Expert Witnesses & Forensic Consultants Directory
Managed Care (HMO) — Texas
Managed care Texas 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.
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- Idaho1
- Illinois1
- Indiana1
- Iowa1
- Kansas1
- Kentucky1
- Louisiana1
- Maine1
- Maryland1
- Massachusetts1
- Michigan1
- Minnesota1
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- Montana1
- Nebraska1
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- New Hampshire1
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- North Carolina1
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- Ohio1
- Oklahoma1
- Oregon1
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- South Carolina1
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About 5 results (0.17 seconds) — Results include first those located in the region, then those who serve in the region.
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.
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.
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
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.
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