Frequently Asked Questions

Former Frier Levitt Chair, United Health and McKesson Chief, and federal and state prosecutors establish Health Law Alliance, a specialized healthcare boutique for government investigations, PBM audits, payor disputes, licensing board matters, and regulatory advice.

The firm’s founding partner, Anthony Mahajan, has decades of legal experience in healthcare, having been employed by a National Law Journal Top 20-ranked international law firm, the Department of Justice (DOJ) as an Assistant United States Attorney, McKesson Corp. as Chief Counsel and Vice President, United Health Group as Chief Compliance Officer, and most recently as Chair of Frier Levitt’s White Collar & Government Investigations practice.

In addition, the firm employs the former General Counsel of a publicly traded company, and former New York law firm corporate attorney to assist clients with corporate transactions and restructurings, a state prosecutor with extensive courtroom experience and jury trials, and Super Lawyer “Rising Stars” with experience defending entities throughout the healthcare delivery chain, including health systems, laboratories, pharmacies, physicians, MSOs, and individuals and investors, in criminal and civil matters and administrative proceedings.

As quoted in Law360, peers acknowledge our “more than two decades of crisis-management and extensive federal trial experience,” which provides clients with “strategic perspective and pragmatic solutions” as they “identify and manage risk, remediate significant instances of noncompliance, and respond to regulatory scrutiny.” In short, the firm’s mission is simple: use unmatched experience and insight to defend our clients against insurance conglomerates, the federal government, and state agencies. We used to work for them. Now let us fight for you. Contact us today for a consultation.

MORE ARTICLES BY CATEGORY

Get a Free Case REVIEW

100% Confidential & Secure. Your details are safe with us.

We'll speak soon!

In the meantime, why not find out more about us or visit our blog.

Alternatively, give us a call at (800) 345 - 4125

Oops! Something went wrong while submitting the form.

PBM Enforcement Trends Independent Pharmacies Must Prepare for in 2026

Independent pharmacies are heading into 2026 under tighter PBM oversight, more aggressive audit practices, and evolving reimbursement models driven by regulatory pressure and DIR fee reform. To survive in this environment, pharmacies must strengthen compliance, documentation, and inventory controls while partnering with experienced PBM counsel to manage audits, protect reimbursements, and avoid network termination.

Read More >>

PBM Audit Triggers: Understanding How Prescription Activity Is Evaluated

Pharmacy benefit managers (PBMs) increasingly use data analytics and algorithmic surveillance to identify “red flag” prescriptions and atypical dispensing patterns, which can trigger audits, recoupments, network terminations, and payment withholds for independent pharmacies. By understanding common PBM risk indicators and implementing strong compliance practices, internal audits, documentation, and timely legal support, pharmacies can reduce exposure and more effectively defend themselves during PBM reviews and appeals.

Read More >>

Health Law Alliance Successfully Reverses OptumRx’s Network Termination for a Michigan Pharmacy

We are proud to announce that the Health Law Alliance has successfully reversed a network termination from OptumRx for a Michigan-based independent pharmacy.

Read More >>

What to Expect in a Wound Care Audit - And Why You Shouldn’t Go It Alone

In 2025, wound care audits have become a top enforcement priority for federal and private payors, leaving providers unprepared and facing thousands in recoupments. Understanding how wound care audits progress is crucial to defending your practice from unjust penalties, and engaging counsel early is essential to protecting your practice. Learn how Health Law Alliance can help prepare a strategy-driven defense designed to minimize risk and preserve your practice’s reputation.

Read More >>