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.
- An attorney reviews your matter and calls you back within 2 hours
- 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 with a former prosecutor
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 & Medicaid Audit Defense
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 prosecutors and senior executives from UnitedHealth, OptumRx, and McKesson - now defending the providers they used to sit across from.
Get My Free Case ReviewOur bench includes a former prosecutor, a 32-year DEA Diversion Program Manager, and senior healthcare executives who understand enforcement from every side of the table.
From the Other Side of the Table
A former prosecutor, a former DEA Diversion Program Manager, and senior healthcare-industry executives who know exactly how enforcement agencies build their cases - and how to dismantle them.
Healthcare Executive Experience
Our founding partner served as CCO at UnitedHealth Group and Chief Counsel at McKesson. We understand PBM audit tactics, pharmaceutical supply chain, and industry operations firsthand.
Documented Outcomes
Over 1,500 pharmacy audits overseen, 2,500+ clients represented, and documented wins including declined federal charges, dropped Medicaid prosecutions, and reversed network terminations.
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.