Case review
Focused review of medical records, managed care decisions, and the clinical issues central to the matter.
Managed Care & Health Plan Expert Witness
Managed Care Expert Witness for complex health-plan disputes.
Mason MD Advisors provides independent physician executive expertise for counsel navigating managed care, health plan, utilization management, and medical necessity questions—grounded in nearly three decades of clinical and national health-plan leadership.
Support across the life of a matter.
A disciplined, clinically grounded approach to the questions, records, and opinions that shape healthcare litigation.
Medical opinions
Clear, well-supported opinions that translate complex clinical and managed care considerations for counsel and the record.
Deposition support
Measured preparation and testimony support designed to communicate clinical reasoning with precision.
Trial testimony
Independent expert testimony that helps fact-finders understand the relevant clinical context.
Areas of expert testimony
Managed care issues stated with the specificity counsel needs.
As a Managed Care Expert Witness and Health Plan Expert Witness, Dr. Mason addresses the clinical, operational, regulatory, and governance questions that arise in complex health-plan disputes, including Medicaid Expert Witness, Medicare Advantage Expert Witness, Utilization Management Expert Witness, and Medical Necessity Expert Witness matters.
Utilization management and coverage
Utilization management, medical necessity, prior authorization, health-plan medical policy, claims review, and clinical decision processes.
Public and commercial health plans
Medicaid managed care, Medicare Advantage, Marketplace and ACA plans, and ERISA managed-care disputes.
Quality, networks, and governance
Quality of care, quality management, provider networks and access, clinical governance, credentialing, peer review, and health-plan operations.
Regulatory and compliance matters
Managed care regulatory compliance, audit and recovery matters, payment integrity, and healthcare disputes involving fraud, waste, abuse, and False Claims Act issues.
Prepared for the practical demands of expert retention.
Retained by counsel
Available to work with plaintiff or defense counsel, subject to conflict review and the needs of the engagement.
Testimony and case history
Prior testimony and case history are available upon request for Rule 26 and FRE 702 evaluation.
Engagement terms
A rate schedule and engagement terms are provided upon engagement.
How we work
Independent analysis. Practical communication.
Each engagement begins with a careful understanding of the matter, the relevant records, and the questions counsel needs answered. The work remains focused, responsive, and grounded in clinical judgment.
Confidential inquiry
Discuss the clinical questions at the center of your matter.
For expert witness inquiries, please provide the parties, jurisdiction, matter type, and anticipated deadlines.