Our attorneys are steeped in your industry. We have many years of experience including as in-house counsel for a large managed care organization and in senior government positions.
Share Awards
Chambers USA 2024
Health Law Practice recognized Nationally and in Massachusetts, Washington, DC and California.
Legal 500 United States
Practice recommended in Health Care: Life Sciences, Health Care: Service Providers
BTI Industry Power Rankings
Recognized as a “Leading Core Firm” in the health care industry
Best Law Firms 2025
Nationally ranked Tier 1 for Health Care
Modern Healthcare 2024
Modern Healthcare Top Healthcare Law Firms 2024 Data Dive by the numbers.
Our Experience
Case Study
Case Study
Our Approach
Our team serves as a trusted advisor to health plans across the country, in the commercial, Medicare Parts C and D, and Medicaid spaces. We have deep experience counseling these entities on the full range of complex legal, regulatory, and legislative issues. We have unique depth of experience and knowledge of Medicare Advantage organizations and Medicare Part D plans and we routinely work with these entities on the various program requirements.
- Fraud, waste, and abuse issues, compliance, and enforcement
- Demonstration projects and other federal and state initiatives
- Provider and administrative contracting and subcontracting
- Reimbursement, pricing, and billing matters
- Marketing, beneficiary protection, and quality of care inquiries
- Statutory and regulatory analyses of program participation requirements
- Audits (including Medicare “program” audits, risk adjustment data validation audits, and Medicaid audits)
- Former general counsel for Medicaid and Medicare programs at UnitedHealth Group
- Former president, National Association of Medicaid Fraud Control Units (NAMFCU)
- Former general counsel for America’s Health Insurance Plans (AHIP)
- Former Director and Supervising Attorney, Oregon Department of Justice Medicaid Fraud Control Unit (MFCU)
- Various personnel from Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG)
- Former chair, Massachusetts Rate Setting Commission
Meet Mintz
Our attorneys serve as trusted advisors to health plans across the country in the commercial, Medicare Parts C and D, and Medicaid spaces.
Member / Co-chair, Antitrust Practice
Our Insights
Viewpoints
The Uncertain Landscape of Medicare Agent/Broker Compensation Rules
July 11, 2024| Blog|
