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Partner
Practice Focus
FDA and Healthcare
Jeffrey Ruggiero is a partner in the FDA and healthcare group. His practice includes the representation of a variety of healthcare providers in corporate, transactional, regulatory, licensure, and litigation matters.
In his general corporate and transactional work, Mr. Ruggiero structures and negotiates mergers, acquisitions, dispositions, joint ventures, affiliations, and employment and consulting arrangements. He also represents and advises healthcare providers on Medicare and Medicaid fraud and abuse issues, “Stark” self-referral laws, and the development and implementation of compliance programs.
Mr. Ruggiero’s litigation experience includes the successful representation of a significant provider in one of the largest Medicaid fraud investigations in New York State. He has also been at the forefront in advocating the rights of healthcare providers in the managed-care arena. He served as lead counsel representing 15 county and specialty medical societies in a groundbreaking action against a major managed-care organization. The action resulted in the recoupment of more than US$10 million and the creation of an innovative liaison committee to improve relations going forward. Mr. Ruggiero also serves as general counsel to the Queens County Medical Society and counsel to the Staten Island Mental Health Society.
Representative Matters
Rankings
Chambers USA: America's Leading Lawyers for Business 2012 for Healthcare (New York)
New York Super Lawyers 2010
Professional and Community Activities
Professional Activity
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Member, National Health Lawyers Association
Community Activity
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Chairman, City Wide New York Advisory Board of Vision Services for the Blind and Visually Impaired
Articles
Jeffrey R. Ruggiero, Thomas A. Gustafson PhD, Theodore Lotchin and Hanna Fox "So You Want to Be an ACO? Prospects Improve, but Challenges Remain" (PDF: 654 kB) Bloomberg's Health Law Report, December 27, 2011
Jeffrey R. Ruggiero and Mark Sheilds "Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization" The Health Intelligence Network, March 1, 2011
Kirk Ogrosky and Jeffrey R. Ruggiero "Antitrust, Antifraud Barriers to Entry for Accountable Care Organizations" (PDF: 98 kB) Reproduced with permission from BNA's Health Care Fraud Report. Copyright 2010 by The Bureau of National Affairs, Inc., December 2010
Presentations
Jeffrey R. Ruggiero "Emergency ACO Summit: Analyzing the Final Rule" Arnold & Porter LLP, New York, NY, November 16, 2011
Theodore Lotchin, Asim Varma and Jeffrey R. Ruggiero "A Blueprint for Successful Cross-Industry Collaboration" The Second National Accountable Care Organization Congress, Los Angeles, CA, November 2, 2011
Jeffrey R. Ruggiero "ACOs: Understanding the Opportunities for Specialists Participating in the Medicare Shared Savings Program" Society for Excellence in Eyecare, September 24, 2011
Jeffrey R. Ruggiero "Development Update" The Chinese Community Accountable Care Organization, Inc., September 16, 2011
Jeffrey R. Ruggiero "ACO Information Forum: The Queens County Initiative" The Medical Society of the County of Queens and The Academy of Medicine of Queens County, June 8, 2011
Jeffrey R. Ruggiero "A Grass Roots Effort: Building an ACO from the Ground Up" World Congress Leadership Summit on ACOs, May 24, 2011
Jeffrey R. Ruggiero "ACO Formation/Development Strategies" Brooklyn Physicians Initiative, May 17, 2011
Jeffrey R. Ruggiero "ACOs and Specialists: Developing Strategies for the Medicare Shared Savings Program" New Hampshire Society of Eye Physicians and Surgeons, May 14, 2011
Jeffrey R. Ruggiero "ACOs: A Challenge or Opportunity" Advanced Medical Technology Association - Medical Technology Learning Institute, May 10, 2011
Jeffrey R. Ruggiero "Update: Proposed Rules on ACOs - Strategies for Successful Participation in the Shared Savings Program" Kingsbrook Jewish Medical Center Medical Staff, April 28, 2011
Jeffrey R. Ruggiero "Proposed Rule on ACOs: Strategies for Successful Participation in the Shared Savings Program" Chinese Community Accountable Care Organization, Inc., April 14, 2011
Jeffrey R. Ruggiero and Alan E. Reider "The Proposed Rule for the Medicare Shared Savings Program: ACO Strategies" Fresenius Medical Care North America, April 13, 2011
Jeffrey R. Ruggiero "MAC, RAC, OIG, DOJ: Government Recovery/Enforcement Initiatives Update - Here Comes The Feds…" Crittenden Medical Insurance Conference, April 11, 2011
Jeffrey R. Ruggiero "ACO Update: The Proposed Rule for the Medicare Shared Savings Program" The Queens County IPA, Inc., April 6, 2011
Jeffrey R. Ruggiero "ACOs - Fact or Fiction: Understanding the Opportunities Presented" Brooklyn Hospital Medical Staff Quarterly Meeting, March 14, 2011
Jeffrey R. Ruggiero "Physician-Owned ACOs: Strategic, Regulatory and Practical Considerations" MDAdvantage Insurance Company of New Jersey, March 2, 2011
Jeffrey R. Ruggiero "Understanding ACOs and Strategic Opportunities: The Critical Role of Physicians in Federal Health Care Reform" St. Luke’s-Roosevelt Hospital Center Medical Board, January 19, 2011
Jeffrey R. Ruggiero "ACOs and Antitrust Laws: Finding Common Ground" New York County Medical Society, January 13, 2011
Jeffrey R. Ruggiero "ACOs and Strategic Opportunities: The Queens County IPA/ACO Initiative" The Kings County Medical Society, January 5, 2011
Jeffrey R. Ruggiero "ACOs and Strategic Opportunities: The Queens County IPA/ACO Initiative" The Medical Society of the State of New York, First District Branch and The Combined Medical Societies of the City of New York, November 9, 2010
Jeffrey R. Ruggiero "ACOs and Strategic Opportunities: The Queens County IPA/ACO Initiative" New York County Medical Society, Board of Directors, November 8, 2010
Jeffrey R. Ruggiero "ACO Anatomy 101: Blueprint for Succeeding in the Changing Healthcare Landscape" Queens County IPA, Inc., Queens County Medical Society, November 4, 2010
Jeffrey R. Ruggiero "Practicing in the Era of Scrutiny: How to Respond to Audits/Investigations" Presented by The New York State Osteopathic Medical Society, October 16, 2010
Jeffrey R. Ruggiero "ACOs under Federal Healthcare Reform: Opportunities and Challenges" Presented by Association of Chinese American Physicians, Doctors First Association, October 16, 2010
Jeffrey R. Ruggiero "Legal and Regulatory Considerations Impacting Upon Physician Practice" Queens Medical Associates, October 4, 2010
Jeffrey R. Ruggiero "Understanding ACOs and Physician-Hospital Alignment Options" Presented by the American Medical Association, and The Medical Society of the State of New York, NY September 28, 2010
Jeffrey R. Ruggiero "Physician-Hospital Alignment under Federal Healthcare Reform: Perfect Storm or Perfect Opportunity?" The New York State County Medical and Specialty Society Executive Director’s Conference, Medical Society of the State of New York, NY, September 24, 2010
Jeffrey R. Ruggiero "Strategies for Successful Hospital-Physician Alignment: What Physicians and Hospitals Need to Know" (PDF: 20.32 MB) Presented by New York Society for Health Planning, Healthcare Association of New York State, and The Academy of Medicine of Queens County, August 10, 2010
Marcus A. Asner, Alan E. Reider and Jeffrey R. Ruggiero "UPDATE - New York State/Federal Payment Recovery Agenda Understanding and Successfully Navigating the Risks" Arnold & Porter LLP, New York, NY, May 13, 2010
Advisories
"ACO Issues of Interest for Pharmaceutical and Medical Device Manufacturers" (PDF: 1.48 MB) Dec 2011
"Summary of the Proposed Rule to Implement the Physician Payment "Sunshine" Provisions of the Affordable Care Act" (PDF: 1.36 MB) Dec 2011
"Antitrust Issues For Accountable Care Organizations: Revised Agency Guidance Spotlights Possible Concerns" (PDF: 1.29 MB) Nov 2011
"CMS Rule Improves Business Case for ACOs but Challenges Remain" (PDF: 504 kB) Oct 2011
"ACO Alert: Emerging Key Provisions from Federal Agencies' ACO Guidance" (PDF: 393 kB) Apr 2011
"Antitrust Risks of Accountable Care Organizations" (PDF: 796 kB) Feb 2011
"Lawmakers Propose Tougher Penalties for Healthcare Fraud and Abuse Offenses" (PDF: 640 kB) May 2010
"What's Coming in 2009 for Drugs, Devices, and Healthcare" (PDF: 86 kB) Nov 2008
Multimedia
Thomas A. Gustafson PhD,
Jeffrey R. Ruggiero and
Asim Varma.
"WEBCAST: ACO Summit - Analyzing the Final Rule" November 22, 2011.
Jeffrey R. Ruggiero.
"WEBINAR: Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges, The Health Intelligence Network" January 19, 2011.
Alan E. Reider and
Jeffrey R. Ruggiero.
"VIDEOCAST: PPACA and Healthcare Reform Statutes Fraud and Abuse Provisions: Impact On Providers" July 12, 2010.
(also available as a Podcast)