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    1. Home
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    3. Justin D. PfeifferPeople
    1. Home
    2. People
    3. Justin D. PfeifferPeople

    Justin D. Pfeiffer

    Counsel


    • Albany
    • Office518.427.2742
    • jpfeiffer@nixonpeabody.com

    I'm a 2023 Nixon Peabody Pro Bono Champion.Read more about our Pro Bono program

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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.

    Practice Areas

    HealthcareHealthcare Regulatory & ComplianceMedicare & Medicaid and Other Government PayorsManaged Care Contracting & Network DevelopmentDigital Health & TelehealthCybersecurity & Privacy

    Industries

    Healthcare

    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.

    In the news

    • The New York Sun

      End of COVID ‘emergency’ will bring changes to American healthcare

      Albany 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.

      Jan 31, 2023
    • 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

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    • Alert

      NYS Department of Health proposes clinical staffing regulations for general hospitals

      March 6, 2023
    • Alert

      New York State OMIG issues new more detailed regulations for provider compliance programs

      Jan 18, 2023
    • Alert

      NYS draft 1115 waiver amendment—State seeks $13.5 billion from federal government

      May 6, 2022
    View All

    Professionals in the Practice Area

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    • Peter Armstrong Egan

      Partner / Practice Group Leader, Healthcare
      • Long Island
      • Office:516.832.7633
      • pegan@nixonpeabody.com
      Peter Armstrong Egan
    • Jill H. Gordon

      Partner / Co-chair, Life Sciences Practice / Strategic Impact Partner
      • Los Angeles
      • Office:213.629.6175
      • jgordon@nixonpeabody.com
      Jill H. Gordon
    • Michele A. Masucci

      Partner
      • Long Island
      • Office:516.832.7573
      • mmasucci@nixonpeabody.com
      Michele A. Masucci
    • Jéna M. Grady

      Counsel
      • New York
      • Office:212.940.3114
      • jgrady@nixonpeabody.com
      Jéna M. Grady
    • Harsh P. Parikh

      Partner
      • Los Angeles
      • Office:213.629.6108
      • hparikh@nixonpeabody.com
      Harsh P. Parikh
    View All

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