Unanimous jury defense verdict
Obtained a unanimous defense verdict for a major California health plan against an out-of-network neurosurgery practice, establishing that the provider was properly paid.
Representative experience
Litigation experience across courtrooms, arbitration, dispositive motions, and negotiated resolution.
Michael Zorkin’s experience spans business disputes, cross-border matters, contract and fraud claims, anti-SLAPP litigation, shareholder and partnership conflicts, managed care, provider reimbursement, member claims, trial, arbitration, and mediation.
Trials and arbitration
Selected adjudicated results.
Client and opposing-party names are omitted. Descriptions are intentionally concise and do not disclose confidential information.
Hospital-system arbitration defense judgment
Obtained a defense judgment in arbitration for a major California health plan against a major hospital chain alleging underpayment for medical services.
Los Angeles hospital arbitration defense judgment
Obtained a defense judgment in arbitration for a major California health plan against a Los Angeles hospital alleging underpayment for medical services.
Dispositive motions
Selected summary judgment, adjudication, and pleading results.
The firm evaluates dispositive issues early, including pleading sufficiency, contract interpretation, preemption, fraud, causation, standing, and statutory theories.
$40 million contract and fraud claims
Obtained summary judgment for a major California health plan against an out-of-network pharmacy seeking $40 million in alleged underpayments.
Orthopedic-surgeon claims
Obtained summary judgment on implied-contract and statutory claims for a major California health plan against an out-of-network orthopedic surgeon.
Third-party network contract
Obtained summary adjudication of a breach-of-contract claim alleging an obligation to pay based on a third-party network agreement.
Federal preemption
Obtained an order sustaining a demurrer without leave to amend against an air ambulance asserting underpayment claims.
Member and malpractice theories
Obtained orders sustaining demurrers without leave to amend in cases alleging improper payment of medical claims and attempted health-plan liability for medical malpractice.
Cross-border voidable-transfer action
Obtained an order sustaining a demurrer in a voidable-transfer action brought by Russian banks against U.S. citizens.
Resolution
Favorable dismissals and negotiated outcomes.
The firm has negotiated dismissals with prejudice, cost waivers, and favorable settlements in matters involving hospital systems, ambulatory surgical centers, emergency services, member claims, and healthcare payment disputes.
The appropriate outcome is not always a trial. Resolution strategy should reflect the client’s legal position, economics, operations, risk tolerance, and need for finality.
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