Practice Areas:
Health Care Litigation

Practice Overview

Advocating for Fairness, Accountability & Integrity in Health Care 

Wolf Popper’s Health Care Litigation practice is backed by the Firm’s strong record in consumer fraud and complex class action litigation. As laws, reimbursement systems, and industry practices shift, health care disputes have become increasingly complex. Our team remains closely attuned to regulatory and marketplace developments to effectively protect patients, insureds, and health care consumers.

We represent individuals, benefit plan participants, and other stakeholders in health insurance litigation, drug pricing class actions, and disputes involving deceptive or improper practices by health insurers, pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and health care providers. Many matters also overlap with consumer litigation when systemic practices harm large groups of consumers.

Key Issues We Handle

Our Health Care Litigation practice includes claims involving:

• Patient rights violations, including access, privacy, or treatment protections
• Improper or fraudulent billing, including surprise billing, balance billing, upcoding, and unauthorized charges
• Health insurance coverage disputes, benefit denials, and ERISA-related claims involving employer-sponsored plans
• Breaches of contract between insurers and policyholders or plan participants
• Artificially inflated drug prices, unfair reimbursement practices, and drug pricing class actions
• Unfair or deceptive practices by health insurers, PBMs, or health care providers
• Misrepresentations involving provider networks, medical necessity, coverage, or formularies
• Reimbursement disputes for denied, delayed, or reduced payments on medically necessary care
• Hidden fees, non-disclosed costs, or deceptive fine-print terms in health coverage

When health care misconduct creates broader financial or contractual harm, claims may align with commercial litigation and arbitration.

Why Health Care Litigation Matters

The health care system is constantly shifting, driven by regulatory change, insurer policies, and industry business models. These shifts can result in coverage denials, improper billing, or financial harm to patients and insureds.

Wolf Popper draws on experience in consumer protection, insurance litigation, PBM and drug pricing disputes, and class actions to hold health care industry participants accountable. In matters with market-wide impact or investor implications, the Firm’s securities litigation practice may also support related claims.

Our Approach

We analyze billing practices, coverage decisions, pricing structures, plan disclosures, and insurer-provider relationships to identify wrongdoing and develop a tailored litigation strategy. Our approach includes:

• Early evaluation to assess harm and determine best strategic pathways
• Review of plan terms, benefit design, cost-sharing, and reimbursement policies
• Collaboration with clinical, regulatory, and health care policy experts where needed
• Class action, ERISA, or individual litigation, depending on the scope of harm

Our objective is to obtain meaningful relief for affected individuals and help promote fair, transparent, and lawful practices across the health care marketplace.

Advisory Support for Health Care Concerns

In addition to litigation, Wolf Popper provides advisory guidance to individuals, benefit plan participants, and organizations assessing potential health care, insurance, billing, or PBM-related claims. We monitor emerging industry patterns and regulatory trends that may signal broader consumer impact.

Connect With Our Team

If you have concerns regarding health care violations, unfair insurance practices, improper billing, or coverage decisions, we welcome a conversation to assess the situation and determine the most strategic path forward.