Lisa Kantor, a Los Angeles lawyer and partner in Kantor & Kantor LLP, represents people denied health benefits for treatment of both physical and mental illnesses. Most recently, Ms. Kantor has focused her efforts litigating denials of medically necessary treatment for eating disorders. Kantor & Kantor is the only law firm in the country with a distinct eating disorder practice staffed with lawyers and other professionals experienced in the specific needs of people who have been denied benefits for residential care for eating disorder treatment.
Ms. Kantor sues health plans that refuse coverage or that agree to pay for treatment then deny benefits, forcing patients to be prematurely discharged. Ms. Kantor regularly wins benefit reinstatements through reviews at state healthcare regulatory agencies. She also appeals eating disorder denials to federal appellate courts. In 2007, she won the first published eating disorder decision in California in which the court applied the state’s mental health parity law to beneficiaries who sought treatment outside California. In 2012, she won the first federal court ruling that determined health plans must pay for all medically necessary treatment for mental illnesses, including residential treatment. She is currently challenging health plans use of inappropriate guidelines to deny the proper level of care, and she speaks to lawmakers about the need for stronger laws to facility effective treatment for people with severe eating disorders.
Keynotes, Seminars, Breakouts and Workshops
ERISA Law and the Affordable Care Act: This program helps employers navigate the changing health insurance landscape and insurer obligations regarding coverage and benefits.
Mental Health Parity: What Does It Really Mean? A seminar that demystifies federal and state mental health parity laws and details health plans’ responsibility to adhere to laws the supersede policy language.
Holding Insurance Companies Accountable:This seminar explains policy language and the law with tips and advice about how to use plan documents, relevant law and legal precedent to get benefits for treatment.
How to Document Evidenced-Based Treatment to Maximize Insurance Benefits: This seminar or breakout sessions explores how to document treatment to meet health plan guidelines and provides tips, forms and sample letters that prevent or minimize delays and denials.
On-the-Spot Problem Solving:This workshop invites health professionals to bring denial letters and examples of insurance abuse for hands-on legal advice to address the challenges of getting benefits for residential treatment and mental health care.
Partial List of Past Speaking:International Association of Eating Disorder Professionals (IAEDP); National Eating Disorders Association (NEDA); Binge Eating Disorders Association (BEDA); Association of Professionals Treating Eating Disorders (APTED); Center for Hope; Avalon Hills Family Week; Renfrew Center Foundation Conference; A New Journey; California Brain Injury Association (CBIA); Elisa Project Conference
Honors and Recognitions
- Super Lawyers “Top Women Attorneys in Southern California” 2012 and 2013
- Los Angeles Daily Journal “Top Women Lawyers” 2009 and 2012
- San Francisco Recorder “Lawyer of the Year” award 2012
- California Women Lawyers 2010-11 “Women of Distinction” award
- International Association of Eating Disorders Professionals Foundation 2012 “Special Recognition” award
- Member, Board of Directors, Eating Disorder Coalition for Research, Policy and Action
- Member, Board of Directors, International Association of Eating Disorders Professionals
- Member, Board of Directors, Mentorconnect
- Member, Board of Directors, Binge Eating Disorder Association
- Member, Association for Size Diversity and Health
Visit Attorney Lisa Kantor for more information.