Matthew M. Lavin

Partner

Washington
2100 Pennsylvania Avenue NW
Suite 350S
Washington, District of Columbia 20037

Biography

Matt is a Healthcare and Commercial Litigation partner in the firm’s Washington, D.C., office. He leads one of the most aggressive and respected provider-side reimbursement practices in the country. Matt’s cases are regularly reported by Becker’s, Modern Healthcare, Bloomberg, and other publications. Matt prides himself on being on the right side of healthcare, routinely taking on the big issues in high-stakes cases.

Matt has experience with practically every aspect of the business of healthcare and revenue cycle management, including private and public payor reimbursement methodologies, IDR regulations, payor disputes, audits, third-party cost containment, healthcare marketing, overpayments and recoupments, pre-payment reviews, audits, financing, government relations, regulatory compliance, and licensing.

He has successfully resolved countless reimbursement disputes with commercial payors such as Aetna, Anthem, AmeriHealth, Ambetter, Beacon, Centene, HealthNet, Humana, Cigna, UnitedHealthcare, HealthNet, Magellan, and many Blue Cross Blue Shield entities and Blue Card Network plans. Matt is experienced in handling suits against “cost-containment” vendors, like MultiPlan, that egregiously underprice the value of out-of-network claims.

Matt puts his clients’ needs first and he is often able to resolve payor disputes without litigation.

Experience

  • Routinely represents facilities and physicians in cases against commercial and public payors in state and federal courts, nationwide.
  • Represents hospital emergency medicine physician practices as plaintiffs against BCBS of Arizona in a case alleging an unfair business practice and abuse of the No Surprises Act IDR process.
  • Represented multiple emergency medicine physician practices as plaintiffs in civil RICO actions against a major payor and cost-containment vendors.
  • Lead counsel for plaintiffs in two ERISA putative class actions in California federal courts against major payors and their cost-containment vendor who systematically underpay claims.
  • Represented multiple behavioral health facilities in a $40 million lawsuit in federal court against BCBS Michigan for illegally underpaying thousands of patient claims.
  • Represents laboratories in suits against commercial payors for systematically denying hundreds of millions of dollars in claims.

    Credentials

    • Tulane University, Juris Doctor
    • New York University, Bachelor of Arts
    • District of Columbia
    • United States District Court for the District of Columbia
    • United States District Court for the Western District of Michigan
    • United States District Court for Western District of New York
    • United States District Court for the Western District of Wisconsin
    • United States Court of Appeals for the District of Columbia Circuit
    • United States Court of Appeals for the Ninth Circuit

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