Healthcare

LECG healthcare experts provide analysis and insight in nearly all sectors of the industry. Skyrocketing healthcare costs, together with increased legislative scrutiny, overlapping and complex regulation, and a governmental focus on eliminating fraud and abuse, have created an atmosphere of uncertainty for nearly all sectors of the industry. LECG healthcare experts provide analysis and insight to clients confronting this uncertain environment. We advise clients in developing strategies, designing and understanding policies, and responding to legal and regulatory challenges, offering a broad range of litigation support, management advisory, compliance, and expert testimony services. Our experts have advanced degrees and certifications, including MDs, MHSAs, PhDs, MBAs, CPAs, and CFEs, and backgrounds in behavioral health, biotechnology, healthcare economics, information technology, management, government regulation and investigation, and academia.

Sectors of Expertise

  • Hospitals and health systems
  • Physician groups and practice plans
  • Pharmaceutical, life science, and biotechnology companies
  • Medical device manufacturers
  • Insurance, payers, and managed care plans
  • Self-funded groups and third party administrators (TPAs)
  • Healthcare trade associations
  • State, federal, and international governments

Capabilities

Main Area Of Expertise

  • Business strategy and management advisory services
  • Business and asset valuation
  • Business and market entry evaluation and support
  • Business process re-engineering
  • Claims analysis and documentation
  • Cost modeling and financial projections
  • Market analyses and development
  • Mergers and acquisitions
  • Operational and financial reviews
  • Product line and business unit growth strategies
  • Strategic planning
  • Systems documentation and review
  • Policy development and regulatory services
  • Compliance program development
  • Education and training
  • ERISA and Department of Labor compliance
  • Government audits and reviews assistance
  • HIPAA operations and compliance
  • Internal compliance reviews and reporting
  • Medicare
  • Medicaid
  • Federal Employees Plan compliance programs and program support
  • State
  • federal
  • and international policy and regulatory analyses and comment
  • Litigation services
  • Antitrust analyses
  • Class certification and de-certification services
  • Contract and patent damages analyses
  • Expert testimony
  • Independent review organization (IRO) services
  • Market power and market definition
  • RICO conspiracy analyses
  • Tort damages analyses

Representative Engagements

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