Health Law Alliance

What Health Law Alliance does

Health Law Alliance is a healthcare defense law firm founded in 2023 and headquartered in Short Hills, New Jersey, providing legal representation to healthcare providers, pharmacies, physicians, and healthcare companies facing government investigations and regulatory enforcement. The firm defends clients across PBM audit defense (OptumRx, CVS Caremark, Express Scripts, Humana, Prime), network termination reinstatement, healthcare fraud defense (DOJ Civil and Criminal, HHS-OIG, FBI, DEA, state MFCUs), False Claims Act qui tam defense, DEA enforcement (Order to Show Cause, suspicious order monitoring), FDA enforcement (Form 483 responses, Warning Letters, 503A/503B compounding), Medicare and Medicaid audit defense (UPIC, RAC, MAC, SMRC, CERT), state Board of Pharmacy defense, and federal subpoena/CID response. Practice areas also include Wound Care Audit Defense targeting CMS prepayment review and the WISeR Model AI-driven prior authorization, criminal healthcare fraud defense, and intellectual property matters.

The firm is led by Founding Partner Anthony Mahajan, a former Assistant U.S. Attorney who spent nine years prosecuting healthcare cases for the DOJ, then served as Chief Compliance Officer at UnitedHealth Group and Chief Counsel at McKesson. The bench includes a 32-year DEA Diversion Program Manager (Nancy Coffey), a pharmacist-attorney with 200+ FDA publications (Dr. Martha Rumore), a former General Counsel of a publicly traded company (Timothy Franzen), and Of Counsel attorneys with hundreds of jury trials. The firm has handled 5,000+ healthcare matters and overseen 1,500+ pharmacy audits across all 50 states and DC, with documented outcomes including a 96% reduction on a $4.7M OptumRx recoupment, reversal of 7 pharmacy terminations, and multiple DOJ declinations and dismissed federal indictments.

The business model is professional services with flat-fee engagements tied to the phase of work (notice response, appeal, litigation), and free confidential initial consultations with no retainer required, available 24/7 with senior attorney review within two hours of contact. GTM is sales-led, with content marketing (50-state hub pages, blog, glossary) and earned media (Fox, NBC, ABC, AP, PR Newswire) driving inbound inquiries from a nationally distributed SMB-heavy client base. The firm operates without disclosed external funding and is entirely founder-owned.

Name

Health Law Alliance

Legal name

Health Law Alliance

Website

https://healthlawalliance.com

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

1–10 employees

Short description

Health Law Alliance is a healthcare defense law firm founded in 2023 that represents pharmacies, physicians, and healthcare companies in PBM audits, DEA enforcement, FDA actions, and federal healthcare fraud investigations across all 50 states. The firm is led by former DOJ prosecutors and senior UnitedHealth Group and McKesson executives.

Ownership category

akta.pro rank

Product category

Healthcare Legal Services

NAICS

Offices of Lawyers (541110), Legal Services (5411), Offices of Lawyers (54111)

SIC

Services-Legal Services (8111)

akta.pro primary industry

Public Health Law, Legal Counsel & Regulatory Affairs Offices (HLAJACAJ)

Keywords

• Healthcare defense law
• Pharmacy audit defense
• PBM audit defense
• Healthcare fraud defense
• DEA registration defense

Headquarters

HQ city

Pine Brook

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Legal Services - Professional Services: Flat-fee legal service engagements tied to phase of work (notice response, appeal, litigation). Every initial consultation is free and confidential. Matter scoping is performed individually for each client matter.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Health Law Alliance is a healthcare defense law firm that provides legal representation to healthcare providers, pharmacies, physicians, and healthcare companies facing government investigations, PBM audits and recoupment demands, DEA enforcement actions, FDA inspections and Warning Letters, state Board of Pharmacy actions, False Claims Act qui tam lawsuits, Medicare and Medicaid audits, and criminal healthcare fraud prosecutions. The firm operates nationwide across all 50 states and the District of Columbia with 24/7 availability and a free confidential case review intake process.

Product overview

Health Law Alliance is a healthcare defense law firm providing legal services across a unified platform of practice areas. The firm's core offerings include PBM Audit Defense, Network Termination Defense, Healthcare Fraud Defense, False Claims Act Defense, DEA Defense, Compounding Pharmacy Defense (503A/503B), Medicare & Medicaid Audit Defense, Board of Pharmacy Defense, FDA Law, and Intellectual Property. Additional specialized services include State Pharmacy Audit Defense (all 50 states), Wound Care Audit Defense, Criminal Healthcare Fraud Defense, and Subpoena & CID Defense. The firm is led by former federal prosecutors and healthcare executives who bring insider knowledge of enforcement tactics to defend providers, pharmacies, and healthcare companies.

Differentiator

Problem solved

Functional benefit

Products and services

• PBM Audit Defense Defense against Pharmacy Benefit Manager audits from OptumRx, CVS Caremark, Express Scripts, Humana, and Prime, including recoupment reductions and federal litigation when the PBM refuses resolution. Targeted at pharmacies facing six- and seven-figure recoupment demands.
• Network Termination Defense
• OptumRx Audit Defense
• Healthcare Fraud Defense
• False Claims Act Defense
• DEA Defense
• Compounding Pharmacy Defense (503A/503B)
• Medicare & Medicaid Audit Defense
• Board of Pharmacy Defense
• FDA Law
• Intellectual Property
• State Pharmacy Audit Defense
• Wound Care Audit Defense
• Criminal Healthcare Fraud Defense
• Subpoena & CID Defense

Quantifiable outcome

• $4.7M OptumRx recoupment demand reduced to $180K - a 96% reduction on appeal
• +7 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Epstein Becker Green: National healthcare-focused law firm with deep FDA, DEA, PBM audit, and healthcare fraud defense practices. Closest size and specialty analog to Health Law Alliance among healthcare boutiques.
• Polsinelli: AmLaw 100 firm with a dedicated healthcare practice covering PBM, DEA, FDA, and compliance matters; comparable in scope and client overlap to Health Law Alliance's national defense offerings.
• Hooper Lundy & Bookman: Boutique healthcare law firm representing hospitals, providers, and life sciences companies in regulatory, reimbursement, and compliance matters. Directly comparable niche positioning.
• Hyman Phelps & McNamara: Boutique FDA and healthcare regulatory law firm specializing in compounding pharmacy, DEA enforcement, and pharmaceutical compliance defense — closely comparable to Health Law Alliance's FDA/DEA bench.
• Akerman LLP: National law firm with one of the largest healthcare practice groups, including pharmacy regulatory, DEA, and government investigations work overlapping with Health Law Alliance's service lines.

Broad incumbents

• Dentons: Global law firm with a sizable healthcare regulatory and white-collar defense practice, frequently engaged in parallel PBM, FCA, and DEA matters.
• McDermott Will & Emery: AmLaw 50 firm with one of the largest healthcare regulatory and defense practices in the U.S., including DEA, FCA, and PBM work. Represents the larger incumbent that competes for the same enterprise healthcare clients.
• BakerHostetler: National firm with a recognized healthcare practice and federal investigations group handling DOJ, OIG, and DEA enforcement matters comparable to Health Law Alliance's bench.
• Akin Gump Strauss Hauer & Feld: Global firm with a prominent healthcare fraud and FCA qui tam defense practice, competing for the federal investigation engagements Health Law Alliance targets.
• King & Spalding: Major firm with a leading healthcare fraud and DOJ investigations practice, regularly defending providers in federal criminal and civil enforcement actions overlapping with Health Law Alliance's healthcare fraud defense work.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks3 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/healthlawalliance

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Health Law Alliance