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S. Craig Holden

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Craig Holden focuses his practice on health law with particular emphasis on matters involving Medicare and Medicaid fraud and abuse, pharmaceutical pricing, Medicare and third-party reimbursement, and compliance.

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2021 Health Care Outlook February 16, 2021

Professional Biography


Mr. Holden represents clients in all areas of the health care industry, advising clients on Medicare and Medicaid fraud and abuse issues, pharmaceutical pricing issues, Medicare and other third-party reimbursement issues and general compliance matters. 

Over the course of his career, Mr. Holden has represented numerous health care providers in high-profile resolutions of False Claims Act investigations involving allegations of billing fraud, as well as Stark and Anti-kickback violations. He has also resolved numerous Stark and Anti-kickback issues through the CMS and OIG self-disclosure protocols. He has also served as the OIG-approved Independent Review Organization under several Corporate Integrity Agreements.

Prior to joining the Firm, Mr. Holden served as a 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. In that role, he was 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.

Mr. Holden is the current President and member of the Board of Directors of the American Health Law Association. He also serves on Baker Donelson's Board of Directors. Mr. Holden is a frequent lecturer and author on Medicare and Medicaid fraud, abuse and reimbursement issues.

Professional Memberships

  • Member – American Bar Association
    • Forum on Health Law
  • Member – American Health Law Association
    • President (2020 – 2021)
    • President-Elect (2019 – 2020)
    • Board of Directors (2011 – 2021)
    • 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 – 2022), 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), (2011 – 2021) and Healthcare (Nationwide), (2011 – 2020)
  • Listed in Who's Who Legal in Healthcare (2020)
  • Named a "BTI Client Service All-Star" (2019)
  • 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
  • Former trial attorney, Inspector General Division, Office of the General Counsel, Department of Health and Human Services
  • "AHLA 2019 Annual Meeting in Boston" (June 2019)
  • "The Time is Now - Medicare Advantage/Medicaid Managed Care Comes to the Forefront of Enforcement," AHLA Fraud & Compliance Forum, Baltimore, Maryland (September 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)

[Craig Holden] has an incredibly wide knowledge of the law but approaches it in a very practical and connected way.


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.

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.

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.

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