Samuel Ruddy
Areas of Focus
Overview
Samuel H. Ruddy litigates a wide range of complex health care disputes. As a member of Crowell & Moring’s Health Care group and cross-sectional Administrative Law and Regulatory practice, Sam represents managed care organizations, health insurers, and health care providers in litigation in federal, state, and arbitral forums. He also counsels managed care organizations and health insurers regarding mental health parity and provider reimbursement issues, and he advises health care providers on price transparency practices.
Career & Education
- The White House
Associate, Office of Presidential Personnel, 2015 — 2016 - Department of Commerce
Special Assistant, Enforcement & Compliance, International Trade Administration, 2016 — 2017
- The White House
- University of Pennsylvania, B.A., magna cum laude, 2015
- Georgetown University Law Center, J.D., magna cum laude, 2020
- Maryland
- District of Columbia
- U.S. Court of Appeals for the Tenth Circuit
Sam's Insights
Client Alert | 7 min read | 08.02.23
New Proposed MHPAEA Rule Builds on NQTL Comparative Analysis Standards
On July 25, 2023, the U.S. Departments of Labor, Treasury, and Health and Human Services (the “Tri-Agencies”) released long awaited proposed regulations (the “Proposed Rule”) and a Technical Release, which together propose new requirements for comparative analyses of nonquantitative treatment limitations (“NQTL”) under the Mental Health Parity and Addiction Equity Act of 2008 (“MHPAEA”). On the same day, the Tri-Agencies released their annual report to Congress on implementation of MHPAEA, as required under the Consolidated Appropriations Act, 2021 (“CAA 2021”).
Client Alert | 4 min read | 12.13.22
Insurers’ COVID-19 Notepad: What You Need to Know Now - Week of December 12, 2022
Client Alert | 3 min read | 12.06.22
Insurers’ COVID-19 Notepad: What You Need to Know Now - Week of December 5, 2022
Representative Matters
- Representing health plans in litigation against out-of-network providers regarding billing practices and reimbursement rates.
- Defending ERISA plan administrators in appeals to the U.S. Court of Appeals for the Tenth Circuit regarding mental health benefits.
- Defending managed care organizations against ERISA breach of fiduciary duty claims alleging health benefit claims overpayments.
- Representing a nursing home in an administrative appeal challenging a state Inspector General audit adjustment to the home’s per diem Medicaid rate.
- Advising health plans on compliance with mental health parity laws and regulations.
- Counseling managed care organizations and a national health care provider on compliance with federal No Surprises Act regulations.
Sam's Insights
Client Alert | 7 min read | 08.02.23
New Proposed MHPAEA Rule Builds on NQTL Comparative Analysis Standards
On July 25, 2023, the U.S. Departments of Labor, Treasury, and Health and Human Services (the “Tri-Agencies”) released long awaited proposed regulations (the “Proposed Rule”) and a Technical Release, which together propose new requirements for comparative analyses of nonquantitative treatment limitations (“NQTL”) under the Mental Health Parity and Addiction Equity Act of 2008 (“MHPAEA”). On the same day, the Tri-Agencies released their annual report to Congress on implementation of MHPAEA, as required under the Consolidated Appropriations Act, 2021 (“CAA 2021”).
Client Alert | 4 min read | 12.13.22
Insurers’ COVID-19 Notepad: What You Need to Know Now - Week of December 12, 2022
Client Alert | 3 min read | 12.06.22
Insurers’ COVID-19 Notepad: What You Need to Know Now - Week of December 5, 2022
Insights
Sam's Insights
Client Alert | 7 min read | 08.02.23
New Proposed MHPAEA Rule Builds on NQTL Comparative Analysis Standards
On July 25, 2023, the U.S. Departments of Labor, Treasury, and Health and Human Services (the “Tri-Agencies”) released long awaited proposed regulations (the “Proposed Rule”) and a Technical Release, which together propose new requirements for comparative analyses of nonquantitative treatment limitations (“NQTL”) under the Mental Health Parity and Addiction Equity Act of 2008 (“MHPAEA”). On the same day, the Tri-Agencies released their annual report to Congress on implementation of MHPAEA, as required under the Consolidated Appropriations Act, 2021 (“CAA 2021”).
Client Alert | 4 min read | 12.13.22
Insurers’ COVID-19 Notepad: What You Need to Know Now - Week of December 12, 2022
Client Alert | 3 min read | 12.06.22
Insurers’ COVID-19 Notepad: What You Need to Know Now - Week of December 5, 2022
