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S. Craig Holden

Shareholder
Baltimore
T: 410.862.1122
F: 443.263.7522

S. Craig Holden is a shareholder in Baker Donelson's Baltimore office.

Professional Biography

Overview

Over the course of his distinguished career, Mr. Holden has represented clients in all areas of the health care industry, with particular emphasis on advising clients on Medicare and Medicaid fraud and abuse issues, pharmaceutical pricing issues, Medicare and other third-party reimbursement issues and general compliance matters. He has also represented numerous health care industry clients in government fraud and abuse investigations.

Mr. Holden is a former trial attorney with the Inspector General Division, Office of the General Counsel, Department of Health and Human Services (HHS). At HHS, he was responsible for litigating actions imposing civil money penalties and assessments, as well as suspensions from Medicare and Medicaid participation, based on violations of the Medicare and Medicaid fraud and abuse statutes. He has been extensively involved in issues arising under the anti-kickback provisions of the Social Security Act and in the drafting and passage of the Medicare and Medicaid Patient and Program Protection Action of 1987.

A frequent lecturer and author on Medicare and Medicaid fraud, abuse and reimbursement issues, Mr. Holden is also a member of the Board of Directors of the American Health Lawyers Association.

Professional Honors & Activities

Professional Memberships

  • Member – American Bar Association
    • Forum on Health Law
  • Member – American Health Lawyers Association
    • President-Elect Designate
    • Board of Directors (2011 – 2017)
    • Chair, Fraud and Compliance Forum (2004 – 2010)
    • Mentoring Program
    • Public Interest Contributor
  • Member – District of Columbia Bar Association
    • Section on Health Law

Honoraries

  • Listed in The Best Lawyers in America®, Health Care Law Category (2007 – 2019), named Baltimore Health Care "Lawyer of the Year" (2016, 2019)
  • Listed in Maryland Super Lawyers, Health Care (2007 – 2018)
  • Listed in Chambers USA, America's Leading Business Lawyers – Healthcare (Maryland) and Healthcare (Nationwide), (2011 – 2018)
  • Listed in The Legal 500 (2012, 2013 and 2015)
  • Named a "Life Science Star," LMG Life Sciences (2012 – 2015)
  •  Listed in Expert Guides to the Leading Lawyers – Best of the Best USA, Healthcare Category (2007, 2011 and 2013 – 2014)
  • Selected by Nightingale's Healthcare News as one of its "Outstanding Fraud & Compliance Lawyers"  (2005)
  • AV® Preeminent™ Peer Review Rated by Martindale-Hubbell
Professional Background
  • Former trial attorney, Inspector General Division, Office of the General Counsel, Department of Health and Human Services
Publications
Speaking Engagements
  • "The Time is Now - Medicare Advantage/Medicaid Managed Care Comes to the Forefront of Enforcement," AHLA Fraud & Compliance Forum, Baltimore, Maryland (September 2018)
  • "National Institute on Health Care Fraud" (May 2018)
  • Moderator – "Anatomy of False Claims Act Case," HCCA'S 3rd Annual Healthcare Enforcement Compliance Institute, Washington, D.C. (October 2017)
  • Co-presenter – "The Time Is Now–Medicare Advantage/Medicaid Managed Care Comes to the Forefront of Enforcement," AHLA Fraud and Compliance Forum, Baltimore, Maryland (October 2017)
  • "Advanced Stark Issues," Institute on Medicare and Medicaid Payment Issues (March 2017)
  • "New Compliance Red Flags Workshop," G2 Intelligence Workshop (May 2014)

Education

  • George Washington University Law School, J.D., 1980, with high honors
    • Order of the Coif
  • Catholic University of America, B.A., 1976, magna cum laude

Admissions

  • District of Columbia
  • Maryland
  • Court of Appeals of Maryland
  • Court of Appeals of the District of Columbia
  • U.S. District Court for the District of Columbia
  • U.S. District Court for the District of Maryland

[Craig] is my go-to regulatory lawyer. He's terrific with clients in terms of providing a clear, definitive answer and a clear path of action.

Craig Holden is widely regarded as a 'phenomenally strong regulatory lawyer. He's very pragmatic and knows the area very well,' according to clients.

Craig is just wonderful; I think the world of him. He is really sharp and has a lot of inside knowledge regarding the government.

I have worked with Craig for 24 years. He is an invaluable partner to us. He knows our business and the law around it extremely well. For the hard decisions, he is the one that I call every time.

Senior Vice President, Legal and Compliance, and General Counsel, one of the largest medical laboratories in the U.S.

He is extremely hands-on and very practical. Rarely do we ask for written opinions just because we trust him so much. We are on the hook ultimately and we trust him relentlessly. He is an incredible partner and extension of us.

Senior Vice President, Legal and Compliance, and General Counsel, one of the largest medical laboratories in the U.S.

He aligns with our values and understands how we operate and our business as well as we do. There are very good firms that can deliver results, but we have let great firms go that do not align with our values.

Senior Vice President, Legal and Compliance, and General Counsel, one of the largest medical laboratories in the U.S.

Craig is very, very good. I have known Craig since I have been at the company. And I have been in this position for ten years. I speak to him at least once a week in this role. He is an absolute trusted advisor and a leader in his field.

Senior Corporate Counsel, one of the largest medical laboratories in the U.S.

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