André Hines

André Hines is a healthcare claims and reimbursement professional with extensive experience in claims research and analysis, provider contract interpretation, litigation support, fraud detection, and regulatory compliance. He has led analytical teams, supported complex provider disputes, and helped resolve high-stakes legal and financial matters involving Medicaid, Medicare, and commercial claims.

André has deep experience analyzing healthcare reimbursement issues, interpreting provider contracts, evaluating claims payment activity, and supporting settlement strategies across multiple lines of business. His work includes resolving claim, reimbursement, contract, and system issues for major network providers, identifying high-impact issues that drive significant savings, and partnering with counsel and internal stakeholders on provider litigation ranging from individual disputes to multi-million-dollar institutional claims.

André also has significant experience in fraud detection and data analysis. He has analyzed Medicare claims data to identify fraud trends, interpreted advanced data models to detect suspicious billing patterns, supported investigations for federal and state agencies, and developed reports on Medicare program vulnerabilities for the Centers for Medicare & Medicaid Services.

Prior to joining Stout, André held analytical, consulting, and entrepreneurial roles focused on healthcare claims, contract auditing, fraud prevention, financial analysis, and appraisal operations. He began his career in consulting, supporting breach-of-contract, money-laundering, product-liability, and class action matters involving financial analysis, discovery, expert reporting, and trial preparation.