Mr. Tucci has extensive experience in the representation of managed care organizations, pharmaceutical companies, and life, health, and disability insurers. Mr. Tucci’s experience includes defending class action claims arising out of drug formulary systems, Medicaid claims, physician networks, and market conduct claims. His practice also involves counseling and representing insurers, managed care organizations, and other corporate clients in connection with employee welfare and benefits matters. He has defended numerous claims against ERISA fiduciaries, plan administrators, and officers and directors seeking payment of health and related benefits.
Mr. Tucci’s experience in this area includes litigating health benefits claims involving medical necessity, custodial care, experimental treatment, and misrepresentation claims. Such claims frequently require the removal of state court actions to federal court and the disposal of state law claims of unfair trade and insurance practices. Mr. Tucci is also heavily involved in the area of the detection and prosecution of health care fraud and abuse claims. His background in this area includes matters relating to provider fraud and abuse, such as upcoding, unbundling of services, and overutilization.
Mr. Tucci also has experience in counseling and representing health industry clients in risk management, administrative law, and staff privileges matters. His experience includes acting as counsel for both hospitals and hearing committees in bylaw administrative proceedings involving staff privileges, peer review, and physician discipline issues. He has litigated the leading cases in Connecticut on matters involving restriction or termination of medical staff privileges, medical education, provider deselection, and ERISA preemption. He also has appeared before Connecticut’s Office of Health Care Access on certificate of need and other regulatory matters and before the Connecticut departments of Health and Social Services on regulatory enforcement issues and reimbursement matters.
Mr. Tucci has a B.A., cum laude, from Williams College and is a graduate of Case Western Reserve University Law School, where he was an editor of the Law Review. He is a member of the American Bar Association's (ABA) Health Law Section, the ABA’s Life Insurance Law Section, the Connecticut Bar Association's Disability Law Section, the American Health Lawyers Association, the Connecticut Health Lawyers Association, and the Defense Research Institute's Life, Health, and Disability Committee. He is also a Fellow of the Connecticut Bar Foundation. Mr. Tucci has been listed in Best Lawyers in the area of Health Care Law since 2006.
EDUCATION
| — | J.D., Case Western Reserve University School of Law, Law Review |
| — | B.A., cum laude, Williams College, history |
| — | The Association of Life Insurance Counsel |
| — | American Bar Association, Life and Disability Insurance and Health Law Committees |
| — | American Health Lawyers Association |
| — | Defense Research Institute, Life, Health, and Disability Committee (Connecticut liaison) |
| — | Connecticut Defense Lawyers Association |
| — | Connecticut Health Lawyers Association |