Lindsey Fetzer serves as chair of the firm’s multi-disciplinary Managed Care practice, representing value-based care entities in government enforcement, operational, and compliance matters. She represents health plans, provider organizations, pharmacies, and vendors in government enforcement, litigation, and compliance matters. Lindsey is known for her ability to translate complex regulatory frameworks into tailored strategies that work in practice—grounded in a clear understanding of each client’s operations, care models, and payment structures. Her advocacy and defense in False Claims Act (FCA) matters is informed by a pragmatic, risk-based approach that balances legal exposure with operational realities. Lindsey has led dozens of high stakes matters involving Medicare Advantage risk adjustment, alleged kickback schemes, sales and marketing practices, and quality reporting metrics. Her work frequently addresses emerging issues and risk related to use of data analytics and artificial intelligence (AI), most recently in connection with prior authorization, utilization management, and clinical decision support tools.
Lindsey also represents clients in connection with government and internal investigations and litigation involving alleged violations of the FCA, Anti-Kickback Statute (AKS), Foreign Corrupt Practice Act (FCPA), and other criminal and civil regulations. She has represented clients in domestic and foreign matters involving the U.S. Department of Justice (DOJ), U.S. Securities and Exchange Commission (SEC), and other primary enforcement agencies.
