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Introduction
Justin Pfeiffer is counsel in Nixon Peabody’s Healthcare group. Justin’s practice focuses on assisting healthcare providers as they navigate regulatory compliance, execute transactional matters, and participate in Medicaid and other government insurance programs.
Before joining NP, Justin directed the largest legal bureau of the New York State Department of Health, where he provided counsel to a variety of governmental clients, including the governor’s office and the Department of Health’s executive staff, on virtually every type of legal matter that came before the Department.
My focus
I counsel all manner of healthcare providers with respect to transactional issues, including mergers, sales, and acquisitions, and New York State regulatory compliance. I also help providers understand New York State’s evolving Medicaid program to ensure clients’ effective enrollment and participation.
Looking ahead
Although I believe that the end of the COVID-19 crisis in New York State is within view, healthcare providers will need to apply lessons learned during the pandemic to maximize stability, minimize risk, and respond nimbly when legal requirements change at a moment’s notice.
Emergencies aside, large private practice groups will increasingly compete with state-licensed healthcare providers, and novel collaborative delivery models will be proposed that include multiple provider types. Both trends will create complex compliance and regulatory issues.
In the Medicaid and Medicare spaces, value-based payment (VBP) systems will continue to develop. Providers should consider how to best align their healthcare delivery systems to demonstrate empirical value along defined metrics.
Finally, healthcare providers will continue to merge, consolidate, and establish alignments and affiliations as they adapt to a changing economic and healthcare environment.
Insights
- Speaker, “Understanding OMIG's New Regulations: Provider Compliance Programs and Self-Disclosure,” Nixon Peabody Webinar, February 16, 2023
In the news
- Bloomberg Law
Healthcare transactions under scrutiny with New York’s new law
May 11, 2023Healthcare counsels Scott Simpson of Rochester and Justin Pfeiffer of Albany contributed this article, discussing how a new law recently signed by New York Governor Kathy Hochul impacts physician practices and management service organizations.
- The New York Sun
End of COVID ‘emergency’ will bring changes to American healthcare
Jan 31, 2023Albany Healthcare counsel Justin Pfeiffer is quoted in this article on the Biden administration’s plan to end the COVID-19 public health emergency in May, and how it may impact the healthcare industry. Justin explains how telehealth services could change and how the decision will be felt at the state level with expected decreases in Medicare and Medicaid funding.
- Crain’s New York Business
Clinical labs, blood banks could gain flexibility under new licensing proposal
Albany Healthcare counsel Justin Pfeiffer is quoted throughout this article on a New York Department of Health licensing proposal that would give clinical laboratories and blood banks more flexibility in who can serve as their directors and what tests they can conduct.April 8, 2022 - Crain’s New York Business
State proposes regulation to limit surprise out-of-network charges
This roundup article of notable health care news quotes Albany Health Care counsel Justin Pfeiffer for his outlook on how a proposed regulation by New York State’s Department of Financial Services, which would curtail out-of-network charges for patients who believed a provider was in-network due to incorrect health plan information, will lead to improved relationships between consumers and providers.Nov 29, 2021 - Bloomberg Law
Wake up call
The following roundup of notable legal news and moves highlight the arrival of Albany Health Care counsel Justin Pfeiffer, who is the former director of the New York State Department of Health’s Bureau of Program Counsel and focuses his practice on the state’s regulatory landscape.Aug 31, 2021 - New York Law Journal
Lawyers on the move
The following roundup of notable legal news and moves highlight the arrival of Albany Health Care counsel Justin Pfeiffer, who is the former director of the New York State Department of Health’s Bureau of Program Counsel and focuses his practice on the state’s regulatory landscape.Aug 30, 2021
Admitted to practice
New York
Education
Cornell Law School, J.D.
Harvey Mudd College, B.S.
Troy State University, M.S.I.R.
Recognition
Graduate, New York State Leadership Institute (2018)
Insights And Happenings
View AllProfessionals in the Practice Area
View AllLindsay Maleson
Partner / Practice Group Leader, Healthcare- Long Island
- Office:+1 516.832.7627
- lmaleson@nixonpeabody.com
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Jill H. Gordon
Partner / Co-chair, Life Sciences Practice- Los Angeles
- Office:+1 213.629.6175
- jgordon@nixonpeabody.com
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