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.
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.
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.
Cornell Law School, J.D.
Harvey Mudd College, B.S.
Troy State University, M.S.I.R.
Graduate, New York State Leadership Institute (2018)
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