Expert Witnesses & Forensic Consultants Directory
Managed Care (HMO) — United States
Managed care United States expert witnesses provide audits, reviews and written opinions on health insurance and managed care issues, including disputes involving coverage (eg: denial of benefit claims for preexisting conditions, diagnostic admissions, elective procedures), claims under the Employee Retirement Income Security Act of 1974 (ERISA) and non-ERISA plans.The managed care experts profiled in this directory may consult on disputes with professional providers over usual, customary and reasonable [UCR rates, alleged overprovisioning of medical services, and allegations of consumer and provider fraud.
Managed care experts may provide opinions on disputes with institutional providers (eg: hospitals, emergency services, home health providers, nursing homes), including payment practices, appropriate fees, the calculation of payments, unfair competition and antitrust claims.
These managed care experts may also have specific expertise in matters involving claims against bankrupt care providers and claims by them and consumers against managed care entities.
These managed care experts may have specific expertise in Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point of Service Plans (POSs) and/or Exclusive Provider Organizations (EPOs).
These experts may also testify in matters of alleged HIPAA data breaches and compliance with health care legislation, such as the ACA (Patient Protection and Affordable Care Act, also known as the “Affordable Care Act” and “Obamacare”), coordinated care, care contracting, medical program planning and related matters.
- United States
- All17
- Alabama1
- Alaska1
- Arizona1
- Arkansas1
- California7
- Colorado1
- Connecticut1
- Delaware2
- District of Columbia1
- Florida2
- Georgia1
- Hawaii1
- Idaho1
- Illinois1
- Indiana1
- Iowa1
- Kansas1
- Kentucky1
- Louisiana1
- Maine1
- Maryland1
- Massachusetts1
- Michigan2
- Minnesota1
- Mississippi1
- Missouri1
- Montana1
- Nebraska1
- Nevada1
- New Hampshire1
- New Jersey1
- New Mexico1
- New York2
- North Carolina1
- North Dakota1
- Ohio1
- Oklahoma1
- Oregon1
- Pennsylvania1
- Rhode Island1
- South Carolina1
- South Dakota1
- Tennessee2
- Texas5
- Utah1
- Vermont1
- Virginia1
- Washington1
- West Virginia1
- Wisconsin1
- Wyoming1
- Canada
About 17 results (0.22 seconds) — Results include first those located in the region, then those who serve in the region.
Double Board-Certified Dermatologist and Mohs Surgeon
21+ years of clinical experience. 30,000+ surgeries. 100k+ patients treated. Provides independent record review, deposition, and testimony on standard of care across medical & surgical dermatology. Available nationwide.
Santa Monica, CA
Expert Witness Referrals to Medical, Technical & Scientific Professionals
Expert Witness referrals United States and Internationally. This is a free referral to attorneys, barristers and insurance companies. View full CVs of experts on-line.
Chula Vista, CA
Martin D. Brown, CPA — Pershing Yoakley & Associates
Public Accountant specialized in healthcare, small and large physician groups, and health systems, provides litigation support in business valuation, damage estimates, non-compete agreements, accounting and regulatory matters, and certificates of need.
Knoxville, TN
Areas of Expertise:
Managed Care (HMO)
Tel: (865) 673-0844
Limited public information. For more, contact us.
Lige B. Rushing Jr. MD, MS, PA
Board Certified in Rheumatology, Internal Medicine, Geriatrics, and as an Independent Medical Examiner. He also has experience in Nursing Home, Personal Injury, Disability, and HMO and PPO cases.
Dallas, TX
Areas of Expertise:
Rheumatology
Tel: (214) 368-3611
Limited public information. For more, contact us.
Robert J. Bargar, MD, SM
Dr. Bargar has supported successful litigation in diverse cases such as: medical malpractice involving multiple providers of different specialties and the hospital at which they practiced; evaluation of systems for monitoring quality of care to deter
Laguna Niguel, CA
Areas of Expertise:
Managed Care (HMO)
Tel: (617) 3084788
Limited public information. For more, contact us.
Managed Care (HMO)
Licensed attorney and expert in health care providers, managed care plans and public health agencies, provides expert witness opinions and trial testimony. Firm provides forensic services consulting, specializing in economic damages analysis. [Non-public Profile Id 50109]
Austin, TX
Areas of Expertise:
Managed Care (HMO)
Limited public information. For more, contact us.
Wesley S. Blank, MD, MS, FACOG
Board Certified OB/GYN, 30+ yrs, in private practice, HMO’S, hospital clinics. Asst Professor OB/GYN Mt. Sinai. Expert witness in obstetrical/gynecological complications, surgical injuries, fetal monitoring, labor, C/S, VBAC, shoulder dystocia, ...
Rye Brook - New York, NY
Medical Billing & Cost Expert — Barry Lionel Posner
Hospital & Physician Bill/Claim Analyses; Managed Care Operations, Contracts & Regulations; Physician Payment Models, and Medical Cost Trend Analyses
Los Angeles, CA
Karl E. Steinberg, MD, CMD, HMDC
Experienced Expert Consultation & Testimony in Geriatrics, Nursing Home cases, Assisted Living, Dementia, Hospice, Decubitus/Pressure Ulcers, Malnutrition, Dehydration, Failure to Thrive, Life Care Planning, Chemical Dependency, HMO, Medicare
Oceanside, CA
Mary Wickens, JD, CFE, CHC
Healthcare payment and compliance specialist, 35+ yr industry (in-house counsel to HMOs and health insurers), serves as an expert in federal and state False Claims Acts, Medicare, payor disputes, contracts, audits and appeals, managed care contracting.
East Lansing, MI
Jon R. Wampler — JRW Consulting
Provides expert witness opinions and testimony in matters involving the healthcare industry, including contracts, medical practices, disputes between physicians, managed care plans, HMOs, etc.
Newport Beach, CA
Areas of Expertise:
Managed Care (HMO)
Tel: 9499338823
Limited public information. For more, contact us.
Paul K. Bronston, MD
Former National Chairman Ethics Committee of ACMQ, Former Board Certified in Emergency Medicine with expertise in Ethics, EMTALA, hospital liability, pre-hospital care, medical insurance & HMOs/managed care liability, Quality Assur., elder abuse &
Los Angeles, CA
Reed Tinsley, CPA
CPA provides physician-related litigation support including: billing/collection reviews; medical practice/healthcare business valuation; lost profits analysis; non-compete valuations; wrongful termination damage analysis; managed care contract reviews
Houston, TX
Margaret A. Conte, MD
Board Certified Family Medicine, experience solo and group practice, HMO, clinical instructor. Experienced in urgent care centers (ACLS and PALS certified). Experienced expert witness, plaintiff and defense, and before the Worker’s Compensation Board.
Newark, DE
Areas of Expertise:
Family Medicine
Tel: (302) 737-6010
Limited public information. For more, contact us.
James E Alexander, Jr., MD
Medicare Expert, ~35 years experience, acts as an expert witness in medicare and commercial health insurance fraud, abuse, coding and policy. Former contractor Assoc. Medical Director, Blue Cross Blue Shield Texas, Former Medicare Med. Director, Texas.
Cleburne, TX
Areas of Expertise:
Managed Care (HMO)
Tel: (817) 439-9439
Limited public information. For more, contact us.
Lucinda A. Ehnes, JD
Expert in reasonable and customary billing disputes, health regulatory law, policy and enforcement, managed care operations, insurance, etc. Attorney abd former Director, Calif. Dept. of Managed Health Care. (Oversaw insurance services for 21M enrollees)
Fair Oaks, CA
Areas of Expertise:
Managed Care (HMO)
Tel: (916) 599-5490
Limited public information. For more, contact us.
Mark S Stern MD
Board Certified Internal Medicine and Geriatric Medicine, experienced in Managed Care (HMO Regional Medical Director and Primary Care Provider). Nursing Homes, Pressure Ulcers, Bed Sores, Decubitus, Assisted Living. Experience expert witness
Tampa, FL
Areas of Expertise:
Internal Medicine
Tel: (813) 334-2795
Limited public information. For more, contact us.