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Health Care Enforcement

Litigation

Government investigations in the health care industry are known for being extremely complex. Walter Haverfield’s leading regulatory litigators are well-versed across these complexities, including overlapping health care statutes, regulations, executive orders, and state licensing and practice of medicine laws, as well as the increasing body of False Claims Act (FCA) case law. We are dedicated to defending our clients against actions brought by the Department of Health & Human Services’ Office of Inspector General (HHS-OIG), the Department of Justice (DOJ), and whistleblower matters, at both the state and federal levels.

Practice Group Leader

Ralph E. Cascarilla, Managing Partner

Ralph represents individuals and businesses in a wide range of governmental white-collar criminal investigations, including environmental, health care, securities fraud, antitrust, tax, Foreign Corrupt Practices Act (FCPA), federal elections and government procurement matters.

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Our Health Care Enforcement Litigation Difference

A drawn-out investigation of a qui tam action allows whistleblowers and the government significant power that can threaten a company’s future. Walter Haverfield’s health care enforcement team is known for comprehensive counsel in many areas of health care litigation, including physician practice disputes, physician non-compete agreements, contract disputes, peer review matters, health care benefit disputes, and other types of disputes in the health law area. Our knowledge and experience help clients navigate the multiple layers of potential criminal, civil, and administrative risks.

Recognition

U.S. NEWS – BEST LAWYERS® 2022 “BEST LAW FIRMS” RANKINGS
  • Metropolitan Tier 1 (Cleveland): Commercial Litigation; Litigation – Land Use & Zoning; Litigation – Real Estate
  • Metropolitan Tier 2 (Cleveland): Litigation – Environmental; Litigation – Labor & Employment; Litigation – Trusts & Estates
  • Metropolitan Tier 3 (Cleveland): Litigation – Construction; Litigation – ERISA, Litigation – Insurance
2021 RANKINGS
  • Metropolitan Tier 1 (Cleveland): Commercial Litigation; Litigation – Land Use & Zoning; Litigation – Real Estate
  • Metropolitan Tier 2 (Cleveland): Litigation – Environmental; Litigation – Labor & Employment
  • Metropolitan Tier 3 (Cleveland): Bet-the-Company Litigation; Litigation – Construction; Litigation – ERISA, Litigation – Insurance; Litigation – Trusts & Estates
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Experience

  • Defending hospital in lung transplant coverage lawsuit against insurance carrier (admitted pro hac vice to the Commonwealth of Kentucky)
  • Representing hospital in breach of contract lawsuit against state psychiatric facility
  • Negotiating defensive settlement for Ohio hospital in breach of contract and malicious prosecution lawsuit
  • Obtaining summary judgment in favor of the hospital against alleged violations of the Fair Debt Collection Practices Act and Ohio Consumer Sales Practices Act
  • Negotiating settlement between four hospital systems and a distressed ERISA plan
  • Assisting hospital in appeal of the government determined reimbursement rate for workers’ compensation claims
  • Representing a physician client against his former medical practice, which refused to pay agreed-upon severance to the client when he left the practice
  • Representing a physician in a challenge to a summary suspension of his hospital privileges by a government hospital and termination of employment at a teaching hospital
  • Representing a physician in a challenge to his summary suspension and loss of employment, which resulted in a confidential settlement and allowed the client to continue to practice his specialty
  • Representing a major regional health care insurer in a variety of complex litigation matters and class action cases, including litigation arising out of the liquidation of a medical plan
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