What We Do
We understand the opportunities and challenges in healthcare and, more importantly, how they impact our clients’ businesses.
The firm has built a team of talented healthcare attorneys who are highly focused on solving the myriad of complexities that industry providers face in this ever-changing landscape.
Due to the highly specialized nature of healthcare, it takes the skills of a seasoned litigator with deep knowledge of the healthcare sector and avid trial experience to handle business disputes. Our attorneys focus on protecting the interest of our clients when complex litigation matters arise by providing innovative and strategic legal counsel.
Capabilities
Managed Care Litigation & Arbitration
With an in-depth understanding of the business of healthcare, our litigators and trial attorneys are regularly called upon to represent our healthcare clients in litigation and arbitration proceedings involving a wide array of disputes.
Wolfe Pincavage’s litigation and arbitration team represents clients in all state and federal courts, as well as a variety of arbitration forums, such as the American Arbitration Association (AAA), International Chamber of Commerce, Judicial Arbitration and Mediation Services (JAMS), among others.
Healthcare law is multifaceted, and our proficiency allows us to develop comprehensive and efficient legal strategies for health care companies engaged in business disputes involving:
- In-Network Disputes
- Out of Network Disputes Over Usual & Customary Rates
- ERISA Litigation Involving Adverse Benefit Determinations
- Multi-Party Disputes of Rental Networks
- Reference-Based Pricing
- Late Payments
- Pre-Payment Review of Claims & Payment Process Related Disputes
- Improper Recoupment & Offsets
- Improper Payment Policies
- Disputes Against International Payors
Healthcare Business Litigation
With an in-depth understanding of the business of healthcare, our litigators and trial attorneys are regularly called upon to represent our healthcare clients in a litigation and arbitration proceedings involving a wide array of disputes.
Wolfe Pincavage’s litigation and arbitration team represents clients in all state and federal courts, as well as a variety of arbitration forums, such as the American Arbitration Association (AAA), International Chamber of Commerce, Judicial Arbitration and Mediation Services (JAMS), among others.
With an in-depth understanding of the procedural and substantive differences between litigation and arbitration, our team capitalizes on the strategic benefits of each process, obtaining favorable results based on our clients’ objectives, while advancing their business interests, controlling costs and maximizing recoveries.
- Breach of Contract
- Fraud, Misrepresentation, and Common Law Business Torts
- Breach of Fiduciary Duties
- Deceptive & Unfair Business Practices
- Breach of Restrictive Covenants / Non-Competes
- Shareholder Derivative Claims
- Tortious Interference With Business Relationships
- Civil Conspiracy and RICO Claims
- Misappropriation of Trade Secrets
- Statutory & Equitable Accounting Claims
- Equitable Claims
- Insurance Coverage
- Confirmation and Enforcement of Arbitration Awards
- Various State & Federal Statutory Violations
Insurance Coverage
We assist individuals, businesses, and healthcare organizations in resolving insurance coverage disputes and obtaining entitled benefits under a variety of insurance policies. Our attorneys have decades of experience litigating insurance bad faith disputes and recovering extra-contractual damages for clients.
We represent insureds from the time a claim is reported, in pre-suit procedures, such as examinations under oath, and through litigation. We also defend insureds in declaratory judgment actions brought by insurers who seek to deny coverage for claims. If litigation is necessary, we are skilled trial attorneys who will aggressively and efficiently prosecute a claim.
When an insurer wrongfully denies coverage, fails to properly investigate claims, purposely underpays or undervalues claims, or fails to protect its insured, an insurance bad faith lawsuit may be warranted. We have extensive experience representing insureds in bad faith cases, from drafting Civil Remedy Notices of Insurer Violations to litigating disputes through trial and appeal.
Through carefully listening to our clients’ concerns and analyzing their existing insurance program, we determine if any additional coverages are needed to protect their businesses from unforeseen liability. Our deep experience litigating insurance coverage cases, positions our attorneys as knowledgeable, with a unique perspective on risk management than that of an insurance agent or broker. We also provide advice regarding insurance applications and help clients understand the limitations of their purchased coverage.
