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Nili S. Yolin

Member

[email protected]

+1.212.692.6799

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Nili helps health care clients understand and navigate the regulatory environment in order to maximize their business opportunities. She draws on her knowledge of federal and state laws to help clients structure complex transactions, design and implement compliance programs, and enter into professional services, consulting services and other arrangements that reduce their risk of liability under intricate regulatory frameworks such as corporate practice of medicine, anti-kickback, and self-referral (Stark) laws.

Nili counsels hospitals, large and small group practices, community-based providers of behavioral health and social services, managed care organizations and emerging companies in connection with various health care transactional matters such as joint ventures, mergers, acquisitions, divestitures and affiliations, primarily within the heavily regulated New York environment.  She also assists tax-exempt hospital systems with medical staff matters, provider and third party payor contracts, executive compensation and corporate governance issues.

Nili also regularly advises her health care clients on state and federal regulatory compliance matters, including with respect to the corporate practice of medicine, telemedicine, and fraud and abuse, and consults with teaching hospitals and academic medical centers on ACGME accreditation issues.   

Education

  • Brooklyn Law School (JD)
  • New York University (BA)

Experience

  • Represented multiple managed care organizations in the sale and acquisition of commercial, Medicare and Medicaid plans.
  • Represented a national behavioral health managed care organization in its initiative to staff employer-based clinics in 42 states with behavioral health care providers.
  • Served as regulatory counsel in connection with a private equity company’s acquisition of a dental discount plan.
  • Represented one of the largest kidney care providers in multiple joint venture arrangements, acquisitions and divestitures in New York and nationwide.
  • Served as transactional counsel in the sale of renowned New York City pediatric ophthalmic practice.
  • Served as regulatory counsel to a large hospital system in connection with the sale of its outreach laboratory to a national laboratory service provider.

Recognition & Awards

  • Chambers USA: New York – Healthcare (2018)
  • Included on the New York Super Lawyers Rising Star: Health Care list (2014 - 2015)

Involvement

  • Member, New York Bar Association
  • Member, American Healthcare Lawyers Association

Viewpoints

News alert for all New Jersey health care providers! A new law went into effect yesterday (August 30, 2018) that changes billing requirements for out-of-network services in New Jersey.
Last week, Governor Andrew Cuomo unveiled his proposed $168 billion budget for fiscal year 2019, which proposes several changes to New York’s healthcare landscape.
The Department of Health and Human Services Office of the Inspector General (OIG) has issued an Advisory Opinion (Opinion) in connection with a hospital’s gainsharing arrangement (Arrangement) with a designated group of neurosurgeons who perform spinal fusion surgeries at the hospital.
A series of recoupment letters from the New York State Medicaid Fraud Control Unit (MFCU) to healthcare providers who have management or billing company arrangements based on a percentage of collections has prompted the Medical Society of the State of New York (MSSNY) to warn its members that such arrangements are fraudulent under Medicaid law.
Last month the California legislature passed AB-72, which amends the Health & Safety Code to address reimbursement for out of network (OON) providers who provide services at in-network facilities, such as hospitals and laboratories.
It is generally understood that if a managed care member utilizes the services of a non-participating provider, the member could incur significant out of pocket expenses. However, there are instances where a member may unknowingly receive services from an out-of-network provider, such as a radiologist or anesthesiologist, while receiving emergency or non-emergency care at an in-network hospital. 
Just as the Centers for Medicare & Medicaid Services (CMS) began holding federal health care plans accountable for their provider network transparency obligations, the New Jersey legislature stalled in its bid to pass a law that would require hospitals and physicians to disclose whether they are in or out-of-network with a patient’s insurance plan before providing treatment. 
A Federal Judge found that the Department of Health and Human Services (DHHS) failed to comply with the Administrative Procedure Act (APA) when it cut hospital inpatient payments by 0.2% as part of its “two-midnight” rule.
One of the most frequently asked questions posed to healthcare lawyers is whether State X has a prohibition on the corporate practice of medicine, nursing or other profession, and if so, whether the prohibition is enforced.
In an April 22, 2015 letter to the New York State Department of Health (DOH), the Federal Trade Commission (FTC) cautioned that part of the State’s Medicaid reform program may sanction anticompetitive behavior.

News & Press

Mintz partner and Massachusetts lawyer Julie Korostoff is one of 49 attorneys recognized as “Leaders in Their Fields” by the 2018 Chambers USA: America's Leading Lawyers for Business guide. Chambers named Korostoff a “Recognized Practitioner” in Technology.
Thirteen attorneys from Mintz have been named New York Super Lawyers for 2014 and eleven have been named New York Rising Stars. The list will be published in a special advertising supplement in The New York Times Magazine and in a stand-alone magazine, New York Super Lawyers - Metro Edition.

Events

Speaker
Feb
1
2017

Mintz and Grant Thornton Present a Multitopic CLE Workshop

Grant Thornton 757 3rd Avenue and 47th Street New York, NY