In New York, William Bernstein leads the practice at Manatt, Phelps & Phillips, LLP, which stands out for its strength in insurance-related disputes. The team notably advises on the formation of health plans, and on interactions between Medicaid programs and CMS. Bernstein counts financial institutions and managed care companies among his diverse client base, and Randi Seigel is recommended for his broad knowledge spanning HIPAA and state licensure rules, in addition to fraud and abuse issues. Helen Pfister stands out due to her focus on matters concerning accountable care organizations and federally qualified health centers, in addition to advising on 340B program-related issues. In the Los Angeles office, healthcare litigation specialist Ileana Hernandez’s caseload consists of ERISA, unfair competition, and bad faith denial of benefits disputes, while Greg Pimstone is noted for his vast experience in government investigations and his handling of class actions. Lisa Sbrana joined the firm in March 2024 from the New York State Department of Health.
Legal 500 redaktioneller Kommentar
- Profil
- Soziale Medien
Kernmandanten
- Health Net
- Aetna Life Insurance Company
- Blue Shield of CA
- UCLA Health
- Canopy Health
- New York e-Health Collaborative
- Welbe Health
- Bayada Home Health Care
- Molina Healthcare
- Pfizer
Highlight-Mandate
- Represented Health Net in connection with a state court action filed by out-of-state substance abuse treatment facilities to recover additional reimbursement for services the facility allegedly rendered to Health Net insureds. In January 2023, the trial court ruled that the treatment facilities were not entitled to recovery on any of their claims based on the substantial evidence of the providers’ fraudulent conduct that infected all claims. The trial court awarded Health Net restitution under its Unfair Competition Law claim in the amount of $17 million plus interest for all insureds at issue in the case.
- Representing Aetna Life Insurance Company in an ERISA class action brought by an individual alleging that Aetna wrongfully denies coverage for lumbar artificial disc surgery on the ground that it is experimental and investigational.
- Obtained summary judgment and then affirmance on appeal in a lawsuit alleging improper denial of coverage (that Blue Shield of California failed to pay benefits for two members who were injured in an accident while traveling in Costa Rica).
Anwält*innen
Partner*innen der nächsten Generation
Juniorpartner*innen, die im Markt von Mandanten und Wettbewerbern anerkannt werden und in einigen Mandaten eine Schlüsselrolle einnehmen.
Praxisleitung
William Bernstein
Weitere Kernanwält*innen
Ileana Hernandez; Greg Pimstone; Paul Carr-Rollitt; Randi Seigel; Helen Pfister; Rebecca Finkel; Lisa Sbrana