Adam Falk is a partner in the health law, non-profit and corporate law, and federal grants law practice groups. Mr. Falk assists health care providers, provider networks, and managed care organizations with regulatory, transactional, and compliance matters. In addition, Mr. Falk advises non-profit charitable organizations,trade, and professional associations on incorporation, tax-exemption, and antitrust matters.
In his health care practice, Mr. Falk counsels publicly-funded health care entities such as community health centers, Medicare and Medicaid HMOs, and PACE organizations on contracting, regulatory compliance, fraud and abuse, and reimbursement matters.He provides specialized guidance on the complex interaction between federal programs created under the Public Health Service Act (e.g., Federally QualifiedHealthCenterand 340B Drug Discount Programs) and the Medicare and Medicaid health insurance programs created under the Social Security Act.
Mr. Falk also advises clients on tax and antitrust issues related to corporate transactions; including mergers & acquisitions, affiliations, and joint ventures. Additionally, he represents clients in rule-making proceedings before the Centers for Medicare and Medicaid Services, the Office of Inspector General, and the Health Services and Resources Administration.
Prior to joining the law firm, Mr. Falk served as Program and Policy Counsel at the Allianceof Community Health Plans, a national association of non-profit and provider-owned health plans. In that capacity, he provided advice on legislative and regulatory matters and represented the Alliancebefore the Congress and Executive Branch.
Mr. Falk began his legal career as a trial attorney in the Antitrust Division's Health Care Task Force at the U.S.Department of Justice. In that position, he led and participated in civil antitrust investigations and litigation of anticompetitive activity by physicians, health plans, and other entities.
Boston University School of Law, Boston, Massachusetts, 1999 J.D., Cum Laude Honors: Edward F. Hennessey Scholar
Major: Concentration in Health Law with Honors
Boston University School of Public Health, Boston, MA, USA, 2001 M.P.H.
Brandeis University, Waltham, MA, USA, 1994 B.A.
Major: Biology
Graduate Certificate in Healthcare Corporate Compliance, George Washington University School of Public Health and Health Services and College of Professional Studies, 2005 - Present
Corporate Compliance Training Program, National Association of Community Health Centers, 2007-Present
Surviving External Compliance Audits, Medicaid Managed Care Summit, 2008
Managed Care Training, Missouri Primary Care Association, 2007
Preparing for CMS Audits, Alliance of Community Health Plans, 2007
What You Need to Know About Medicaid Managed Care Compliance Programs, 15th Annual Medicaid Managed Care Congress, 2007
An Introduction to Health Care Corporate Compliance, Pennsylvania State University, 2007
Medical Records Law, Lorman Educational Services, 2005
"Conducting a Health Center Risk Assessment", National Association of Community Health Centers, Risk Management Series, Information Bulletin No. 22, Sept. 2008
"Why Associations Need Corporate Compliance Programs", American Society of Association Executives, Association Law & Policy e-Newsletter, 2007
National Association of Community Health Centers, The Community Health Forum Magazine, various articles (2004 to Present)
National Association of Community Health Centers, The Community Health Forum Magazine, issue briefs and bulletins on various topics, including Medicare Advantage contracting; recruitment and retention issues; integrated services development networks (ISDNs); and health services for special populations (2004 to Present)
Alliance of Community Health Plans, Variations in Healthcare: Implications for Quality Improvement, 2004
"Sex Offenders, Mental Illness and Criminal Responsibility: The Constitutional Boundaries of Civil Commitment After Kansas v. Hendricks", 25 Am. J. Law & Med. 117, 1999
Whitman Walker Clinic, Board of Directors, Member (2008 - Present)
District of Columbia Jewish Community Center, Gay and Lesbian Outreach & Engagement (GLOE) Advisory Committee, Executive Committee Member (2006 - Present)
