Bio

Robert Bohner represents managed care entities, including health care service plans and health care insurers, health maintenance organizations (HMOs), independent practice associations (IPAs), management service organizations (MSOs), medical provider networks, physician practice management (PPM) companies, and integrated business networks, in complex business litigation. He regularly implements cost-effective strategies aligned with his clients' goals and objectives. Robert is particularly experienced in handling matters—in state and federal courts throughout California—involving managed care, ERISA, FEHBA, hospital-physician risk pools, fair procedure issues in hiring and terminating medical providers, utilization review, reimbursement, bad faith, physician billing practices, and claims brought against medical groups and HMO plans for alleged negligent medical care, general risk management issues, unfair business practices suits, Medicare, Medicaid, Medi-Cal and compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). He has substantial experience representing health plans and insurers in payor/provider disputes in California and around the country involving out-of-network providers seeking to recover their customary emergency and non-emergency services under HMO, PPO, and POS plans. He regularly defends claims arising under statutes, regulations, and complicated case law. Robert has authored a chapter on common managed care disputes in Managed Care Litigation published by the ABA Health Law Section, Bloomberg Law in 2015 through 2020. Robert also represents clients in complex business litigation involving bankruptcy matters, bad faith insurance, insurance coverage issues, breach of contract, breach of fiduciary duty, shareholder disputes, fraud, unfair competition, trade secret misappropriation, and labor issues concerning wrongful termination of employment.