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Arthur N. Lerner: Lawyer with Crowell & Moring LLP

Arthur N. Lerner

LinkedIn
Partner
Washington,  DC  U.S.A.
Phone202.624.2820

Peer Rating
 5.0/5.0
AV® Preeminent

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Practice Areas

  • Health Care
  • Antitrust
  • False Claims/Qui Tam
  • Pharmaceuticals
  • Medical Devices
  • Trade Associations
 
Contact InfoTelephone: 202.624.2820
Fax: 202.628.5116
http://www.crowell.com/Professionals/Arthur-Lerner
 
University University of Michigan, A.B., 1973
 
Law SchoolHarvard University, J.D., 1976
 
Admitted1977, Massachusetts; 1980, District of Columbia
 
Biography

Arthur N. Lerner focuses his practice on antitrust, transactions and fraud and abuse issues for health insurers, managed care organizations, health care providers, drug and device manufacturers, and other health care entities. He serves as co-chair of the firm's Health Care Group.

Art advises and represents insurers, HMOs and other managed care organizations, hospitals, pharmaceutical and medical device and supply companies, professional and trade associations, pharmacy benefit management firms, medical group practices, group purchasing organizations, charitable groups, and other health organizations. He handles mergers and acquisitions, joint ventures, Federal Employees Health Benefit Program compliance and disputes, Medicare Advantage and ERISA matters, antitrust proceedings with the Department of Justice and the Federal Trade Commission, accountable care organization ("ACO") transactions and other complex regulatory and competition law counseling and litigation matters. Art directed the FTC's health care antitrust program from 1982 to 1985. Before that, while at the Commission, he served as attorney advisor to the Chairman of the Federal Trade Commission, assistant to the director of the Bureau of Competition, and as an FTC trial attorney in health care antitrust.

Art is a member of the Board of Directors of the American Health Lawyers Association ("AHLA") and former Chair (2004-2007) of the antitrust practice group of the AHLA. He is also former Chair of the American Bar Association Antitrust Section's Federal Civil Enforcement Committee (2006-2007) and Federal Trade Commission Committee (2004-2006), and a member of the advisory board for the Bureau of National Affairs' Health Insurance Report. Art speaks frequently for the AHLA, the American Bar Association and other professional organizations on antitrust, managed care, fraud and abuse and emerging health law issues.

Art is recognized in both antitrust and healthcare law by The Best Lawyers in America (2008 through 2012 editions). He was named one of the top 25 managed care attorneys in the country by The National Law Journal, is listed as a top lawyer in the healthcare field by Chambers USA, and is highly recommended in Legal Media's Guide to the Leading US Healthcare Lawyers.

Publications

· "Federal Health Programs and Managed Care Litigation," Managed Care Litigation 2011 Cumulative Supplement, BNA Books (forthcoming publication). Co-Authors: Arthur N. Lerner and Kathryn Almar.

· "Federal Health Programs and Managed Care Litigation," Managed Care Litigation 2010 Cumulative Supplement, BNA Books. (2010). Co-Authors: Arthur N. Lerner and Kathryn Almar.

· "Federal Health Programs and Managed Care Litigation," Managed Care Litigation 2009 Cumulative Supplement, BNA Books (2009). Co-Authors: Arthur N. Lerner and Amy Sandra Lee.

· "Killing the Messenger: Is There Continuing Relevance to Messenger Model Contracting," chapter in the 2008 edition of the Health Law Handbook, published by Thomson/West (2008). Co-Authors: Arthur N. Lerner and Barbara H. Ryland.

· "FTC Finds Evanston Hospital Merger Unlawful, But Refuses To Order Spin-Off," American Health Lawyers Association Health Lawyers Weekly (September 2007). Co-Authors: Arthur N. Lerner and Michael W. Paddock.

· "The Third Circuit Gives Hospitals An Edge Over Rivals in Gordon v. Lewistown Hospital," ABA's The Health Lawyer, Vol. 19, No. 2 (December 2006). Co-Authors: Arthur N. Lerner, David Florin and Valerie Hinko O'Such.

· "Federal Health Programs and Managed Care Litigation," Managed Care Litigation, BNA Books (2005). Co-Author: Arthur N. Lerner.

· "Physicians and Health Plans - Two Views of the Antitrust Future," Northwestern University, (November 2, 2000). Author: Arthur N. Lerner.

· "Joint Ventures in Health Care: An Antitrust Analysis," American Bar Association Section of Antitrust Law, (2000). Co-Editor: Arthur N. Lerner.

· "The Practical Implications of the Health Care Quality Improvements Act: An Antitrust Analysis," American Bar Association, Section of Antitrust Law, (1994). Co-Editor: Arthur N. Lerner.

Alerts & Newsletters

· "Centers For Medicare & Medicaid Services Releases Final ACO Rule and Additional Guidance," Health Law 'In The News' (Oct.21.2011). Contacts: Arthur N. Lerner, Dawn Miller, Justin Gundlach.

· "IOM Issues Report, Essential Health Benefits: Balancing Coverage and Costs," Health Law 'In The News' (Oct.21.2011). Contacts: Arthur N. Lerner, Dawn Miller, Justin Gundlach.

· "CMS Issues Proposed Rule to Revise Medicare Parts C and D Regulations," Health Law 'In The News' (Oct.07.2011). Contacts: Arthur N. Lerner, Dawn Miller.

· "CMS Confirms Hospitals May Not Bill Secondary Payor Insurers For Amounts In Excess Of Medicare Coinsurance And Deductible Amounts," Health Law 'In The News' (Oct.04.2011). Contact: Arthur N. Lerner.

· "CMS issues regulations implementing the Medicare Improvements to Patients and Providers Act (MIPPA) of 2008," Health Law 'In The News' (Aug.26.2011). Contacts: Arthur N. Lerner, Dawn Miller.

· "11th Circuit Ruling On PPACA Constitutionality," Health Law 'In The News' (Aug.12.2011). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - July 2011," Managed Care Lawsuit Watch (Jul.13.2011). Contacts: Arthur N. Lerner, Justin Gundlach.

· "Department of Health and Human Services Releases Affordable Insurance Exchange Proposed Regulations," Health Law 'In The News' (Jul.12.2011). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - May 2011," Managed Care Lawsuit Watch (May.20.2011). Contact: Arthur N. Lerner.

· "CMS Rules on Premium Increases," Health Law 'In The News' (May.19.2011). Contacts: Arthur N. Lerner, Jacinta Alves.

· "New Accountable Care Model Information From CMS," Health Law 'In The News' (May.19.2011). Contacts: Arthur N. Lerner, Jacinta Alves.

· "Managed Care Lawsuit Watch - March 2011," Managed Care Lawsuit Watch (Mar.22.2011). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - February 2011," Managed Care Lawsuit Watch (Feb.10.2011). Contact: Arthur N. Lerner.

· "OFCCP Directive Continues Agency's Efforts To Expand Its Jurisdiction Over Health Care Providers," Health Law 'In The News' (Jan.28.2011). Contacts: J. Catherine Kunz, Arthur N. Lerner, Kris D. Meade, Christopher Flynn, Rebecca L. Springer, Jane Foster.

· "Corrections to the Medical Loss Ratio Interim Final Rule," Health Law 'In The News' (Jan.04.2011). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - December 2010," Managed Care Lawsuit Watch (Dec.17.2010). Contact: Arthur N. Lerner.

· "The United States District Court for the Eastern District of Virginia Issued a Declaratory Judgment Today Finding PPACA's Minimum Essential Coverage Provision Exceeds the Constitutional Boundaries of Congressional Power," Health Law 'In The News' (Dec.13.2010). Contact: Arthur N. Lerner.

· "Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under The Patient Protection and Affordable Care Act," Health Law 'In The News' (Dec.02.2010). Contact: Arthur N. Lerner.

· "Michigan court upholds PPACA "Individual Mandate"," Health Law 'In The News' (Oct.07.2010). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - September 2010," Managed Care Lawsuit Watch (Sep.30.2010). Contact: Arthur N. Lerner.

· "Federal Trade Commission and Department of Health and Human Services Announce Public Workshops Addressing Legal Implications of Accountable Care Organizations," Health Law 'In The News' (Sep.20.2010). Contacts: Arthur N. Lerner, Elliot Golding.

· "Ninth Circuit Addresses Medicare Preemption in New Uhm v. Humana Opinion," Health Law 'In The News' (Sep.01.2010). Contacts: Arthur N. Lerner, Christopher Flynn, William C. O'Neill, Michael L. Cypers, Michelle A. Jones.

· "Managed Care Lawsuit Watch - August 2010," Managed Care Lawsuit Watch (Aug.25.2010). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - May 2010," Managed Care Lawsuit Watch (May.06.2010). Contact: Arthur N. Lerner.

· "Administration seeks comments to get ready for health reform expense ratio and related regulations," Health Law 'In The News' (Apr.14.2010). Contact: Arthur N. Lerner.

· "Detailed Summary of Health Reform Legislation," Health Law 'In The News' (Apr.09.2010). Contact: Arthur N. Lerner.

· "CMS Issues Final Rule on Changes to the Medicare Advantage and Part D Programs," Health Law 'In The News' (Apr.07.2010). Contact: Arthur N. Lerner.

· "Reporting and Repayment of Medicare and Medicaid Overpayments Must Be Made by May 22, 2010 Under Section 6402(a) of the Patient Protection and Affordable Care Act," Health Provider Alert (Mar.30.2010). Contacts: Michael W. Paddock, Arthur N. Lerner.

· "Managed Care Lawsuit Watch - March 2010," Managed Care Lawsuit Watch (Mar.25.2010). Contact: Arthur N. Lerner.

· "Health Reform Legislation Enacted," Health Law 'In The News' (Mar.24.2010). Contact: Arthur N. Lerner.

· "DOJ Sends Strong Civil Enforcement Message with $12 Million Disgorgement Remedy," Antitrust Law Alert (Mar.01.2010). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - February 2010," Managed Care Lawsuit Watch (Feb.01.2010). Contact: Arthur N. Lerner.

· "CMS Proposes Definition Of Meaningful Use Of EHR; ONC Publishes Interim Final Rule Regarding EHR Certification And Standards," Health Law 'In The News' (Jan.05.2010). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - December 2009," Managed Care Lawsuit Watch (Dec.30.2009). Contact: Arthur N. Lerner.

· "CMS Proposed Rulemaking For The Medicare Advantage And Medicare Prescription Drug Programs," Health Law 'In The News' (Dec.08.2009). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - November 2009," Managed Care Lawsuit Watch (Nov.30.2009). Contact: Arthur N. Lerner.

· "FTC Announces Fourth Extension of Red Flags Rule Enforcement," Health Law 'In The News' (Nov.06.2009). Contacts: Kathleen M. Stratton, Arthur N. Lerner.

· "HIPAA Interim Final Rule, October 30, 2009," Health Law 'In The News' (Nov.06.2009). Contacts: Arthur N. Lerner, Lauren Kim.

· "Managed Care Lawsuit Watch - October 2009," Managed Care Lawsuit Watch (Oct.30.2009). Contact: Arthur N. Lerner.

· "CMS Provides Guidance on Use of Medicare Advantage Enrollee Information for Communications," Health Law 'In The News' (Oct.20.2009). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - September 2009," Managed Care Lawsuit Watch (Sep.24.2009). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - August 2009," Managed Care Lawsuit Watch (Aug.13.2009). Contact: Arthur N. Lerner.

· "FTC Extends Enforcement Date of Red Flags Rule," Health Provider Alert (Aug.03.2009). Contacts: Arthur N. Lerner, Kathleen M. Stratton.

· "FTC Extends Enforcement Date of Red Flags Rule," Health Law 'In The News' (Aug.03.2009). Contacts: Arthur N. Lerner, Kathleen M. Stratton.

· "FTC Again Delays Enforcement of Red Flags Rule," Health Law 'In The News' (Jul.30.2009). Contact: Arthur N. Lerner.

· "FTC Sues Virginia Health System for Alleged Anticompetitive Acquisition of Imaging Center and Outpatient Surgery Center," Health Law 'In The News' (Jul.28.2009). Contacts: Arthur N. Lerner, Barbara H. Ryland, Shawn R. Johnson.

· "Managed Care Lawsuit Watch - July 2009," Managed Care Lawsuit Watch (Jul.01.2009). Contact: Arthur N. Lerner.

· "Hospitals Contracting With HMO to Provide Medical Services to Federal Employees Held to be "Subcontractors" Even Where Subcontract Fails To Include EEO And Affirmative Action Provisions," Health Law 'In The News' (Jun.17.2009). Contacts: Kris D. Meade, Arthur N. Lerner, Ira M. Saxe.

· "Genetic Discrimination Act Restriction Becomes Effective," Health Law 'In The News' (May.22.2009). Contact: Arthur N. Lerner.

· "FTC Extends Enforcement Date of Red Flags Rule to August 1," Health Provider Alert (May.04.2009). Contacts: Arthur N. Lerner, Kathleen M. Stratton.

· "Getting in Compliance with the FTC Red Flags Rule as May 1st Enforcement Date Approaches," Health Provider Alert (Apr.09.2009). Contacts: Arthur N. Lerner, Kathleen M. Stratton.

· "Managed Care Lawsuit Watch - March 2009," Managed Care Lawsuit Watch (Mar.19.2009). Contact: Arthur N. Lerner.

· "CMS Re-Issues Draft 2010 Medicare Advantage, Prescription Drug Plan and Health Plan Call Letter," Health Law 'In The News' (Mar.04.2009). Contacts: Arthur N. Lerner, Kenneth M. Bruntel.

· "Changes in American Recovery and Reinvestment Act of 2009," Health Law 'In The News' (Feb.18.2009). Contacts: Arthur N. Lerner, Thomas P. Gies, William J. Flanagan, Barbara H. Ryland, Robin B. Campbell.

· "Managed Care Lawsuit Watch - January 2009," Managed Care Lawsuit Watch (Jan.22.2009). Contact: Arthur N. Lerner.

· "Secretary Leavitt Announces New Principles, Tools to Protect Privacy, Encourage More Effective Use of Patient Information to Improve Care," Health Law 'In The News' (Dec.18.2008). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - December 2008," Managed Care Lawsuit Watch (Dec.12.2008). Contact: Arthur N. Lerner.

· "NIST HIPAA Security Rule Guidance," Health Law 'In The News' (Dec.04.2008). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - November 2008," Managed Care Lawsuit Watch (Nov.12.2008). Contact: Arthur N. Lerner.

· "Court Issues Final Consent Judgment On United-Sierra Acquisition ," Health Law 'In The News' (Oct.16.2008). Contact: Arthur N. Lerner.

· "Non-Contracted Ambulance Services Can Be "Emergency Services" Subject to State Medicaid Rate Cap Payment by Medicaid MCOs," Health Law 'In The News' (Oct.07.2008). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - September 2008," Managed Care Lawsuit Watch (Sep.26.2008). Contact: Arthur N. Lerner.

· "Massachusetts Law Imposes Limitations and Monitoring Requirements on Medical Device and Pharmaceutical Company Interactions with Health Care Practitioners and Facilities," Health Law 'In The News' (Aug.26.2008). Contact: Arthur N. Lerner.

· "New FDA Label Change Rule," Health Law 'In The News' (Aug.22.2008). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - July 2008," Managed Care Lawsuit Watch (Jul.07.2008). Contact: Arthur N. Lerner.

· "Supreme Court Limits Deference for ERISA Claims Denials by Fiduciaries with Conflicts of Interest," Health Law 'In The News' (Jun.30.2008). Contacts: Arthur N. Lerner, William J. Flanagan.

· "Managed Care Lawsuit Watch - June 2008," Managed Care Lawsuit Watch (Jun.05.2008). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "The Fifth Circuit Affirms the FTC's Ruling and Order Against North Texas Specialty Physicians," Health Law 'In The News' (May.28.2008). Contact: Arthur N. Lerner.

· "The Fifth Circuit Affirms the FTC's Ruling and Order Against North Texas Specialty Physicians," Antitrust Law 'In The News' (May.28.2008). Contact: Arthur N. Lerner.

· "Two New FTC Hospital Merger Enforcement Actions: The FTC Seeks to Block Hospital Merger in Northern Virginia and Issues Order Requiring Merged Hospital in Illinois to Create Independent Negotiating Teams," Health Provider Alert (May.22.2008). Contact: Arthur N. Lerner.

· "Two New FTC Hospital Merger Enforcement Actions: The FTC Seeks to Block Hospital Merger in Northern Virginia and Issues Order Requiring Merged Hospital in Illinois to Create Independent Negotiating Teams," Health Law 'In The News' (May.22.2008). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - May 2008," Managed Care Lawsuit Watch (May.21.2008). Contact: Arthur N. Lerner.

· "CMS Proposes New Medicare Advantage and Prescription Drug Plan Rule," Health Law 'In The News' (May.09.2008). Contacts: Kenneth M. Bruntel, Arthur N. Lerner.

· "United's Acquisition of Sierra Proceeds with Settlement of Medicare Advantage Antitrust Allegations," Antitrust Law Alert (Feb.28.2008). Contact: Arthur N. Lerner.

· "United's Acquisition of Sierra Proceeds with Settlement of Medicare Advantage Antitrust Allegations," Health Law 'In The News' (Feb.28.2008). Contact: Arthur N. Lerner.

· "United's Acquisition of Sierra Proceeds with Settlement of Medicare Advantage Antitrust Allegations," Antitrust Law 'In The News' (Feb.28.2008). Contact: Arthur N. Lerner.

· "United's Acquisition of Sierra Proceeds with Settlement of Medicare Advantage Antitrust Allegations," Managed Care Lawsuit Watch (Feb.27.2008). Contact: Arthur N. Lerner.

· "Medical Device Lawsuit Watch - February 2008," Medical Device Lawsuit Watch (Feb.14.2008). Contacts: Arthur N. Lerner, Robert L. Grabarek Jr., Scott L. Winkelman, Bridget E. Calhoun, Chandra Westergaard, Jennifer H. Burdman, Lauren Kim.

· "Managed Care Lawsuit Watch - February 2008," Managed Care Lawsuit Watch (Feb.11.2008). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "IRS Releases Final Version of Form 990 (Return of Organization Exempt from Income Tax)," Health Law 'In The News' (Jan.24.2008). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - January 2008," Managed Care Lawsuit Watch (Jan.04.2008). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Medical Device Lawsuit Watch - December 2007," Medical Device Lawsuit Watch (Dec.21.2007). Contacts: Arthur N. Lerner, Chandra Westergaard.

· "HHS OIG OKs Incentive Arrangements for Hospital Services in MediGap Product," Health Law 'In The News' (Dec.17.2007). Contact: Arthur N. Lerner.

· "Dept. of Labor Clarifies HIPAA with Compliance Safe Harbor," Health Law 'In The News' (Dec.17.2007). Contact: Arthur N. Lerner.

· "FTC Finds Evanston Hospital Merger Unlawful, But Refuses to Order Spin-Off," Health Law 'In The News' (Aug.14.2007). Contacts: Arthur N. Lerner, Barbara H. Ryland, Michael W. Paddock.

· "Managed Care Lawsuit Watch - June 2007," Managed Care Lawsuit Watch (Jun.30.2007). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Medical Device Lawsuit Watch - June 2007," Medical Device Lawsuit Watch (Jun.01.2007). Contact: Arthur N. Lerner.

· "Hot Fraud and Abuse Issues for Medical Device Companies," Health Provider Alert (May.31.2007). Contacts: Arthur N. Lerner, Chandra Westergaard.

· "Hospital Credentialing of Medical Device Sales Representatives - Increasing Legal Issues on the Horizon," Health Provider Alert (May.30.2007). Contacts: Arthur N. Lerner, Chandra Westergaard.

· "Managed Care Lawsuit Watch - May 2007," Managed Care Lawsuit Watch (May.11.2007). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Health Plans Need Contingency Plans for National Provider Identification Compliance after May 23, 2007," Health Law 'In The News' (Apr.19.2007). Contacts: Chandra Westergaard, Arthur N. Lerner.

· "Managed Care Lawsuit Watch - April 2007," Managed Care Lawsuit Watch (Apr.11.2007). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Managed Care Lawsuit Watch - March 2007," Managed Care Lawsuit Watch (Mar.20.2007). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Bill To Repeal Mccarran-Ferguson Act Antitrust Exemption For Insurance Business Introduced," Health Law 'In The News' (Mar.01.2007). Contact: Arthur N. Lerner.

· "Medical Device Lawsuit Watch - February/March 2007," Medical Device Lawsuit Watch (Feb.20.2007). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - February 2007," Managed Care Lawsuit Watch (Feb.13.2007). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Managed Care Lawsuit Watch - January 2007," Managed Care Lawsuit Watch (Jan.24.2007). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Managed Care Lawsuit Watch - December 2006," Managed Care Lawsuit Watch (Dec.07.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Managed Care Lawsuit Watch - November 2006," Managed Care Lawsuit Watch (Nov.20.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Medical Device Lawsuit Watch - Aug./Sept./Oct. 2006," Medical Device Lawsuit Watch (Oct.10.2006). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - Sept./Oct. 2006," Managed Care Lawsuit Watch (Oct.09.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "HHS Issues Final Anti-Kickback Safe Harbors and Stark Exceptions for Donations of E-Prescribing & Electronic Health Record Technology," Health Law 'In The News' (Aug.29.2006). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - July/Aug. 2006," Managed Care Lawsuit Watch (Aug.01.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "CMS Releases Final Medicare Advantage and Prescription Drug Plan Marketing Guidelines ," Health Law 'In The News' (Jul.27.2006). Contacts: Kenneth M. Bruntel, Arthur N. Lerner, Barbara H. Ryland.

· "Medical Device Lawsuit Watch - July 2006," Medical Device Lawsuit Watch (Jul.11.2006). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - June 2006," Managed Care Lawsuit Watch (Jun.07.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Medical Device Lawsuit Watch - June 2006," Medical Device Lawsuit Watch (Jun.07.2006). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - May 2006," Managed Care Lawsuit Watch (May.05.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Managed Care Lawsuit Watch - April 2006," Managed Care Lawsuit Watch (Apr.07.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Medical Device Lawsuit Watch - March 2006," Medical Device Lawsuit Watch (Mar.20.2006). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - March 2006," Managed Care Lawsuit Watch (Mar.07.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "Fraud, Wast and Abuse Guidance for Medicare Part D," Health Law 'In The News' (Feb.24.2006). Contact: Arthur N. Lerner.

· "Medical Device Lawsuit Watch - February 2006," Medical Device Lawsuit Watch (Feb.10.2006). Contact: Arthur N. Lerner.

· "Congress Requires False Claims Act Employee Materials for Medicaid Providers and Plans," Health Law 'In The News' (Feb.09.2006). Contacts: Arthur N. Lerner, David W. O'Brien.

· "Managed Care Lawsuit Watch - February 2006," Managed Care Lawsuit Watch (Feb.02.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "CMS Part D Guidance on LTC Pharmacy Rebates Creates Confusion," Health Law 'In The News' (Feb.01.2006). Contact: Arthur N. Lerner.

· "Judges Tosses RICO Managed Care Claims Against PacifiCare," Health Law 'In The News' (Feb.01.2006). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - January 2006," Managed Care Lawsuit Watch (Jan.10.2006). Contacts: Arthur N. Lerner, Michael W. Paddock.

· "DOJ Consent Order Resolves Antitrust Concerns for United - PacifiCare Transaction," Health Law 'In The News' (Jan.06.2006). Contact: Arthur N. Lerner.

· "Medical Device Lawsuit Watch - January 2006," Medical Device Lawsuit Watch (Jan.04.2006). Contact: Arthur N. Lerner.

· "HHS OIG Issues Work Plan for 2006," Health Law 'In The News' (Dec.09.2005). Contacts: Kenneth M. Bruntel, Shauna E. Alonge, Arthur N. Lerner.

· "Managed Care Lawsuit Watch - December 2005," Managed Care Lawsuit Watch (Dec.07.2005). Contact: Arthur N. Lerner.

· "Arbitrators Dismiss United Healthcare's Antitrust Claims against Chicago Health Care System," Health Law 'In The News' (Dec.02.2005). Contacts: Michael W. Paddock, Arthur N. Lerner.

· "Third Circuit Issues Important HIPAA Decision," Health Law 'In The News' (Nov.30.2005). Contacts: Arthur N. Lerner, Chandra Westergaard.

· "First Circuit Upholds Maine Law Requiring Disclosures by Pharmacy Benefit Managers," Health Law 'In The News' (Nov.29.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - November 2005," Managed Care Lawsuit Watch (Nov.02.2005). Contact: Arthur N. Lerner.

· "TRO Blocks Deceptive Claims That Drug Card Would Provide Free Drugs," Health Law 'In The News' (Oct.29.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - October 2005," Managed Care Lawsuit Watch (Oct.10.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - September 2005," Managed Care Lawsuit Watch (Sep.06.2005). Contact: Arthur N. Lerner.

· "New Patient Safety and Quality Improvement Act of 2005 Enacted," Health Law 'In The News' (Aug.23.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - August 2005," Managed Care Lawsuit Watch (Aug.02.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - July 2005," Managed Care Lawsuit Watch (Jul.06.2005). Contact: Arthur N. Lerner.

· "New Kickback Safe Harbor for Federally Qualified Health Centers," Health Law 'In The News' (Jul.01.2005). Contact: Arthur N. Lerner.

· "CMS Releases Retiree Plan Drug Subsidy Guidance," Health Law 'In The News' (Jun.08.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - June 2005," Managed Care Lawsuit Watch (Jun.02.2005). Contact: Arthur N. Lerner.

· "CMS Issues Draft Part D Plan Marketing Guidelines," Health Law 'In The News' (Jun.01.2005). Contact: Arthur N. Lerner.

· "DC Insurance Commissioner Clarifies Charitable Obligations of Blue Cross/Blue Shield Plan," Health Law 'In The News' (May.17.2005). Contacts: Arthur N. Lerner, Andrew H. Marks, Barbara H. Ryland.

· "Managed Care Lawsuit Watch - May 2005," Managed Care Lawsuit Watch (May.05.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - April 2005," Managed Care Lawsuit Watch (Apr.07.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - March 2005," Managed Care Lawsuit Watch (Mar.02.2005). Contact: Arthur N. Lerner.

· "Final Health Coverage Portability Regulations Clarify Preexisting Condition Exclusion Requirements," Health Law 'In The News' (Feb.07.2005). Contacts: Arthur N. Lerner, William J. Flanagan, Barbara H. Ryland.

· "Managed Care Lawsuit Watch - February 2005," Managed Care Lawsuit Watch (Feb.02.2005). Contact: Arthur N. Lerner.

· "Ambulatory Surgery Center Can Press Antitrust Claim against Hospital," Health Law 'In The News' (Jan.29.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - January 2005," Managed Care Lawsuit Watch (Jan.05.2005). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - December 2004," Managed Care Lawsuit Watch (Dec.01.2004). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - November 2004," Managed Care Lawsuit Watch (Nov.01.2004). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - October 2004," Managed Care Lawsuit Watch (Oct.01.2004). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - September 2004," Managed Care Lawsuit Watch (Sep.01.2004). Contact: Arthur N. Lerner.

· "Court Dismisses Resident Match Antitrust Lawsuit," Health Law 'In The News' (Aug.16.2004). Contacts: Arthur N. Lerner, Robert A. Lipstein, Ryan C. Tisch.

· "Managed Care Lawsuit Watch - August 2004," Managed Care Lawsuit Watch (Aug.01.2004). Contact: Arthur N. Lerner.

· "FTC/DOJ Report Pushes Competition for Health Care Industry Ills," Health Law 'In The News' (Jul.26.2004). Contacts: Arthur N. Lerner, Wm. Randolph Smith, Jody Goodman, Barbara H. Ryland.

· "IRS Expands Period for Provider Incentive Payment Deductibility," Health Law 'In The News' (Jul.26.2004). Contacts: Charles C. Hwang, Arthur N. Lerner, Barbara H. Ryland.

· "CMS Issues Proposed Regulations Implementing Medicare Part D Drug Benefit and Medicare Advantage Program," Health Law 'In The News' (Jul.26.2004). Contacts: Kenneth M. Bruntel, Arthur N. Lerner, Barbara H. Ryland, J. Catherine Kunz.

· "Managed Care Lawsuit Watch - July 2004," Managed Care Lawsuit Watch (Jul.01.2004). Contact: Arthur N. Lerner.

· "ERISA Preempts State Law Claims Challenging Coverage Denials," Health Law 'In The News' (Jun.22.2004). Contacts: Arthur N. Lerner, Barbara H. Ryland.

· "Managed Care Lawsuit Watch - June 2004," Managed Care Lawsuit Watch (Jun.01.2004). Contact: Arthur N. Lerner.

· "DOL Issues Final Rules on COBRA Notice Requirements," Health Law 'In The News' (May.27.2004). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - May 2004," Managed Care Lawsuit Watch (May.01.2004). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - April 2004," Managed Care Lawsuit Watch (Apr.01.2004). Contact: Arthur N. Lerner.

· "FEHBP Final Rule on Provider Sanctions," Health Law 'In The News' (Mar.08.2004). Contacts: J. Catherine Kunz, Kenneth M. Bruntel, Arthur N. Lerner.

· "Managed Care Lawsuit Watch - March 2004," Managed Care Lawsuit Watch (Mar.02.2004). Contact: Arthur N. Lerner.

· "FTC Challenges Consummated Hospital Merger in Illinois and Related Physician Pricing Actions," Health Law 'In The News' (Feb.11.2004). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - February 2004," Managed Care Lawsuit Watch (Feb.02.2004). Contact: Arthur N. Lerner.

· "Congressional Investigation of Pharmacy Rebates on Medicaid Drugs," Health Law 'In The News' (Jan.16.2004). Contacts: Arthur N. Lerner, Barbara H. Ryland.

· "Managed Care Lawsuit Watch - January 2004," Managed Care Lawsuit Watch (Jan.02.2004). Contact: Arthur N. Lerner.

· "The Medicare Prescription Drug Improvement and Modernization Act of 2003," Health Law 'In The News' (Jan.01.2004). Contact: Arthur N. Lerner.

· "Tax Provisions of the Medicare Prescription Drug, Improvement and Modernization Act of 2003," Health Law 'In The News' (Dec.22.2003). Contact: Arthur N. Lerner.

· "House and Senate Pass Mental Health Parity Extension," Health Law 'In The News' (Dec.22.2003). Contact: Arthur N. Lerner.

· "Treasury and IRS Announce 2003-2004 Priority Guidance Plan for Employee Benefits Issues," Health Law 'In The News' (Dec.22.2003). Contact: Arthur N. Lerner.

· "IRS Announces Inflation-Adjusted Dollar Limits for 2004," Health Law 'In The News' (Dec.22.2003). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - November 2003," Managed Care Lawsuit Watch (Nov.02.2003). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - October 2003," Managed Care Lawsuit Watch (Oct.02.2003). Contact: Arthur N. Lerner.

· "HHS OIG Publishes Proposed Rules on Exclusion of Providers for Charging Medicare Substantially in Excess of Usual Charges," Health Law 'In The News' (Sep.16.2003). Contacts: Arthur N. Lerner, Barbara H. Ryland.

· "Managed Care Lawsuit Watch - September 2003," Managed Care Lawsuit Watch (Sep.02.2003). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - August 2003," Managed Care Lawsuit Watch (Aug.02.2003). Contact: Arthur N. Lerner.

· "Federal Court Grants Summary Judgment Against Health Plan's Antitrust Challenge to Hospital Combination in Pennsylvania," Health Law 'In The News' (Jul.24.2003). Contact: Arthur N. Lerner.

· "Managed Care Lawsuit Watch - July 2003," Managed Care Lawsuit Watch (Jul.02.2003). Contact: Arthur N. Lerner.

· "Sixth Circuit Upholds Finding that Agreement Between Andrx and Hoechst Marion Roussel was a Per Se Illegal Market Division," Health Law 'In The News' (Jun.14.2003). Contact: Arthur N. Lerner.

· "CMS Determines Not to Proceed With Specialty Hospital Amendment to Stark Rule," Health Law 'In The News' (May.28.2003). Contact: Arthur N. Lerner.

· "U.S. Supreme Court Upholds Kentucky "Any Willing Provider" Laws that Restrict HMOs' Ability to Select Providers," Health Law 'In The News' (Apr.03.2003). Contacts: Arthur N. Lerner, Barbara H. Ryland.

· "Hospital Not A Subcontractor Under Federal Employees Health Benefit Program," Health Law 'In The News' (Feb.04.2003). Contacts: J. Catherine Kunz, Kris D. Meade, Kenneth M. Bruntel, Arthur N. Lerner.

· "DOJ Antitrust Settlement Requires North Carolina Physician Group To Disband ," Health Law 'In The News' (Dec.15.2002). Contact: Arthur N. Lerner.

· "11th Circuit Grants Appeal of Provider Class Certification," Health Law 'In The News' (Nov.20.2002). Contact: Arthur N. Lerner.

· "HHS Publishes Final Changes to HIPAA Privacy Rule," Health Law 'In The News' (Aug.15.2002). Contact: Arthur N. Lerner.

· "FTC Report Recommends Changes in Hatch-Waxman Law," Health Law 'In The News' (Aug.01.2002). Contact: Arthur N. Lerner.

· "Recent HIPAA and ERISA Guidance and Rules Issued by Department of Labor and HHS," Health Law 'In The News' (Jun.02.2002). Contact: Arthur N. Lerner.

· "HHS Releases Supplemental HIPAA Regulations," Health Law 'In The News' (Jun.01.2002). Contact: Arthur N. Lerner.

· "Pharmaceutical Company Settles FTC Charges for Unintentional Disclosure of Email Addresses of Consumers," Health Law 'In The News' (Apr.01.2002). Contact: Arthur N. Lerner.

· "OSHA - Beverly Settlement Requires Lifting Equipment To Avoid Ergonomic Injuries," Health Law 'In The News' (Mar.25.2002). Contact: Arthur N. Lerner.

· "On Behalf of Sagamore Health Network, Crowell & Moring Attorneys Successfully Defeated a Preliminary Injunction Motion Brought by Gateway Contracting Services in the Southern District of Indiana," Health Law 'In The News' (Mar.19.2002). Contacts: Arthur N. Lerner, Barbara H. Ryland, Shari Ross Lahlou.

· "FTC Advisory Opinion Approves Collective Negotiation With Payors for Clinically Integrated Physician Network," Health Law 'In The News' (Feb.21.2002). Contact: Arthur N. Lerner.

· "New HHS Guidance on Providers' Ability to Seek Payment Over Medicare Rates from Secondary Payors -- SUPERSEDED," Health Law 'In The News' (Feb.20.2002). Contact: Arthur N. Lerner.

· "DOL Publishes Q&A on Claims Processing and Appeals Regulations," Health Law 'In The News' (Jan.05.2002). Contact: Arthur N. Lerner.

· "Stark Law "Set In Advance" Rule Definition Delayed," Health Law 'In The News' (Dec.15.2001). Contact: Arthur N. Lerner.

Speaking Engagements

· "Introduction to Antitrust," American Health Lawyers Association Antitrust Boot Camp (Sep.15.2011). Co-Speakers: Arthur N. Lerner, Barbara H. Ryland and Shawn R. Johnson.

· "Antitrust and Accountable Care Organizations," American Health Lawyers Association - The Nuts and Bolts of Accountable Care: ACOs and Beyond (March 29, 2011). Presenter: Arthur N. Lerner.

· "In-Depth Antitrust Analysis: Will Your Proposed Integration Incur Antitrust Scrutiny?" National Forum on Clinical Integration American Conference Institute, Washington, DC (November 16, 2010). Co-Presenter: Arthur N. Lerner.

· "Legal Waivers under the Medicare Shared Savings Program: An Overview of the Options," American Health Lawyers Association Public Interest Committee Teleseminar (November 11, 2010). Co-Presenter: Arthur N. Lerner.

· Health Reform: Provider Non-Discrimination Provision's Impact on Health Insurance and ERISA Plans, (October 2010). Presenter: Arthur N. Lerner.

· "Mergers and Joint Ventures: Antitrust Challenges for Hospitals and Physicians," American Health Lawyers Association 2010 Annual Meeting (June 29, 2010). Presenters: Arthur N. Lerner and Matthew J. Reilly.

· "More Exposure And More Risk: Fraud And Abuse Risks In A 'Health Reform' World," Law and Regulatory Affairs Health Care Compliance Seminar (June 12, 2010). Co-Presenters: Robert T. Rhoad and Arthur N. Lerner.

· "Government Changes to the Rules of Competition: McCarran-Ferguson Act - Health Insurance Exemption Repeal, What's It All About?," ABA/AHLA Antitrust in Healthcare Conference 2010 (May 24, 2010). Presenter: Arthur N. Lerner.

· "Health Care Reform Law: Implications for Insurers and Health Plans," AHLA Health Care Reform Law conference (May 12, 2010). Presenter: Arthur N. Lerner.

· "The Reformed New World of Health Insurance Exchanges," Crowell & Moring's Healthcare Ounce Of Prevention Seminar (HOOPS) (April 26-27, 2010). Presenters: Arthur N. Lerner and Barbara H. Ryland.

· "Healthcare Power Play: Antitrust Enforcement in the Obama Administration," Crowell & Moring's Healthcare Ounce Of Prevention Seminar (HOOPS) (April 26-27, 2010). Presenters: Christine L. White and Arthur N. Lerner.

· "The New Reformed World of Health Insurance Exchanges," Society of Professional Benefit Administrators, Washington, D.C. (April 15, 2010). Speaker: Arthur N. Lerner.

· "Government Remedies: Finding the Right Cure - Monetary Remedies in Civil Cases," ABA Antitrust Section Spring Meeting (March 26, 2009). Presenter: Arthur N. Lerner.

· "Antitrust Action: New Enforcement Moves in the Health Care Arena - Recent Government Enforcement Actions and Private Antitrust Litigation," Crowell & Moring's 2008 Healthcare Ounce Of Prevention Seminar (HOOPS) (October 2008). Co-Presenters: Arthur N. Lerner and Christine L. White.

· "Market Power: Advanced Antitrust Issues for Payors and Providers," AHLA Payors, Plans and Managed Care Law Institute, Boston, Massachusetts (October 13-14, 2008). Presenter: Arthur N. Lerner.

· "Medicare Improvements for Patients and Providers Act of 2008: Implications for Medicare Advantage and Prescription Drug Plans," Crowell & Moring Webinar (September 4, 2008). Co-Presenters: Kenneth M. Bruntel, Arthur N. Lerner, Christine C. Rinn, and Bruce O. Tavel.

· "Mergers: Antitrust Issues for Hospitals and Health Plans," American Health Lawyers Association Annual Meeting, San Francisco, California (June 30 - July 2, 2008). Presenter: Arthur N. Lerner.

· "Legislation, What is Congress Doing?," ABA Antitrust Section Fall Forum (November 16, 2007). Moderator: Arthur N. Lerner.

· "Antitrust Issues Affecting Bundling Contracts in Health Care," Crowell & Moring's 2007 Healthcare Ounce of Prevention Seminar (HOOPS) (October 2007). Co-Presenters: Arthur N. Lerner and Barbara H. Ryland.

· "Keeping Up Your Antitrust Guard," BCBSA 41st Annual Lawyer Conference, Miami, Florida (May 3, 2007). Presenter: Arthur N. Lerner.

· "Antitrust Paths and Pitfalls: What's Really the Deal with the 'Messenger Model'?," 13th Annual Health Law Insitute, Pennsylvania Bar Institute - Philadelphia, PA (March 14, 2007). Presenter: Arthur N. Lerner.

· "Recent Developments in the Litigation of Nursing Wages Antitrust Class Action Claims," AHLA Antitrust and Hospitals & Health Systems Practice Groups - Mid-Year Meeting (February 6, 2007). Presenter: Arthur N. Lerner.

· "Current Fraud and Abuse Issues," Law Conference for Health Plans, Insurers, and Providers, AHLA and America's Health Insurance Plans (May 11, 2006). Presenter: Arthur N. Lerner.

· "North Texas Specialty Physicians and Advocate Health System: Do these Two New Antitrust Decisions Clear or Cloud the Air on Provider Networks," AHLA Antitrust Practice Group teleconference (February 14, 2006). Moderator: Arthur N. Lerner.

· "Medicare Safe Harbor and Supplier Business Models," 2006 Health Policy Forum: A Supply Chain Forecast, Washington, D.C. (February 2, 2006). Presenter: Arthur N. Lerner.

· "New Antitrust Developments for Providers and Payors: Views from the Enforcers," AHLA Annual Meeting, San Diego, CA (June 28-29, 2005). Presenter: Arthur N. Lerner.

· "Health Plan Power and Practices," Antitrust in Healthcare Conference, AHLA & ABA Section of Antitrust Law and Health Law (May 12-13, 2005). Presenter: Arthur N. Lerner.

· "Antitrust Duality: Vindicating Rights and Assuring Compliance," BCBS Conference (May 11, 2005). Presenter: Arthur N. Lerner.

· "Antitrust Developments to Watch: Messenger Model Gone Astray and What Else is New," 11th Annual Health Law Institute, Pennsylvania Bar Institute (March 15-16, 2005). Presenter: Arthur N. Lerner.

· "Avoid Antitrust Enforcement: How to Deal with Private Payers Without Government Crackdowns," Private Payer News Audio Conference (March 1, 2005). Presenter: Arthur N. Lerner.

· "Antitrust Issues Related to PHOs and IPAs," Healthcare Financial Management Association, Fourth Annual Tri-State Winter Institute (January 20, 2005). Presenter: Arthur N. Lerner.

· "Providers and Health Plans: New Developments in Health Care Antitrust," SCMCA 6th Annual Managed Care Forum, Sea Island, Georgia (November 4, 2004). Presenter: Arthur N. Lerner.

· "The FTC/DOJ Health Care Report: How Will the Agencies Administer the 'Dose of Competition' They Have Prescribed for the Industry," American Health Lawyers Association Teleconference (September 8, 2004). Presenter: Arthur N. Lerner.

· "Working with Providers to Achieve MMA Success," Inside Medicare Reform (July 13, 2004). Presenter: Arthur N. Lerner.

· "Antitrust Issues in Hospital System Contracting Practices," AHLA Antitrust Practice Group Mid-Year Meeting, at the Institute of Medicare and Medicaid Payment Issues (March 31-April 2, 2004). Presenter: Arthur N. Lerner.

· "New Developments in Health Care Antitrust," Pennsylvania Bar Institute, Annual Health Law Institute (March 17, 2004). Presenter: Arthur N. Lerner.

· "Medicare Prescription Drug, Improvement, and Modernization Act of 2003 -- Managed Care Issues," AHLA Teleconference (December 12, 2003). Presenter: Arthur N. Lerner.

· "In the Antitrust Crosshairs: Provider Contracting Networks and Messenger Arrangements," AHLA Teleconference (November 6, 2003). Moderator: Arthur N. Lerner.

· "The Next Big Idea in Health Care," Marsh Health Care Forum (September 13, 2003). Presenter: Arthur N. Lerner.

· "New Developments in Health Care Antitrust," State Bar of Michigan Annual Meeting (September 11, 2003). Presenter: Arthur N. Lerner.

· "Health Insurance Monopoly Issues - Market Definition," Testimony before Joint Federal Trade Commission - Department of Justice Hearings on Health Care and Competition Law and Policy (April 23, 2003). Presenter: Arthur N. Lerner.

· "Antitrust in Healthcare - FTC's Retrospective Review of Mergers," ABA Health Law Section/Section of Antitrust Law & AHLA Conference (May 2003). Presenter: Arthur N. Lerner.

· "Hospital Contracting Practices," Testimony before Joint Federal Trade Commission - Department of Justice Hearings on Health Care and Competition Law and Policy (March 27, 2003). Presenter: Arthur N. Lerner.

· "What's New in Health Care Antitrust," Annual Pennsylvania Bar Institute Health Law Institute (March 13, 2003). Presenter: Arthur N. Lerner.

· "Healthcare Antitrust: The Year In Review," American Health Lawyers Association Annual Meeting (June 30-July 3, 2002). Presenter: Arthur N. Lerner.

· "Health Antitrust Update: Tax, Antitrust and Fraud and Abuse - Are the Laws Compatible?", Tax Issues for HealthCare Organizations, AHLA (October 29-30, 2001). Presenter: Arthur N. Lerner.

· "Provider Antitrust Developments: Collective Bargaining and Unions, Single Specialty IPAs and Mega-Groups, 'Messenger Model" misuse, the Labor Exemption, and Antitrust Immunity Legislation," American Association of Health Plans and American Bar Association (May 8, 2001). Presenter: Arthur N. Lerner.

· "Providers 'Leveling the Playing Field' -- What's New in Health Care Antitrust," Blue Cross and Blue Shield Association 35th Annual Lawyers' Conference (May 4, 2001). Presenter: Arthur N. Lerner.

· "Hospitals and Antitrust: New times, Same Issues?" Washington Campus (March 28, 2001). Presenter: Arthur N. Lerner.

· "Health Care Antitrust Developments in 1999-2000," Blue Cross Blue Shield Association Seminar (October 24, 2000). Presenter: Arthur N. Lerner.

· "E-health Business and the Fraud and Abuse Laws," Crowell & Moring E-Health and the Law Seminar (September 18, 2000). Presenter: Arthur N. Lerner.

· Testimony before Pennsylvania House of Representatives Insurance Committee concerning Antitrust Exemption for Health Care Professionals' Joint Negotiations with Health Plans, (July 18, 2000). Presenter: Arthur N. Lerner.

· "Medicare Pharmacy Fraud and Abuse Initiatives," at annual conference, Tennessee Society of Health System Pharmacists (April 14, 2000). Presenter: Arthur N. Lerner.

· "Marketplace: The Impact of e-Commerce on our Industry," (March 23, 2000). Presenter: Arthur N. Lerner.

· "Joint Ventures Among Providers - Antitrust Hurdles," American Health Lawyers Association, Antitrust in the Healthcare Field (February 17-19, 2000). Presenter: Arthur N. Lerner.

· "Health Antitrust Update," Pennsylvania Bar Institute Fifth Annual Health Law Institute (March 18, 1999). Presenter: Arthur N. Lerner.

· "Payor Relationships with Providers: Comments from the Government and the Private Perspective," American Health Lawyers Association, Antitrust in the Health Care Field (February 26, 1999). Presenter: Arthur N. Lerner.

· "Developments in Health Care Antitrust," 1998 Tennessee Bar Association Health Law Forum (October 8, 1998). Presenter: Arthur N. Lerner.

· "Managed Care Antitrust and Labor Law Developments Involving Physician Unions," American Bar Association Health Law Section and American Association of Health Plans 9th Annual Managed Care Law Conference -- Forging New Responses to Today's Managed Care Challenges - St. Petersburg, FL (April 28, 1998). Presenter: Arthur N. Lerner.

· "Insurance and Managed Care Organization Relationships with Providers," National Health Lawyers Association/American Academy of Healthcare Attorneys Seminar on Antitrust in the Health Care Field (February 19-20, 1998). Presenter: Arthur N. Lerner.

· "Antitrust and Long Term Care," NHLA/AAHA Long Term Care and the Law Conference, (February 4-6, 1998). Presenter: Arthur N. Lerner.

· "Rehabilitation Hospital Mergers and Acquisitions: Consumer and Regulatory Perspectives," NRH Research Center Rehab 2000: Expanding Risks, Responsibilities and Rewards Conference (September 25, 1997). Presenter: Arthur N. Lerner.

· "ERISA Developments and Other Emerging Sources of MCO Liability," American Managed Health Care Organization 1997 Fall Forum (September 22, 1997). Presenter: Arthur N. Lerner.

· "Where They Draw the Line: The Antitrust Environment in Healthcare," 1997 AICPA National Healthcare Industry Conference (July 18, 1997). Presenter: Arthur N. Lerner.

· "Mergers of Managed Care Plans," National Health Lawyers Association Seminar on Antitrust in the Healthcare Field (February 12-14, 1997). Presenter: Arthur N. Lerner.

· "A Basic Primer on Health Law: Antitrust Concerns," New York State Bar Association Continuing Legal Education Program (October 10, 1996). Presenter: Arthur N. Lerner.

· "Antitrust Considerations in Managed Care," American Association of Orthodontists Managed Care Planning Session, St. Louis, Missouri (August 9, 1996). Presenter: Arthur N. Lerner.

· "Health Care Antitrust Safety Zones and New Developments Affecting Managed Care," American Association of Health Plans Seventh Annual Managed Care Law Conference - Washington, DC (April 24, 1996). Presenter: Arthur N. Lerner.

· "ERISA's Impact on State Managed Care Regulation and Judicial Proceedings," American Association of Health Plans Seventh Annual Managed Care Law Conference, Washington, D.C. (April 24, 1996). Presenter: Arthur N. Lerner.

· "Mergers of HMOs and Payors," National Health Lawyers Association Seminar on Antitrust in the Healthcare Field, Washington, D.C. (February 21-23, 1996). Presenter: Arthur N. Lerner.

· "Antitrust and Long Term Care," National Health Lawyers Association Seminar on Long Term Care, Orlando, Florida (February 2, 1996). Presenter: Arthur N. Lerner.

· "Obtaining Health Care Antitrust Advisory Opinions and Business Review Letters," National Health Lawyers Association Managed Care Law Institute, Chicago, Illinois (December 6, 1995). Presenter: Arthur N. Lerner.

· "New Antitrust Developments in Health Care: Views from the Enforcers," American Health Lawyers Association Annual Meeting (June 28-29, 1995). Presenter: Arthur N. Lerner.

· "Legal and Professional Liability Aspects of Managed Care," American College of Surgeons 19th Annual Chapter Offices Seminar - Chicago, Illinois (June 2, 1995). Presenter: Arthur N. Lerner.

· "Antitrust Issues Related to Physician Networks, Mergers and Acquisitions," National Health Lawyers Association Seminar on Consolidations, Mergers and Physician Networks, Los Angeles, Orlando and New York City (January 13, March 3, and April 10, 1995). Presenter: Arthur N. Lerner.

· "Antitrust Issues in Contractual Arrangements for Networks and Managed Care Plans," National Health Lawyers Association Seminar on Antitrust in the Healthcare Field, Washington, D.C. (February 16-17, 1995). Presenter: Arthur N. Lerner.

· "Protecting the Network from Legal Action: Responding to Any Willing Provider Legislation," The Health Care and Insurance Institute, Third Annual Health Care Payer Forum - Washington, D.C. (February 16-17, 1995). Presenter: Arthur N. Lerner.

· "Multi-Provider/Multi-Payor Contracts - Antitrust Focus," National Health Lawyers Association Managed Care Law Institute (December 7, 1994). Presenter: Arthur N. Lerner.

· "Antitrust Issues Affecting the Development of Health Care Networks," InfoLine Conference on Integrated Delivery Systems, Boston, Massachusetts (August 11, 1994). Presenter: Arthur N. Lerner.

· "Antitrust Issues in Formation of Integrated Delivery Systems," Practicing Law Institute, New York, New York (July 20, 1994). Presenter: Arthur N. Lerner.

· "Antitrust Issues in Integrated Delivery Systems," presented at National Health Lawyers Association conference on Building an Integrated Delivery System, Chicago, Illinois (December 13, 1993). Presenter: Arthur N. Lerner.

· "Managed Care Antitrust Issues," presented at Pennsylvania Bar Institute Managed Care Seminar, Philadelphia, Pennsylvania and Pittsburgh, Pennsylvania (September 23, 1993 and October 5, 1993). Presenter: Arthur N. Lerner.

· "Benefit Determinations and Claims Payment Disputes," National Health Lawyers Association Conference on Employee Health Benefits: At the Crossroads of Health Reform, Newark, New Jersey (September 13, 1993). Presenter: Arthur N. Lerner.

· "Building an Integrated Delivery System: Antitrust Issues in Physician-Hospital Organizations," presented at National Health Lawyers Association Health Law Update, Washington, D.C. (May 20-21, 1993). Presenter: Arthur N. Lerner.

· "Implementing a Drug Formulary," presented at Illinois Association of HMOs conference on A New Health Care Order: The Mainstream Moves to Managed Care, Oakbrook Terrace, Illinois (May 6, 1993). Presenter: Arthur N. Lerner.

· "Utilization Management and the Prescription Drug Benefit," presented at the National Health Lawyers Association Seminar on The Law of Utilization Management and Quality Assurance - Kansas City, Missouri (April 21, 1993). Presenter: Arthur N. Lerner.

· "Antitrust Issues in Collaborative Activities by Health Care Providers: Hospital and Physician Networks Negotiating with Third Party Payors," presented at American Bar Association Section of Antitrust Law Spring Meeting, Washington, D.C. (March 31, 1993). Presenter: Arthur N. Lerner.

· "Legal Aspects of the Prescription Drug Benefit," presented at Blue Cross and Blue Shield Association Conference on Managing the Prescription Drug Benefit, Mesa, Arizona (November 10, 1992). Presenter: Arthur N. Lerner.

· "Benefit Determinations and Claims Payment Disputes," presented at National Health Lawyers Association conference on ERISA and the Health Benefits Plan: New Directions in Law, Newark, New Jersey and Los Angeles, California (September 11, 1992 and September 15, 1992). Presenter: Arthur N. Lerner.

· "Understanding Safe Harbors: Fraud and Abuse Issues for Consulting Pharmacy," American Society of Consulting Pharmacists Midyear Conference - Tucson, Arizona (May 14, 1992). Presenter: Arthur N. Lerner.

· "Changing Legal Considerations in Structuring Prescription Drug Benefits," presented at InfoLine Conference on Managing Prescription Drug Benefits, Philadelphia, Pennsylvania (February 26, 1992). Presenter: Arthur N. Lerner.

· "Hospital Peer Review and Quality Assurance," presented at American Academy of Orthopedic Surgeons Annual Meeting, Washington, D.C. (February 1, 1992). Presenter: Arthur N. Lerner.

· "Antitrust Issues Relating to Insurance: Selective Contracting," presented at National Health Lawyers Association 1992 Seminar on Antitrust in the Health Care Field, Washington, D.C. (January 31, 1992). Presenter: Arthur N. Lerner.

· "Legal Considerations in Physician Credentialing, Compensation, and Evaluation," presented at Group Health Association of America Seminar on Critical Issues for HMO Medical Directors, La Quinta, California (November 19, 1991). Presenter: Arthur N. Lerner.

· "Negotiating and Contracting with Managed Health Care Plans: Pitfalls and Opportunities," presented at American Academy of Family Physicians 1991 Scientific Assembly, Washington, D.C. (September 29, 1991). Presenter: Arthur N. Lerner.

· "Physician Incentives and Their Risks," and "New Medicare Supplement Insurance Regulation and Medicare SELECT," presentations at Group Health Association of America Conference, Managed Care Law: A Growing Body of Legal Challenges - Boca Raton, FL (September 11-12, 1991). Presenter: Arthur N. Lerner.

· "Workers Compensation & Managed Care: What Are the Options?", presented at Managed Health Care Congress Midwest conference - Chicago, Illinois (September 5, 1991). Presenter: Arthur N. Lerner.

· "Health Care and Criminal Antitrust," presented at Federal Bar Association Antitrust Committee seminar, Washington, D.C. (June 19, 1991). Presenter: Arthur N. Lerner.

· "Antitrust and Managed Care," presented at Group Health Association of America conference, Managed Care Law: New Risks, New Solutions, New Orleans, Louisiana (September 17, 1990). Presenter: Arthur N. Lerner.

· "New Developments in Managed Care Litigation," presented at Group Health Association of America Conference, HMO Medical Directors: Leading the Way Through Turbulent Times, Washington, D.C. (February 24, 1990). Presenter: Arthur N. Lerner.

 
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DOL Issues Long-Awaited Final Rules For Service-Provider Compensation Disclosures Under ERISA
Arthur N. Lerner,Joel D. Wood, February 8, 2012
On February 3, the Department of Labor issued its long-awaited (and much delayed) final rules for service-provider compensation disclosures under ERISA Section 408(b)(2). Although these rules do not, by their terms, apply to health and welfare plans, the Department has, as discussed below,...

Antitrust Division Challenges Montana Plan's Deal with Hospitals
Justin Gundlach,Arthur N. Lerner, November 25, 2011
The U.S. Department of Justice ("DOJ") and the State of Montana have sought to enjoin an agreement between Blue Cross Blue Shield of Montana, Inc. ("BCBSM") and five of the six Montana hospitals (the "hospital defendants") that own New West Health Services, Inc....

Calingo v. Meridian Res. Co.
Justin Gundlach,Arthur N. Lerner, November 8, 2011
Plaintiffs brought a class action alleging that the defendants, Empire HealthChoice Assurance and Meridian Resource Company, improperly sought reimbursement from plaintiffs' settlement proceeds for the cost of health care services they provided plaintiffs. The action arose because of a change in...



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Arthur N. Lerner
Crowell & Moring LLP
1001 Pennsylvania Avenue, N.W.
Washington, DC 20004-2595




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