Healthcare Defense by Former Prosecutors & Insurance Executives
We defend healthcare providers, practices, and clinics against Criminal and Civil Healthcare Matters, Medicare & Medicaid Investigations, PBM audits and UPIC Recoupment Demands, DEA Inspections, Board of Pharmacy Hearings, FDA Enforcement Actions, and Compounding Cases, across all 50 states.
- Scheduled a same-day consultation with an attorney to review your matter
- Attorney-client privilege applies from the first call
- No retainer required - you leave the call with a clear read on your risk
"Top-notch attorneys with an unparalleled scope of experience and breadth of knowledge. You will want them in your corner."
Free Confidential Case Review
Speak directly to an attorney with subject matter expertise
PBM Audit Defense
Defend against OptumRx, CVS Caremark, Express Scripts, Humana, and Prime audits. Recoupment reductions, network reinstatements, federal litigation when the PBM refuses resolution.
Network Termination Defense
Reverse PBM termination for cause and reinstate pharmacies into the OptumRx, UnitedHealthcare, Aetna, ESI, Humana, and Prime networks. 7-NY pharmacy reinstatement anchor.
OptumRx Audit Defense
OptumRx-specific audit defense. Operational expertise from inside the network (Anthony Mahajan was Chief Compliance Officer of UnitedHealth Group, OptumRx's parent). $4.7M recoupment reduced to $180K.
Healthcare Fraud Defense
Federal healthcare fraud defense across DOJ Civil and Criminal, HHS-OIG, FBI, DEA, the state Medicaid Fraud Control Units, and state licensing boards.
False Claims Act Defense
Qui tam relator suits, Civil Investigative Demands, and DOJ Civil Division investigations. Anchored on a Rule 9(b) particularity dismissal of an oncology FCA matter at the pleading stage.
DEA Defense
DEA defense for pharmacies, distributors, manufacturers, and importers. Order to Show Cause proceedings and suspicious order monitoring (SOM). Led by a 32-year DEA Diversion veteran.
Compounding Pharmacy
503A pharmacy and 503B outsourcing facility defense. FDA inspections, DQSA enforcement, GLP-1/peptide compounding, USP 797 sterility. Led by a pharmacist-attorney with 200+ FDA publications.
Medicare Audit Attorneys
Umbrella for UPIC, RAC, MAC, SMRC, and CERT contractor audit defense. The 5-level Medicare appeals track from redetermination to federal court.
Board of Pharmacy Defense
State Board of Pharmacy complaints, inspections, disciplinary hearings, and license defense for pharmacies and pharmacists - coordinated with any parallel PBM, DEA, or Medicaid matter.
FDA Law
FDA inspections, Form 483 responses, Warning Letters, and DQSA compounding enforcement for 503A pharmacies and 503B outsourcing facilities.
Intellectual Property
Patent disputes, brand-manufacturer lawsuits, and essentially-copies allegations against compounded preparations. Bench includes a registered patent attorney.
DOJ
FBI
HHS-OIG
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IRS
NAMFCU
DEA
McKesson
OptumRx
"I spent nine years prosecuting healthcare cases for the DOJ. Then I ran compliance for the largest healthcare company in America. Now I use what I learned on both sides to defend the people being investigated."
After leaving the U.S. Attorney's Office, I served as Chief Compliance Officer at UnitedHealth Group and Chief Counsel at McKesson - overseeing legal operations for companies generating hundreds of billions in revenue. I founded Health Law Alliance because pharmacies, physicians, and healthcare companies deserve defense counsel who genuinely understand how PBMs build audit cases, how DOJ prosecutors decide what to charge, and how the DEA evaluates registrants. We know - because we used to do it.
Now We Fight for You
Former federal and state prosecutors and fraud investigators from UnitedHealth, OptumRx, Qlarant, and McKesson — now defending the cases they used to investigate and prosecute
Get My Free Case ReviewOur team includes the former Chief Compliance Officer for UnitedHealth Group over Optum and United Healthcare, Qlarant UPIC fraud investigator, DOJ and Attorney General prosecutors, and 32-year DEA Diversion Program Manager, who understand enforcement from every side of the table.
Small Firm, Big Talent
Our attorneys are specialists in their fields and bring that focus to solve recurring industry challenges.
Industry Leaders on Your Side
We employ mission-driven healthcare provider-attorneys who deeply understand the industry and its challenges.
Documented Outcomes
Over 2,000 audits or investigations handled, with documented wins including dismissed federal and state charges, millions in recoupments overturned, and network terminations reversed.
DOJ dismissed its entire case against a NJ physician - the lone dismissal among 35 related prosecutions.
All seven OptumRx terminations reversed in a single coordinated appeal.
$4.7M OptumRx demand reduced to $180K - a 96% reduction on appeal.
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Anthony's background as a former federal prosecutor and executive for major healthcare companies provided a level of expertise and insight that made all the difference. His deep understanding of healthcare law, particularly in litigation and compliance matters, helped navigate complex legal issues with ease.
Speak with an experienced attorney today at no cost - evaluate your situation and learn how we can help. Confidential, no obligation.