Healthcare2022-04-21T14:05:13-04:00

Berger Montague’s Healthcare Hub

Commercial Health Insurance & ERISA Issues, Fiduciary Counseling, and Medical Drug & Device Injuries

Health Care Coverage, Counseling and Litigation Hub

Berger Montague has an exciting healthcare practice with several different areas of focus, grouped into three main categories – coverage, counseling, and litigation. In coverage disputes, we represent participants, employers and plans. Counseling is provided to plans, plan fiduciaries, and plan service providers. Litigation is brought on behalf of individuals, plan participants and beneficiaries, plan sponsors, and classes of individuals or plans.

Practice Areas Within Healthcare

Whether seeking assistance with healthcare issues related to coverage, counseling, or litigation, clients can be confident in their Berger Montague healthcare team of attorneys and other professionals.

The healthcare team at Berger Montague bring dozens of years of experience to these matters, and is comprised of former Department of Labor employees, insurance coverage attorneys, trial attorneys and attorneys with relevant niche specialties.

  • Counseling:  We provide professional counseling to help you navigate new and existing laws

  • Coverage: How you can protect yourself through the law regarding healthcare

  • Ligitigation: Our healthcare litigation team is equipped to handle unique legal needs and offers comprehensive representation

What We Do In Coverage

Coverage issues include the denial of benefits under a health plan or insurance policy, disagreements in policy interpretation between a participant and the claims-handling fiduciary, proper billing involving out-of-network providers and negotiated settlements with hospitals and other facilities under reference-based-pricing plans and other alternative pricing mechanisms.

What We Do In Counseling

The attorneys at Berger Montague provide counseling and advice on healthcare issues, including: ERISA fiduciary compliance, plan design, vendor management and cost-cutting and quality initiatives for employer and governmental health plans, specialized training, guidance interpreting new laws and regulations governing health plans under ERISA and other federal and state legislation.

What We Do In Counseling

The attorneys at Berger Montague provide counseling and advice on healthcare issues, including: ERISA fiduciary compliance, plan design, vendor management and cost-cutting and quality initiatives for employer and governmental health plans, specialized training, guidance interpreting new laws and regulations governing health plans under ERISA and other federal and state legislation.

Benefits of working with Berger Montague 

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                                                 About Berger Montague

Over 50 years ago, Berger Montague pioneered the use of class actions in antitrust and securities litigation, and since then, has expanded the use of class actions in the fields of consumer, employment, environmental and insurance litigation, as well as in the areas of civil and human rights. Now in our fifth decade representing investors, businesses, consumers, employees and property owners, our 60+ lawyers have continued to grow into new areas.

Berger Montague’s Employee Benefits & ERISA Group represents employees who have claims under the federal Employee Retirement Income Security Act. Our firm’s Employee Benefits & ERISA Group litigates cases on behalf of employees whose 401(k) and pension investments have suffered severe losses as a result of the breach of fiduciary duties by plan administrators and the companies they represent. Under the leadership of Managing Shareholder Todd S. Collins, our Employee Benefits & ERISA Group has recovered hundreds of millions of dollars in lost retirement benefits for American workers, and also favorably structured their retirement plans.

Meet the Attorneys 

Shanon Carson Headshot

Shanon Carson

Co-chair of Defective Drug & Medical Device group and Consumer Protection group, member of Insurance Fraud group

Joy P. Clairmont

Shareholder in the Whistleblower, Qui Tam & False Claims Act Group

E. Michelle Drake Headshot

Michelle E. Drake

Co-chair of the Consumer Protection group

Todd S. Collins

Chair of the Employee Benefits & ERISA group and member of the Securities group

Ellen Noteware Thumbnail Headshot

Ellen T. Noteware

Shareholder in the firm’s Antitrust group, Employee Benefits & ERISA group, and Consumer Protection group

Abigail J. Gertner Headshot

Abigail T. Gertner

Senior counsel in the Consumer Protection group and Employee Benefits & ERISA group)

Karen L. Handorf

Senior counsel in the Employee Benefits & ERISA group

Julie Selesnick

Senior counsel in the Employee Benefits & ERISA group, Consumer Protection group, Insurance Fraud group, & Healthcare Insurance Litigation group

Najah A. Jacobs

Associate in the Firm’s Consumer Protection and Employee Benefits & ERISA practice groups

J. Quinn Kerrigan

Senior Counsel in the Firm’s Consumer Protection practice group

Dena Young

Senior Counsel in the Firm’s Consumer Protection practice group

Peter A. Muhic

Shareholder in complex consumer protection, employee benefits & ERISA, product defects, mass tort, insurance, and employment cases

News & What’s Noteworthy

Berger Montague healthcare cases and attorneys in the news – links directly to news articles, maybe with a sentence or two giving context and mentioning a practice group (or adding tags). Anything we add here should also link to the relevant group and should be listed under the attorney bio whose name(s) are mentioned.

Oklahoma Medicaid False Claims Act

September 3rd, 2019|0 Comments

The Oklahoma Medicaid False Claims Act (“Oklahoma Medicaid FCA”) provides severe penalties for individuals who submit false claims to SoonerCare (Oklahoma’s Medicaid program). It also provides powerful incentives and protections for private individuals with [...]

Check Out Our YouTube: This recent video discusses Compensation Disclosures for Brokers and
Consultants to health plans under the CAA of 2021

Awards and Recognition

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We work as a single united team with market leading firms around the world and give our clients the highest quality advice possible.

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