Caitlyn Fleming consults on economic issues arising in the healthcare industry, antitrust matters, and merger litigation. In healthcare matters, Dr. Fleming specializes in analyzing payments to insurers and assessing disputes between payers and providers. Her antitrust experience includes analysis of class certification issues, market definition, market power, and competitive effects in healthcare and other industries.
Healthcare
In healthcare matters, Dr. Fleming has evaluated payer-provider disputes and reimbursement models. She also consults on issues related to various health insurance plans, including Medicare Fee-for-Service, Medicare Advantage, commercial insurance, and Affordable Care Act (ACA) exchanges.
Her representative experience includes:
- Analyzing the fair market value of providers’ services in relation to out-of-network services
- Assessing economic issues related to risk-adjustment payments
- Consulting on cases involving alleged False Claims Act violations
Antitrust and merger litigation
Dr. Fleming evaluates the economic impact of mergers and alleged anticompetitive conduct, such as price fixing, market allocation, and exclusive dealing.
Her representative experience includes:
- Analyzing competitive effects for an airline merger in United States of America et al. v. JetBlue Airways Corporation and Spirit Airlines Inc
- Leading teams to analyze healthcare claims data and assist with discovery on behalf of providers and insurers involved in antitrust and merger litigation
- Analyzing issues related to common impact for direct purchaser class certification
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