Ursula Taylor leverages litigation, arbitration and dispute resolution processes to seek optimal business outcomes for health insurers and managed care organizations. Deeply invested in the people, not just the businesses, she owns her clients’ issues and opportunities as if they are her own.
Making experienced calls for Managed Care Organizations
As trusted counsel to major managed care organizations (MCOs) operating within the commercial, Medicare and Medicaid markets, Ursula effectively advocates in every forum – state and federal courts, and arbitrations. Ursula has experience evaluating high-risk litigation involving complex damages issues, the Racketeer Influenced and Corrupt Organizations Act (RICO), breach of fiduciary duty claims, equitable theories of recovery, Takings Clause claims, conspiracy claims and fraud allegations. She represents MCOs in payor-provider disputes, affirmative recoveries following False Claims Act liabilities, third-party subpoenas, opportunities and liability surrounding the opioid epidemic and avenues for redress associated with Affordable Care Act (ACA) reimbursements.
At the forefront of Affordable Care Act disputes
Ursula possesses an in-depth understanding of emerging issues under the ACA, including the premium stabilization mechanisms, the risk and impact for participating health insurers, the incentives and disincentives for litigation, and the shifting political landscape. She presently represents a health plan seeking over $100 million in receivables under the ACA and has presented the voice of industry leader the Blue Cross Blue Shield Association as amicus curiae in ACA litigation.
Seeing the scene behind the scenes
Ursula immerses herself in each client’s business and legal challenges, not simply the matters on which she provides counsel. She considers the positions, priorities and vulnerabilities of all stakeholders both before and throughout the dispute resolution process. And by evaluating the litigation that is not yet threatened or pursued, she ensures the path forward maximizes opportunity while avoiding unintended consequences. With keen judgment, she assesses points of leverage, focused on making timely decisions and always steering the strategy towards her clients’ objectives.
Representative Clients and Matters
Representing Humana Inc. and Humana Pharmacy Solutions in responding to subpoenas related to allegations of conspiracy and price fixing of EpiPen drug devices. (In re EpiPen Marketing, Sales Practices and Antitrust Litigation, MDL No. 2785 (Dist. Kan.))
Representing Premera Blue Cross in the prosecution of claims for over $117 million in risk corridors underpayments under the Affordable Care Act. (Premera Blue Cross et. al. v. USA, Civil Action 1:17-cv-01155-LKG (U.S. Dist. Ct., Fed. Cl. 2017))
Defended Illinois Medicaid plan against major hospital system for alleged underpayment of claims. (University of Chicago Medical Center v. Family Health Network, Inc., No. 17 L 011361 (Cir. Ct. Cook County))
Representing the Blue Cross Blue Shield Association as amicus curiae in a federal appeal implicating health insurers’ entitlement to over $12.3 billion in risk corridors payments under the Affordable Care Act. (Moda Health Plan v. USA, Civil Action 17-1994 (U.S. Ct. App., Fed. Cir. 2017))
Representing national health insurer in reimbursement dispute opposite laboratory as part of confidential AAA arbitration.
Represented national health insurance company in connection with the successful recovery of victim restitution amounts as part of a $125 million criminal and civil settlement between the federal government and a global pharmaceutical company that was alleged to have engaged in multiple fraudulent schemes involving the improper sales and promotion of various drugs, anti-kickback schemes and other fraud.
Prior to joining Strategic Health Law, Ursula was partner and chair of the healthcare litigation practice at Butler Rubin Saltarelli & Boyd LLP. She began her legal career as a litigation associate at Vedder Price LLP where she handled complex commercial disputes in areas ranging from construction and contracts to employment and bankruptcy.
In 2018, Ursula was named a Law360 “Rising Star,” the editors’ selection for the top attorneys under the age of 40. She was one of five healthcare lawyers to receive the honor. Ursula was also included as a “recommended” attorney in the 2018 edition of The Legal 500 United States in Insurance: Advice to Insurers. She was selected to the 2018 Illinois Super Lawyers “Rising Stars” list in Business Litigation.
Ursula is admitted to practice in Illinois and before the Federal District Court for the Northern District of Illinois, the United States Court of Appeals for the Federal Circuit, and the United States Court of Federal Claims.
Ursula is a member of the Chicago Bar Association and the American Bar Association, where she is a member of the Health Law Section. As a member of the American Health Lawyers Association, she participates in both the Payors Plans and Managed Care Practice Group as well as the Healthcare Liability and Litigation Practice Group. Ursula is also an Associate Board Member at the Insurance Industry Charitable Foundation, and a member of ARIAS-U.S.
Ursula received her J.D., cum laude, from Northwestern University School of Law in 2005. While in law school, she participated in the Bartlitt & Beck Trial Team and the Bluhm Legal Clinic and served as an extern for Presiding Magistrate Judge Morton Denlow of the Northern District of Illinois. She earned her B.A. (high distinction) in Political Science in 2002 from University of Michigan where she was a Track and Field Big Ten Champion.
Why UnitedHealthcare’s Litigation Against CMS Is Unique
Why Actuarial Equivalence Matters for Medicare Advantage
CMS Proposal of Reinsurance for Risk Adjustment May Do More Harm Than Good
Bloomberg BNA Health Insurance Report
ACA Risk Corridor Funding Falls Short, Litigation Ensues
Billions in ACA Disbursements Hinge on House of Representatives v. Burwell, Risk Corridors Litigation, and Further Congressional Activity
AHLA Practice Group Alert
Emerging Disputes Over Risk Sharing Under The ACA
Spreading the Risk under the Patient Protection and Affordable Care Act: The Three Rs and Lessons from Another Industry’s Reinsurance Mechanism
Health eSource, Col. 12, No. 2, American Bar Association, Health Law Section
Managing the Cost of Litigation
Top Ten Points for Successfully Defending a Discovery Deposition
Strategic Considerations for Motions to Dismiss: To File or Not to File?
What Controversy? – Calculating Amount in Controversy for Petitions to Confirm or Vacate Arbitration Awards
Litigation Solutions Under the Affordable Care Act
American Conference Institute’s Managed Care Disputes and Litigation Conference
Litigation Solutions in the Wake of Affordable Care Act Implementation, Evaluating Claims for Relief Under the Tucker Act and the Administrative Procedures Act
Blue Cross Blue Shield 2018 Annual Summit
Lessons and Tools for Successfully Navigating Medicare Risk Adjustment
AHLA’s Institute for Health Plan Counsel
Risk Adjustment: Why “Actuarial Equivalence” Matters for Medicare Advantage Organizations
AHLA’s Educational Call for the Managed Care Contracting, Medicare Advantage and Part D, and Health Plans Affinity Groups of the Payers, Plans, and Managed Care Practice Group
The Last Leg of the Stool – Risk Adjustment Opportunities and Pitfalls
AHLA’s Institute for Health Plan Counsel
Bridge-the-Gap: Basic Skills for Newly Admitted Illinois Attorneys
Practicing Law Institute