Lewis Roca LLP
John is a top resource for industry leading health care entities that are dominant players in the national health care arena, managed care organizations, payor plans, provider networks, group health insurers, self-funded employee benefit plans and physician groups. He also represents Fortune 500 companies and other business clients in commercial contract disputes, class action and business litigation matters.
His deep health care experience includes all aspects of managed care and network contracting disputes, payor/provider contracting/reimbursement and overpayment recovery issues, benefits litigation, ERISA, Medicare, Stark and Fraud and Abuse. John also has unique experience representing Medicare Advantage Organizations in regulatory and litigation matters ranging from provider reimbursement issues to network compliance termination, member steering overpayments and fraud. For hospital clients, he advises on credentialing, peer review, contracting, non-compete and physician recruitment agreements.
Health Care Litigation
A seasoned litigator, John’s courtroom experience ranges from successfully defending health plans before juries and successfully defending a health plan against a $20 million damage provider termination claim to successfully defending a Medicare Advantage plan in hearings and appeals before the Medicare Appeals Council. He regularly takes on health care matters such as provider reimbursement litigation, network terminations and breach of contract, Medicare Advantage contract issues, provider overpayment recovery, Medicare benefits litigation, ERISA benefits litigation, and class action defense.
John also has particular experience successfully litigating ERISA and non-ERISA health care benefits matters, including breach of fiduciary duty claims under ERISA and class action defense.