Expert Witnesses & Forensic Consultants Directory
Managed Care (HMO) — California
Managed care California 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
- All7
- Alabama1
- Alaska1
- Arizona1
- Arkansas1
- California7
- Colorado1
- Connecticut1
- Delaware1
- District of Columbia1
- Florida1
- Georgia1
- Hawaii1
- Idaho1
- Illinois1
- Indiana1
- Iowa1
- Kansas1
- Kentucky1
- Louisiana1
- Maine1
- Maryland1
- Massachusetts1
- Michigan1
- Minnesota1
- Mississippi1
- Missouri1
- Montana1
- Nebraska1
- Nevada1
- New Hampshire1
- New Jersey1
- New Mexico1
- New York1
- North Carolina1
- North Dakota1
- Ohio1
- Oklahoma1
- Oregon1
- Pennsylvania1
- Rhode Island1
- South Carolina1
- South Dakota1
- Tennessee1
- Texas1
- Utah1
- Vermont1
- Virginia1
- Washington1
- West Virginia1
- Wisconsin1
- Wyoming1
- Canada
About 7 results (0.12 seconds) — Results include first those located in the region, then those who serve in the region.
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
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.
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
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
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.