Scott Simmer

Scott Simmer

Washington, DC recognized lawyers icon Recognized in Best Lawyers since 2024
Baron & Budd PC

15 Best Lawyers awards

Baron & Budd PC logo

Awarded Practice Areas

Qui Tam Law

Biography

Scott Simmer founded the Simmer Law Group in Washington D.C., in 2014, but he’s been practicing law for decades and is a seasoned expert at rooting out deceit and fraud in hidden corners of government programs, education, and healthcare industries. Joining with Baron & Budd in 2018 to form our Washington D.C. office, Mr. Simmer continues to represent whistleblowers bringing qui tam cases of fraud under federal and state False Claims Acts as well as IRS, Securities and Exchange Commission (SEC) and Foreign Corrupt Practices Act (FCPA) whistleblowers. Mr. Simmer also continues to represent private health insurance plans in large-scale recovery actions under the Racketeer Influenced and Corrupt Organizations (RICO) Act, federal anti-trust laws and state consumer fraud/deceptive trade practices statutes.

For more than thirty years, Scott Simmer has led the investigation and prosecution of numerous precedent-setting fraud and abuse cases on behalf of whistleblowers and private insurance payors. He has written and spoken widely on legal issues related to the federal False Claims Act (FCA), the Anti-Kickback statute, Employee Retirement Income Security Act (ERISA) and Consolidated Omnibus Budget Reconciliation Act (COBRA); as well as on healthcare fraud and abuse, antitrust violations and issues related to Pharmacy Benefit Managing (PBM) contracting.

The son of a Methodist minister, Mr. Simmer grew up in Nebraska with a strong sense of social justice and respect for the underdog. He was teaching English in college academia when the desire to attend law school struck him. After considering a legal career in publishing, Mr. Simmer found his legal calling while managing health care fraud investigations as head of litigation for a major health insurer. When he learned that the federal government was investigating for-profit healthcare companies for submitting fraudulent Medicare and Medicaid claims, Mr. Simmer convinced his insurance colleagues that similar fraud was adding burdensome costs to private health plans. He subsequently designed legal approaches to combat such healthcare fraud, including building a consortium of health insurers to investigate and pursue recovery actions.

Mr. Simmer eventually left the insurance business to take on the representation of qui tam whistleblowers bringing claims on behalf of the government. At the same time, he began representing groups of health plans in large-scale recovery litigation. His zeal for doing what’s right drives every case he takes on behalf of whistleblowers and every recovery action he undertakes for health insurers. “Scott Simmer is an outstanding attorney and I am pleased to welcome him to Baron & Budd,” said President and Managing Shareholder, Russell Budd. “Scott and his team bring a strong record of success pursuing complex litigation which closely aligns with the breadth and scope of Baron & Budd’s existing practice areas.”

Scott Simmer serves as a trustee for his undergraduate alma mater, Cornell College, in Mount Vernon, Iowa. Whenever he returns to Cornell for meetings in the fall, he makes sure to attend Iowa Hawkeye football games with his sons, Reid and Ryan, their wives, and his granddaughter, Claudia. Scott and his wife, Peg, frequently plan family vacations to include a round of golf, a game of tennis or a Boston Red Sox game, another passion Scott shares with both his brothers and his sons.

Baron & Budd PC

15 Best Lawyers awards

Baron & Budd PC logo

Overview

  • The University of Iowa, J.D., graduated 1985
  • University of Arkansas, M.F.A., graduated 1979
  • Cornell College, B.A., graduated 1973

  • Iowa, The Iowa State Bar Association
  • District of Columbia, The District of Columbia Bar

  • American Bar Association - Member
  • District of Columbia Bar Association - Member
  • Taxpayers Against Fraud - Member
  • Life Management Institute - LOMA Fellow
  • Health Insurance Association of America (HIAA) - Managed Care Associate
  • American Association for Justice - Member
  • Iowa Bar Association - Member (inactive)
  • Polk County (Iowa) Bar Association - Member (inactive)

  • United States Supreme Court
  • United States Courts of Appeals for First, Second, Third, Seventh, Eighth, Ninth and Eleventh Circuits
  • United States District Courts for the Central, Northern and Southern Districts of California
  • United States District Court for the District of Columbia
  • United States District Court for the District of Delaware
  • United States District Courts for the Middle and Southern Districts of Florida
  • United States District Court for the Northern District of Illinois
  • United States District Court for the Northern District of Iowa
  • United States District Court for the District of Maryland
  • United States District Court for the District of Massachusetts
  • United States District Court for the District of Minnesota
  • United States District Court for the District of New Jersey
  • United States District Court for the District of New Mexico
  • United States District Courts for the Southern and Western Districts of New York
  • United States District Courts for the Northern and Southern Districts of Ohio
  • United States District Court for the Eastern District of Pennsylvania
  • United States District Court for the District of Rhode Island
  • United States District Courts for the Eastern and Middle Districts of Tennessee
  • United States District Courts for the Eastern, Northern and Western Districts of Texas
  • United States District Courts for the Eastern and Western Districts of Virginia
  • State courts in California, District of Columbia, Illinois, Iowa, Louisiana, Minnesota, New Jersey, New York and Texas
  • Iowa, The Iowa State Bar Association
  • District of Columbia, The District of Columbia Bar
  • American Bar Association - Member
  • District of Columbia Bar Association - Member
  • Taxpayers Against Fraud - Member
  • Life Management Institute - LOMA Fellow
  • Health Insurance Association of America (HIAA) - Managed Care Associate
  • American Association for Justice - Member
  • Iowa Bar Association - Member (inactive)
  • Polk County (Iowa) Bar Association - Member (inactive)
  • The University of Iowa, J.D., graduated 1985
  • University of Arkansas, M.F.A., graduated 1979
  • Cornell College, B.A., graduated 1973
  • United States Supreme Court
  • United States Courts of Appeals for First, Second, Third, Seventh, Eighth, Ninth and Eleventh Circuits
  • United States District Courts for the Central, Northern and Southern Districts of California
  • United States District Court for the District of Columbia
  • United States District Court for the District of Delaware
  • United States District Courts for the Middle and Southern Districts of Florida
  • United States District Court for the Northern District of Illinois
  • United States District Court for the Northern District of Iowa
  • United States District Court for the District of Maryland
  • United States District Court for the District of Massachusetts
  • United States District Court for the District of Minnesota
  • United States District Court for the District of New Jersey
  • United States District Court for the District of New Mexico
  • United States District Courts for the Southern and Western Districts of New York
  • United States District Courts for the Northern and Southern Districts of Ohio
  • United States District Court for the Eastern District of Pennsylvania
  • United States District Court for the District of Rhode Island
  • United States District Courts for the Eastern and Middle Districts of Tennessee
  • United States District Courts for the Eastern, Northern and Western Districts of Texas
  • United States District Courts for the Eastern and Western Districts of Virginia
  • State courts in California, District of Columbia, Illinois, Iowa, Louisiana, Minnesota, New Jersey, New York and Texas

Client Testimonials

Awards & Focus

Recognized in The Best Lawyers in America® 2026 for work in:
  • Qui Tam Law
Awards:
  • The Best Lawyers in America – Qui Tam Law (2024-present)

  • Lawdragon 500 Leading Plaintiff Financial Lawyers (2024-present)

  • Top 100 Civil Plaintiff Lawyers, National Trial Lawyers (2023-present)

Additional Information

  • Presentations
  • “FCA Relator Anonymity,” Taxpayers Against Fraud Education Fund Conference, Washington, DC.
  • “UCR Litigation: Review and Analysis,” Blue Cross Blue Shield Lawyers’ Conference, Glendale, Arizona
  • “PBM Litigation,” Pharmacy Benefit Information and Knowledge Exchange, Chicago, Illinois
  • “Declination: Not the End of the Road,” Taxpayers Against Fraud Education Fund Conference, Washington, D.C
  • “Antitrust Issues in Pharmaceutical Reverse Payment Settlements,” American Health Lawyers Association (“AHLA”), Washington, DC.
  • “Sleight of Hand? What Isn’t Said in Your PBM Contract May Be More Important Than What Is Said,” Blue Cross and Blue Shield Association Annual Lawyers Conference, Denver, Colorado
  • “Avoiding Pitfalls with Pharmaceutical Deals: A Legal and Business Perspective
  • American Association of Health Plans, AHLI, San Francisco, California
  • “Fraud and Abuse Exposure in the Pharmaceutical Industry,” Healthcare Compliance Association (“HCCA”) Conference, Washington, DC.
  • “Just What the Doctor Ordered: Compliance Guidance to Avoid Pitfalls with Prescription Drugs,” HCCA Conference, Washington, DC
  • “Fraud in Managed Care,” National Health Care Anti-Fraud Association Meeting (“NHCAA”), Washington, DC.
  • “Working with the Federal Government in Fraud Investigations,” NHCAA Lawyers Meeting, Washington, DC.
  • “COBRA: Taking the Sting Out of the Bite,” Defense Research Institute (“DRI”), ERISA and Employee Benefits, Chicago, Illinois
  • Publications
  • “First Amendment Interests in Trade Secrets, Private Materials, and Confidential Information: The Use of Protective Orders in Defamation Litigation,” 69 Iowa L. Rev. 1011 (May 1984)
  • “Legal Implications of the FCC Deregulation of Electronic Publishing,” 70 Iowa L. Rev. 709 (March 1985)
  • “Just What the Doctor Ordered: Avoiding Kickback Pitfalls with Prescription Drugs,” Managed Care Interface
  • “Beware of Pharmaceutical Companies Bearing Gifts: There is No Such Thing as a Free Lunch,” Blue Cross and Blue Shield Association Blue Plan Legal Department Cooperative National Teleconference Series
  • “Prescription for Reform: Tidal Wave of Change Hitting Prescription Drug Benefit,” American Association of Health Plans Managed Care Conference, San Francisco, reprinted in the July Blue Cross Blue Shield Association Legal Affairs Bulletin
  • “Toward a Code of Conduct on Pharmaceutical Issues,” Blue Cross Blue Shield Association Legal Affairs Bulletin

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