Bressler has extensive experience representing managed care organizations and related entities in all matters of counseling, litigation and arbitration. The depth of our trial and appellate experience, combined with a comprehensive understanding of the health care industry allows us to navigate the complex legal issues involved in high exposure managed care litigation and arbitration. Our dispute resolution experience ranges from utilization review determinations, allegations of unfair business practices, payment disputes including the calculation of usual, customary and reasonable rates, denial of care claims, and breach of contract actions, among others.
Bressler remains at the forefront of managed care developments , providing our clients with guidance and counseling to the ever changing health care field. Bressler is constantly examining legislative and regulatory developments such as the recent New Jersey Out of Network Cost Containment and Arbitration Law, and industry trends such as the expansion of Medicaid, cybersecurity rules adopted in New York and pending in various other states, and the use of artificial intelligence, in order to assess the affect these changes have for the managed care organizations we represent. Bressler’s Insurance And Health Care Regulatory Practice group works closely with the Managed Care Counseling and Litigation group so that together Bressler has the skill, knowledge and determination to obtain the best results for our clients in an efficient and practical manner.