Life Care Planning Expert Witnesses: 12

Tyla A. DiMaria has a Master of Science in Nursing (MSN), with over 25 years of experience in Serious Injuries and Catastrophic Illness within various clinical settings, management, work comp, and home care. Ms. DiMaria is a Registered Nurse certified in Case Management as well as Life Care Planning. She has owned her own homecare company since 2008.

As Principal of Best Care Life Solutions, based in Carlsbad, California, Ms. DiMaria reviews medical records, performs past billing analysis, consults and collaborates with physicians and other health professionals to formulate future care needs and Life Care Plans for patients with catastrophic injuries and chronic illness.

Ms. DiMaria provides nationwide services to both plaintiffs and defense attorneys. Expert Witness Services include Independent Medical Evaluations, Depositions, and In-Court Testimonies.

Areas of Expertise:

Life Care Plans Life Care Plan Rebuttals

Standard of Care Reports Cost Comparisons

The Life Care Plan is crucial to individuals with injuries or chronic conditions requiring complex long-term healthcare intervention and management. It is an integrative plan for individuals with disabilities or chronic health conditions that includes items and services required, along with specific costs that addresses current and future needs. The Life Care Plan includes estimates for the current and future healthcare needs of individuals along with the associated costs.

Mr. John F. Schulte, is an accomplished Orthotic and Prosthetic practitioner with 40 plus years of experience consulting and treating Body and External powered upper and lower extremity prosthetics for all age groups.

Mr. Schulte has vast knowledge and experience in clinical practice prosthetic and orthotic component development, design, and manufacturing. A Clinician, Patient Care Consultant, and Senior Manager of 27 offices throughout 5 states, he is considered an expert in his field. Mr. Schulte continues to be asked to consult on Clinical ‘Best Practices’ by physicians, third party payors, peers, and patient users on the most appropriate component utilization and outcome measurements.

A published author, consultant, and Clinical Board Examiner, Mr. Schulte has treated and been involved with the treatment of persons of all ages with congenital birth defects, limb weakness and loss, and spinal cord injury.

Litigation Support - John Schulte's intimate knowledge in prosthetic and orthotic clinical practice and management, component prescription recommendation, and selection and utilization for all patient ages and levels of function make him an excellent expert witness resource. His services are available to attorneys representing plaintiff and defendant and include medical record review, second opinions, written reports, depositions, and trial testimony.

Areas of Expertise:

• Appropriate Prosthetic / Orthotic Component Selection Recommendation
• Utilization and Failures Due to Improper Manufacturing Processes
• Prescription Appropriateness
• Clinical Applications and Negligence Directly Related to Limb Weakness and Loss
• Spinal Cord Injury and Treatment
• Wrongful Death Investigation and Determination
• Limb Damage and Loss in Diabetics as Related to Footwear
• LifeCare Plan Consultation and Preparation as Related to Orthotics and Prosthetics

Education:

• New York University Medical School Orthotics and Prosthetics Certificate Program, Certification as Certified Prosthetist, 1973
• Northwestern University Medical School Orthotics and Prosthetics Certificate Program, Certification as Certified Orthotist, 1973

Ms. Roughan is a Rehabilitation Nurse Specialist who functions in the capacity of case manager, life care planner and expert witness. Her company, Roughan & Associates at LINC, is a nationally recognized Case Management and Medical/Legal Consulting service. It has been in existence since 1987, providing coordination of patient care; construction of Life Care Plans; and, consultative services to both the defense and plaintiff bar on simple and complex cases alike. Ms. Roughan has experience with diagnoses involving both children and adults and are knowledgeable in current treatment philosophies, identification of appropriate resources.

Diagnoses include, but are not limited to:

• Neurological Injuries (Brain and Spinal Cord Injury)
• Burns
• Orthopedic Injures
• Amputation
• Chronic Pain
• Post Traumatic Stress Disorder

Services Include:

• Expert Testimony
• Life Care Planning
• Mini/Preliminary Life Care Plan
• Video Services
• Medical Record Review
• RN Independent Medical Exam
• Medicare Set Aside Trust Analysis
• Medical Bill Auditing
• Questions: Deposition Cross Examining

Research & Planning Consultants, LP (RPC) has been assisting clients with expert services for over 45 years, including consulting and expert witness testimony for personal injury, healthcare litigation, commercial litigation and Certificate of Need matters. RPC also offers a wide selection of health data. They have served clients across the U.S, from Alaska to Florida and from New England to California. 

A Complete Team of Damages Experts for Personal Injury Litigation

Research & Planning Consultants, LP provides the following services: 

• PERSONAL INJURY - RPC provides comprehensive damages analysis in personal injury litigation. Their expert team has life care planners, vocational evaluators, board-certified physicians, economists and neuropsychologists. 

Areas of Expertise include: Life Care Plans, Loss of Earning Capacity or Support, Present Value of Damages, Medical Bill Analysis, Chargemaster Analysis, Neuropsychological Testing & Traumatic Brain Injury, Vocational Evaluations, IMEs, Section 18.001, Prestanding ED Chargemaster Analysis

• COMMERCIAL LITIGATION- RPC has provided expert analysis on commercial litigation concerning many industries: chemicals, refining, forestry, waste management, pipelines, water resources, oil and gas EDP, fisheries, agriculture, electrical generating plants, transmission lines, telecommunications, and real estate development. Our special expertise in the healthcare industry has proven valuable to business litigators unfamiliar with this complex industry.

Areas of Expertise: Breach of Contract / Commercial Economic Damages, Construction Disputes, Litigation over Non-Competitive Agreements, Environmental Torts and Toxic Torts, Commercial Disparagement, Wrongful Termination

• HEALTHCARE LITIGATION - RPC offers economic, statistical, data and clinical analysis in a wide range of healthcare litigation. They have experience with payment disputes, qui tam litigation, physician-hospital disputes, practice valuations and construction litigation. 

Areas of Expertise: Qui Tam Healthcare Litigation, Medical Staff Disputes, Professional Liability, Payment Disputes, Health Facility Construction Disputes, Freestanding ED Chargemester Analysis

• CERTIFICATE OF NEED - RPC provides Certificate of Need (CON) planning services nationwide. We have over 35 years of experience developing regulatory strategy, preparing applications and testifying in public and administrative hearings.

Areas of Expertise: Satellite Hospitals, New Hospitals, Relocation and Transfer of Beds, Observation Beds, Geriatric Psychiatric Units, Children’s Hospitals, Comprehensive Inpatient Rehabilitation Units, Neonatal Intensive Care Units, Open Heart Surgery Services, Long Term Acute Care Units, Projects that exceed CON Capital Threshold Limits, Projects for Specifically Listed Services, Programs Requiring CON, Hospices, Senior Living Facilities

Ronald T. Luke, JD, PhD, is a principal consultant and President of RPC, LP. Ron joined RPC in 1976 and became its president and principal owner in 1979. He has consulted on projects for health care providers, managed care plans and public agencies in more than 25 states. He also serves as an expert witness in trials, administrative proceedings and legislative hearings.

Active in the Health Policy Arena, Dr. Luke has been accepted as an expert in Economics, Socioeconomic Impact Analysis, and Policy Analysis by state and federal courts, and state administrative agencies. The types of cases in which he has provided expert testimony include personal injury, contractual disputes, health care payment disputes, construction defects, utility construction permitting, and certificate of need. He has testified on health care matters including market structure, billing fraud and abuse, reasonableness of charges, medical staff credentialing, workers’ compensation fee guidelines, utilization review, physician contracts, and managed care contracts.

Kacy L. Turner, MS, CRC, CVE, CLCP, is a Certified Life Care Planner and Vocational Consultant with RPC. She has over 20 years of experience in Rehabilitation. Ms. Turner has experience writing life care plans for both plaintiff and defense clients. She has experience as a rehabilitation consultant in three states and has been qualified as a testifying expert in state and federal court.  

Ms. Turner has worked on cases in several states as well as the country of Trinidad. To determine the pre-injury and post-injury employability in personal injury cases, she provides vocational testing, transferable skills analysis, job requirements analysis, rehabilitation plans, and definition of reasonable accommodations under the American with Disabilities Act. She is a member of the International Association of Rehabilitation Professionals, the Texas Association of Rehabilitation Professionals and Providers of Services, and Vocational Evaluation and Career Assessment Professionals.

Brian Piper, PhD,  is an Economist with RPC specializing in Quantitative Analysis and Modelling. He works on a variety of cases including personal injury and certificate of need. He is experienced in data extraction, management, simulation, and analysis using STATA, SQL, ARC GIS and a variety of other programs. Dr. Piper has taught graduate classes in statistics and econometrics in both MBA and Ph.D. programs.

Dr. Piper is an experienced expert, providing testimony, reports, and affidavits on the issues of economic damages in personal injury litigation, healthcare litigation, False Claims Act litigation, and other commercial litigation. He has testified on behalf of plaintiffs and defendants. 

Dr. Piper specializes in the economics of healthcare. He has been retained by healthcare providers and insurers in payment disputes. He has analyzed the reasonableness of charges and expected payment for past and future medical services for providers, insurers, plaintiffs, and defendants. Besides work in litigation, Dr. Piper has provided analysis of Certificate of Need applications and the economic impacts of proposed legislation.

MRK Medical Consultants provides Medical-Legal Evaluations to help legal and insurance professionals reach appropriate conclusions about their client's situations. MRK provides a wide array of medical experts that offer objective review and analysis of personal injuries. Each stage of the process—research to review, analysis to opinion—is addressed in a comprehensive manner in order to help legal and insurance professionals reach appropriate conclusions about their client’s situations. MRK's prestigious list of more than forty consultants are active clinicians and surgeons, who are all board-certified or eligible in one or more specialties. MRK provides physician experts to the entire State of California, the Reno/Lake Tahoe area, and Las Vegas, and we travel to many areas of the United States. Physical therapy, registered nurses, physician assistant, and billing review consultants are available services MRK provides. Our office physicians are available for telephone review of the merits of your case before you decide to proceed.  

Edward W. Younger, III, M.D., Medical Director of MRK Medical Consultants, specializes in Orthopedic Surgery. He has extensive experience in total joint replacement, as well as reconstructive surgery of the knee, hip, and shoulder. He was instrumental in bringing computer navigation technology to his hospital. He served on the orthopedic trauma staff at Mercy San Juan Medical Center in Carmichael, California, for more than fifteen years and was instrumental in bringing computer navigation technology to that institution. He is a member of Alpha Omega Alpha National Honor Society and is a Diplomate of the American Board of Orthopedic Surgery, a member of the American Medical Association, the American Academy of Orthopedic Surgeons, and the California Orthopedic Association.

Dr. Michael R. Klein, Jr., M.D., specializes in Orthopedic Surgery and is a founding member and the first Medical Director of Northern California Orthopedic Centers. He was involved with the development of the orthopedic section of the Level II Trauma Center at Mercy San Juan Medical Center. He served as a clinical professor at the University of California, Davis, Medical Center for more than thirty years. He has been a member of the North American Spine Society since 2009 and was awarded the David O. Selby Award in 2020 for his contributions. He is a fellow of the American College of Surgeons and American Academy of Orthopedic Surgeons, and a member of the American Medical Association and the California Medical Association. He retired from the USAF in 1998 after being on active duty during the Vietnam War, and he was activated for Operation Desert Storm in 1991. 

MRK's Areas of Expertise:

Orthopedics Neurosurgery / Neurology Anesthesiology / Pain Management Bariatric Surgery Cardiology Chiropractic Orthopedics Covid-19 Critical Care/ICU Chronic Pain  Dermatology Emergency Medicine Endocrinology Gastroenterology General Surgery / Trauma Geriatrics Family Practice IME Life Care Planning Medical Billing / Bill Auditing Medical Malpractice

Medical Record Review Metallurgical Engineering Neuropsychology Neuroradiology Obstetrics / Gynecology / OB/GYN Ophthalmology Optometry Orthopedic Implants Otolaryngology Physical Medicine and Rehabilitation Physical Therapy Plastic Surgery Podiatry Pulmonary Medicine Radiology Sports Medicine Thoracic Surgery  Traumatic Brain Injury Vascular Surgery Vocational Rehabilitation

Milliman’s Tampa Office provides a variety of Health Insurance, Health Care services, and Pharma consulting services to law firms, health plans, insurance companies, HMO’s, Blue Cross/Blue Shield plans, hospitals and other providers, employers and government agencies. Stuart Rachlin and other staff are experienced actuaries and related consultants.  

We provide support to our clients with all types of health related services including Medicare Advantage and Prescription Drug plans (MAPD), Part D plans (PDP), ACA plans, medical, dental, long-term care, Medicare supplement & critical illness.

We assist clients nationwide with forensic actuarial work, rate filings, regulatory compliance, reserve projections, valuations, employee benefit analysis and design, mergers and acquisitions, claim cost analysis, and fee schedule analysis.

These health care services are used in litigation relating to:

• Life care planning
• Contract development and fee schedule analysis
• Pricing & Underwriting
• Senior Services
• New benefit plan design

Jason C. Goodwin, MS, MPH, RN, CNOR, is a highly skilled and decorated Veteran Nurse Corps Lieutenant, honorably discharged in 2006. As a Registered Nurse, Operating Room Manager, Director, and Administrator, he has extensive experience with regulatory mandates, expertise in national clinical standards, and ensuring best practices in procedural safety culture.

As a procedural department administrator and clinician, Mr. Goodwin has personally supervised the safe care in and around various procedures and operating room venues for 17 years, totaling approximately 300,000 individual patient encounters. An expert with quality and safety compliance regulation, he has successfully prepared teams for Joint Commission, AAAHC, Medicare, Inspector General, and State audits.  Mr. Goodwin has experience managing as many as 20 managers, 4 Lean/Six Sigma process-improvement personnel, 500 total employees, and $1.8 Billion in annual gross revenue.

Clinical Experience Medical Surgical Nursing Shock / Trauma Intervention Procedural Services Preoperative, Intraoperative, and Postoperative Care Procedural Sedation Clinical Educator

Operational / Leadership Experience 2003 Iraqi War Veteran Multi-site Surgical Venues - UC Davis Medical Center, Kaiser Permanente Level 1 Trauma Academic Medical Center – UC Davis Medical Center Military – Naval Hospital Camp Pendleton, Operation Iraqi Freedom Fee for Service Ambulatory Surgery Services – ABSMC Surgery Center Clinic Management – Perioperative Medicine Clinic, Kaiser Permanente

Litigation Support - Mr. Goodwin provides expert witness services to attorneys representing plaintiff and defendant. He has been retained in approximately 30 cases. His services include medical record review, thorough reporting, depositions, and trial testimony as needed. 

Areas of Expertise:

Surgical Standard of Care Medical / Surgical Units Operating Room Injuries Sterile Processing Adverse Quality / Safety Events Pre & Postoperative Complications Pain Procedures / Procedural Sedation Positioning Injuries Wrong Site Surgeries

National Nursing Standards Regulatory Guidelines Nursing Administration Medical Devices Patient Falls Medication Errors Failure to Rescue Team Communication Emergency Preparedness

Dr. Christopher A. Lowery, DHSc, CLCP, is an international Clinical Health & Rehabilitation Consultant with a special interest in global health initiatives. He is board-certified as a life care planner practitioner specializing in health promotion and prevention through the use of holistic, evidence-based approaches using a biopsychosocial health consultation model for all patients/clients that suffer from associated disabilities and health impairments.

Since 2002, Dr. Lowery passion has been to educate, empower, and provide hope to individuals with catastrophic health impairments. He focuses on educating and counseling patients/clients on improving their quality of life, addressing social, cultural, and behavioral barriers across diverse populations impacted by poor healthcare conditions. 

He currently holds the following degrees: Bachelor of Science in rehabilitation studies from University of North Texas (07), Master of Arts in human and health administration services from University of Oklahoma (10), Post-Specialty Certificate in life care planning from Capital University Law School (12), Post-Master's Certificate in rehabilitation counseling from University of Arkansas at Little Rock (14), and Doctor of Health Science in global health from Nova Southeastern University (16).

Dr. Lowery holds a board certification in life care planning as a Certified Life Care Planner (CLCP) from the International Commission on Health Care Certification (ICHCC), which is accredited and recognized by the American National Standards Institute National Accreditation Board (ANAB). This prestigious certification attests to his qualifications and competence in healthcare delivery systems. ANAB’s accreditation ensures that the certification process meets rigorous international standards, confirming his aptitude and expertise for his role as a practitioner.

**If you have a case needing Dr. Lowery's expertise, please feel free to call his office for a free consultation.

Note: Please see below our website for more areas of expertise. 

Areas of Expertise:

Vocational Evaluations Employment Support/Job Placement Life Care Planning Personal Injury Medical Malpractice / Medical Negligence Counseling Independent Medical Examination Review

Family Law / Domestic Relations Worker’s Compensation Veteran’s Benefits Labor and Employment Discrimination Jones Act / Longshoreman Cases Matrimonial / Divorce Matters Health & Rehabilitation Education Expert Testimony on a variety of health-related topics

View Christopher Lowery's Consulting Profile.

Dr. Kelly S. Harvey, MS, PT, DPT, TPS, CLCP, CFCE, is a Medical Legal consultant with 27 years of clinical leadership experience and acute, rehabilitation, and concierge practice expertise. Dr. Harvey has been recognized for demonstrating a natural aptitude for Forensic Analysis and Catastrophic Case Management as well as for creating Medical Cost Projections and Life Care Plans.

Dr. Harvey founded Harvey Medical Legal Consulting in 2012 to offer her orthopedic trauma, spinal cord injury, and traumatic brain injury expertise. She maintains a private practice, as well as certifications as a Life Care Planner, Industrial Ergonomist, Functional Capacity Evaluator, Return to Work, Work Readiness, and Work Hardening Evaluator.  Dr. Harvey holds Therapeutic Pain Science Specialty certification that allows her to autonomously evaluate and treat Pain Management patients.

Litigation Support - Dr. Harvey serves the legal industry as a Forensic Analyst, Damages Expert, and Medical Consultant. She is an Industry Best Practice Advisor and Expert Witness in the fields of Physical Therapy, Rehabilitation, and Pain Management. Dr. Harvey offers services to attorneys representing plaintiff and defendant. She provides medical chart review, thorough reporting, depositions, arbitration, and trial testimony as needed. Dr. Harvey has been deposed and/or testified in a court of law over 48 times.

Areas of Expertise:

Life Care Plans Future Medical Cost Projections Catastrophic Care Manager Physical Therapy Orthopedic Injuries Traumatic Brain Injury Spinal Cord Injury Amputation Burns

Pain Management Evaluations Rehabilitation Case Management Defense Medical Exam Functional Capacity Evaluations Product Liability Personal Injury Medical Malpractice Home and Site Evaluation

Education / Training:

• Doctorate of Physical Therapy, International Spine and Pain Institute;
• Therapeutic Pain Specialist, International Spine and Pain Institute;
• Master of Physical Therapy, Columbia University College of Physicians and Surgeons; 
• BA in Psychology and Biology, University of California at Santa Barbara

Garson M. Caruso, MD, MPH, PA, is a board certified Occupational Physician in private consulting practice with extensive clinical and administrative experience in emergency and occupational medicine, including:

• Case Review, Analysis, and Management
• Impairment Determination and Disability Rating
• Medical Direction
• Industrial Illness and Injury Care
• Medical Review Officer functions

Dr. Caruso has performed occupational health services and consulting for organizations including Lockheed Martin, Bechtel Aberdeen, PepsiCo, Dean Foods, The New York Transit Authority, and multiple Johns Hopkins Medical Institutions. He has very broad and in-depth case management and file review experience involving complex disability and workers’ compensation claims. 

Dr. Caruso is a Fellow of the American College of Occupational and Environmental Medicine (ACOEM) and International Academy of Independent Medical Evaluators (IAIME); a Certified Independent Medical Examiner (CIME; 2009-2014); and a Certified Medical Review Officer. He has also held numerous leadership roles in ACOEM, and both published and presented at national, state, and local conferences in his areas of expertise. Dr. Caruso's primary professional interests are worker disability prevention and management, with a particular focus on the psychosocial aspects of occupational medicine and workers compensation, and prevention or minimization of unnecessary work disability. 

Litigation Support - Dr. Caruso's expertise is available to counsel representing both plaintiff and defendant. His services include Independent Medical Evaluations, written reports, depositions, and trial testimony as needed. Dr. Caruso is licensed to practice in Pennsylvania, Florida, Maryland, New York, Virginia, Louisiana, and North Carolina. 

Areas of Expertise:

Occupational Medicine Causation Analysis Disability Prevention and Evaluation Workers Compensation Impairment Evaluation and Rating

Fitness for Duty Return to Work Drug Testing Work Capacity Work Life Expectancy

View Dr. Caruso's Consulting Profile.

Vera Dolan is an epidemiologist with over 30 years of experience in the life and health insurance industries. She is one of the leading mortality experts in the life insurance industry. She writes underwriting manuals and policy and procedure manuals for life and health insurance companies.

Vera has testified in both state and federal court, and has been retained in over 200 cases since 2006 for plaintiffs and defense on an equal basis. She is very credible testifying in deposition and on the stand.

* Life expectancies that are personalized and accurate to the standards of the life insurance and life settlement industries. Addresses the cases when life expectancies that are simply taken from a life table or estimated by a doctor, actuary or biostatistician are too long, too short, insufficient or not credible. Addresses the cases when a complete insight into the individual's medical conditions and/or personal history of high-risk behaviors is needed to assist the judge or jury in their decision. This information often decides the case, see article for details.

* Expert in bad faith/wrongful denial of life/health insurance claims.

* Expert in life/health insurance underwriting material misrepresentation.

* Expert in medical risk assessment and underwriting issues.

* Expert in life insurance underwriting policies and procedures.

* Expert in epidemiology. Previous cases include infectious diseases, occupational and environmental exposures, pesticides and tobacco.

* Approved life expectancy expert with the U.S. Department of Justice.

* Active consultant to the life insurance industry conducting cohort mortality studies, and writing underwriting and policy and procedure manuals.

* Over 100 articles published on mortality research and underwriting.

* Friendly, clear, concise, objective and quantitative.

* There is no charge for the initial phone consultation.

* There is no charge for travel time.

We provide comprehensive services in healthcare damage valuation, including life care planning, rebuttals to life care plans, expert witness testimony related to standards of care, and medico-legal consulting. These services are delivered by an experienced Autonomous-Practice Advanced Practice Registered Nurse Practitioner and Certified Life Care Planner. Available to both Plaintiff & Defense firms.

Life Care Planning - Life Care Plan Rebuttals - Litigation Support - Expert Witness Services