- Assisting health care providers in forming provider networks to implement accountable care models without running afoul of antitrust laws.
- Educating health and human service organizations on current fraud and abuse enforcement activities, key risk areas, and the elements of effective compliance programs.
- Conducting trainings on strategies for negotiating successful managed care contracts, the meaning of standard contract terms, and addressing problematic provisions.
Prior to joining the law firm, Mr. Falcone served as Program and Policy Counsel at the Alliance of Community Health Plans, a national association of non-profit and provider-owned health plans advocating federal policies to improve health care quality. Working at the intersection of law and policy, he represented the Alliance before the Congress and Executive Branch.
Mr. Falcone began his legal career in Washington, D.C. as a trial attorney in the Antitrust Division of the U.S. Department of Justice. As a member of the Health Care Task Force, he led and participated in civil antitrust investigations and litigation of anticompetitive activity among health care providers.
Mr. Falcone understands how the law can both promote and impede his clients’ missions. He seeks to provide innovative legal solutions that minimize his clients’ legal risks while preserving their resources to serve their communities.