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JAMES A. ROBERTSON is a Partner and the Practice Group Chair of the firm’s nationally recognized Health Care Practice. Jim began his career as Law Secretary to the Honorable Thomas S. O'Brien of the Superior Court of New Jersey, Appellate Division, 1990-1991, and afterward, as an associate at the firm of Wilentz, Goldman & Spitzer in Woodbridge, New Jersey, where he concentrated his practice in complex commercial and corporate litigation. He was the Managing Partner of Kalison, McBride, Jackson & Robertson, P.C., one of New Jersey’s premiere health care boutique law firms, from 2000-2011, when his firm merged its practice with McElroy, Deutsch, Mulvaney & Carpenter, LLP. Jim represents a broad array of health care providers, including large for-profit and not-for-profit health care and hospital systems, academic medical centers, nursing homes, home health agencies, medical device manufacturers, pharmaceutical companies, integrated delivery networks, physicians and physician practice groups. Drawing on his vast knowledge in a range of legal subjects, Jim counsels his clients on a myriad of health care regulatory, corporate and litigation matters, including: Corporate representation in connection with health care transactions, including mergers, acquisitions, joint ventures, and divestitures; Regulatory counseling on Fraud and Abuse, Stark Law, as well as state certificate of need, CHAPA and other regulatory compliance issues in connection with health care transactions and other physician-integration arrangements; Creating integrated delivery systems and accountable care organizations (ACOs), as well as structuring and negotiating joint ventures and agreements with a variety of third parties, including other health care providers, administrative service providers and other vendors, to create integrated delivery systems; Implementation of federal health care reform and requirements under the Affordable Care Act; Seeking Advisory Opinions from federal regulatory agencies; HIPAA compliance; Medicare, Medicaid and disproportionate share hospital (DSH) reimbursement matters before State administrative agencies and the federal Provider Reimbursement Review Board; James A. Robertson Partner Office: Morristown, NJ 973-348-5307 973-425-0161 [email protected] © 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.

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Page 1: James A. Robertson - McElroy, Deutsch, Mulvaney ... · JAMES A. ROBERTSON is a Partner and the Practice Group Chair of the firm’s nationally recognized Health Care Practice. Jim

JAMES A. ROBERTSON is a Partner and the Practice Group Chair of the firm’snationally recognized Health Care Practice.

Jim began his career as Law Secretary to the Honorable Thomas S. O'Brien of the SuperiorCourt of New Jersey, Appellate Division, 1990-1991, and afterward, as an associate at thefirm of Wilentz, Goldman & Spitzer in Woodbridge, New Jersey, where he concentrated hispractice in complex commercial and corporate litigation. He was the Managing Partner ofKalison, McBride, Jackson & Robertson, P.C., one of New Jersey’s premiere health careboutique law firms, from 2000-2011, when his firm merged its practice with McElroy,Deutsch, Mulvaney & Carpenter, LLP.

Jim represents a broad array of health care providers, including large for-profit andnot-for-profit health care and hospital systems, academic medical centers, nursing homes,home health agencies, medical device manufacturers, pharmaceutical companies, integrateddelivery networks, physicians and physician practice groups.

Drawing on his vast knowledge in a range of legal subjects, Jim counsels his clients on amyriad of health care regulatory, corporate and litigation matters, including:

Corporate representation in connection with health care transactions, including mergers,acquisitions, joint ventures, and divestitures;Regulatory counseling on Fraud and Abuse, Stark Law, as well as state certificate of need,CHAPA and other regulatory compliance issues in connection with health caretransactions and other physician-integration arrangements;Creating integrated delivery systems and accountable care organizations (ACOs), as wellas structuring and negotiating joint ventures and agreements with a variety of third parties,including other health care providers, administrative service providers and other vendors,to create integrated delivery systems;Implementation of federal health care reform and requirements under the Affordable CareAct;Seeking Advisory Opinions from federal regulatory agencies;HIPAA compliance;Medicare, Medicaid and disproportionate share hospital (DSH) reimbursement mattersbefore State administrative agencies and the federal Provider Reimbursement ReviewBoard;

James A. RobertsonPartnerOffice: Morristown, NJ

973-348-5307

973-425-0161

[email protected]

© 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.

Page 2: James A. Robertson - McElroy, Deutsch, Mulvaney ... · JAMES A. ROBERTSON is a Partner and the Practice Group Chair of the firm’s nationally recognized Health Care Practice. Jim

Board;Counseling on compliance activities, including internal investigations of potentialnoncompliance, responding to government inquiries, investigations, subpoenas and searchwarrants, and providing advice in connection with voluntary disclosures and negotiatingcorporate integrity agreements (CIAs);EMTALA compliance;Structuring and negotiating appropriate compensation arrangements with physicians inconnection with employment, medical directorships, recruitment initiatives, departmentmanagement, and office and equipment leases;Structuring and negotiating physician practice acquisitions and divestitures;Establishing and implementing corporate compliance programs for hospital and ancillaryproviders within the health system;Addressing medical staff matters, including fair hearing requirements and designingstate-of-the-art medical staff bylaws;Negotiating managed care agreements and risk-sharing arrangements with payors;Providing guidance in connection with strategic initiatives on system affiliations;Establishing outpatient health care offices, diagnostic imaging facilities and ambulatorysurgical centers;Overseeing the establishment and purchase/sale of physician practices, hospitals andnursing homes;Representation of health care clients in managed care contract negotiations and payorlitigation.

Jim Robertson is admitted to practice in New Jersey and Pennsylvania (1990) and topractice before the United District Court for the District of New Jersey (1990), the UnitedStates Court of Appeals for the Third Circuit (1997) and the United States Supreme Court(2001). He is a member of numerous professional associations. He is a member of theHospitals and Health Systems Practice Group Section of the American Health LawyersAssociation (AHLA), and is certified by the AHLA as an Alternative Dispute Resolver; heis a member of the Health and Hospital Law Section of the New Jersey State BarAssociation; he also serves on the Publications Committee of the New Jersey Chapter of theHealthcare Financial Management Association.

Education

Villanova University School of Law (J.D. 1990) Rutgers University, Cook College (B.S. 1987)

Admissions

Commonwealth of PennsylvaniaState of New JerseySupreme Court of the United StatesU.S. Court of Appeals, 3rd CircuitU.S. District Court, District of New Jersey

© 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.

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Publications

“New Jersey Hospitals Launch a 5th Amendment Constitutional Takings Challenge againstthe Medicaid and Charity Care DSH Programs,” NJHFMA’s Garden State Focus Magazine(Spring 2018 edition), 4.1.2018

"Trumpcare" The Latest Efforts to Repeal and Replace The Affordable Care Act, 4.21.2017

"CMS Issues Its FY 2017 IPPS Final Rule: The Clock Strikes Midnight On The TwoMidnight Rule's Payment Reductions," Garden State Focus, Winter 2016, Vol. 63, No. 2,12.1.2016

"Fatal Commingling of Profit and Non-Profit: New Jersey Tax Court Denies Non-ProfitHospital Property Tax Exemption - Now All Non-Profit Hospitals are At Risk," GardenState Focus, Fall 2015, Vol. 62, No. 1, 10.1.2015

"New York Court Issues First Decision Taking Hard-Line Position on Meaning of'Identified' For Purposed of Sixty Day Obligation to Repay Overpayments," Garden StateFocus, Fall 2015, Vol. 62, No. 1, 10.1.2015

"SCOTUS Once Again Saves the Affordable Care Act", Garden State Focus, Summer2015, Vol. 61, No. 5, 8.20.2015

"Proposed OIG Regulations Seek to Amend 'Kiss of Death'", Garden State Focus, Summer2014, Vol. 60, No. 5, 6.1.2014

"ACA Federal Subsidies: What Does The Text Say? And What Could The U.S. SupremeCourt Ruling Mean to Their Future?", Garden State Focus, Spring 2015, Vol. 61, No. 4,4.1.2014

"Governor Chris Christie Signed into Law the New Jersey Economic Opportunity Act of2013 Which Greatly Expanded Geographic Areas Where Companies Can Qualify for TaxIncentives," Garden State Focus, Fall 2013, Vol. 60, No. 2 , 10.1.2013

"What is So Essential About Health Benefits?", Garden State Focus, Spring 2013, Vol. 59,No. 4;, 7.1.2013

“Affordable Insurance Exchanges: Coming to a State Near You,” Garden State Focus, EarlySpring 2013, Vol. 59, No. 3;, 4.1.2013

"'Hope Springs Eternal' Will CMS Do A Reality Check Before Finalizing Its New ProposedRule on Reporting and Returning Overpayments?", Garden State Focus,November/December 2012, Vol. 59, No. 2;, 12.1.2012

"It's Not a Mandate, It's a Tax", Garden State Focus, September 2012, Vol. 59, No. 1;,9.1.2012

“'Did Congress Tip the Scale of Power Too Far?' – The United States Supreme Court WillSoon Determine the Constitutionality of the Patient Protection and Affordable Care Act",

© 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.

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Garden State Focus, November/December 2011, Vol. 58, No. 3;, 11.1.2011

"Does The New Jersey False Claims Act Live Up To Higher Federal Standards? Not Yet",Garden State Focus, September/October 2011, Vol 58, No. 2;, 9.1.2011

“Another Small Victory for Hospitals: Court Rejects CMS' Narrow Application of DSHPayment,” Garden State Focus, July/August 2010, Vol. 57, No. 1; , 7.1.2010

“The Seesaw World of Medicaid Eligibility Days Listings,” by J. Robertson, Garden StateFocus, Jan./Feb. 2010, Vol. 56, No. 4;, 1.1.2010

“Overview of the New Medicaid Rate DRG System,” by J. Robertson, B. Liss and J.Walzman, Garden State Focus, Sept./Oct. 2009, Vol. 56, No. 2;, 9.1.2009

“Update on the Reopening of Cost Reports for the Medicare Disproportionate ShareHospital Adjustment,” by J. Robertson and M. Sabo, Garden State Focus, Jan./Feb. 2009,Vol. 55, No. 4;, 1.1.2009

“Hospitals Turn Their Attention to Medicaid’s TEFRA Update Factor Error,” by J.Robertson and P. Besler, Garden State Focus, March/April 2008, Vol. 54, No. 5;, 3.1.2008

“New Jersey Supreme Court Denies Review of Hospitals’ Challenge to Amendments toMedicaid Rate Appeal Regulations,” by P. Murphy, J. Robertson and P. Besler, GardenState Focus, Summer 2007, Vol. 54, No. 1;, 8.1.2007

“The 2005 Amendments Appeal Regulation,” by P. Murphy, J. Robertson and P. Besler,Garden State Focus, Sept./Oct. 2006, Vol. 53, No. 2;, 9.1.2006

“Real-Time Solutions for Addressing Unreimbursed Health Care Costs for the Treatment ofUndocumented Aliens,” by J. Robertson, L. Orlando and A. Murphy, Garden State Focus,Summer 2006, Vol. 53, No. 1;, 8.1.2006

“No Light at the End of the Tunnel: Hospitals Suffer Set Back in Decade-Old Medicaid RateAppeal Cases,” by P. Murphy, J. Robertson and P. Besler, Garden State Focus, March/April2006, Vol. 53, No. 1;, 3.1.2006

“Hospitals Continue Fight for Fair Medicaid Reimbursement,” by P. Murphy, J. Robertsonand P. Besler, Garden State Focus, Nov./Dec. 2005, Vol. 52, No. 3;, 11.1.2005

"Bioterrorism Preparedness: Isolation and Quarantine Issues," by J. Jackson and J.Robertson published at 179 N.J.L.J. 450 (March 21, 2005); , 3.21.2005

“Legal Issues Involving Bioterrorism Preparedness In New Jersey: Isolation andQuarantine,” by J. Jackson and J. Robertson, New Jersey Hospital Association’s Newsletter,March 2005 Edition;, 3.1.2005

“Hospital Prevails in Recent Reimbursement Case Against Horizon,” by J. Robertson,Garden State Focus, Feb./March 2005, Vol. 53, No. 2;, 3.1.2005

“Legal Issues Involving Bioterrorism Preparedness in New Jersey,” by J. Jackson, A.McBride, and J. Robertson published in Legal Issues Supplement to New Jersey Medicine,

© 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.

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Vol. 101, No. 9 (September 2004). Also reprinted at Garden State Focus, Aug./Sept. 2004,Vol. 52 No. 1 and New Jersey Law Journal, December 13, 2004;, 9.1.2004

“Age of New Genetics Tests Familiar Legal Concepts,” by James A. Robertson and MaryElizabeth D’Apolito, Health Care Law Magazine Supplement to the New Jersey LawJournal, 166 N.J.L.J. 1028, 12.17.2001

“Institutional Ethics Committees and the Ethical Challenges of the New Genetics: APrimer,” by Sr. Ellen Joyce, SC, Ph.D., Rev. Thomas Kopfensteiner, Rev. Joseph Kukura,John J. Mitchell, Jr., Ph.D., James A. Robertson, Esq. and Susan Schmerler, M.D., J.D.(Author of Chapter III “The Law and the New Genetics”), Institute for Ethics CatholicHealth Care Partnership of New Jersey, 1.1.2001

“The Duty of Care and Duty of Loyalty Under the New Jersey Nonprofit Corporation Act,”New Jersey Lawyer, the Magazine, A Nonprofit Primer, No. 189, February 1998 (Paul R.Murphy, Co-Editor), 2.1.1998

"The ADA Is Supervising ‘Nonemployers’ Too," Health Care Law Magazine Supplement tothe New Jersey Law Journal, 142 N.J.L.J. 1022, 12.18.1995

Blogs

"Amarin Sues FDA Because It Cannot Promote Off-Label Use of Vascepa,", 6.11.2015

Representative Cases

Jim has been either lead or co-counsel in a variety of federal and state court matters thathave resulted in the following published and unpublished opinions:

Rahway Hospital v. Horizon Blue Cross Blue Shield, 374 N.J.Super. 101 (App. Div. 2005)(amicus curiae);United States ex rel. Quinn v. Omnicare, Inc., 382 F.3d 432 (3d Cir. 2004);Besler & Co., Inc. v. Bradley, 361 N.J. Super. 168 (App. Div. 2003) (author of the brief);Robertson v. Bartels, 150 F. Supp. 2d 691 (D.N.J. 2001);Robertson v. Bartels, 148 F. Supp. 2d 443 (D.N.J. 2001);Gross v. Cohen DuFour & Associates, 273 N.J. Super. 617 (Law Div. 1993);Brady v. New Jersey Redistricting Commission, 131 N.J. 594 (1992);In the Matter of the Application of Allegheny Hospital New Jersey and Zurbrugg HealthFoundation , Docket No. BUR-L-341-98 (Law Div. 2002);Application of St. Joseph’s Hospital & Medical Center, et al., for a Certificate of Need,Docket No. A-3062-00T3 (App. Div. 2002);In the Matter of Orlando Flores, Docket No. M-159 (N.J. Supreme Court 2000);Torrales v. Estevez, Docket No. A-1240-99T5 (App. Div. 2000);Torrales v. Estevez, Civil Action No. 00-4946 (AET) (D.N.J. 2001);Berkeley Heights Taxpayers Association v. Berkeley Heights Township Committee,Docket No. UNN-L-0265-99 (Law Div. 1999).

Speaking Engagements

© 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.

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"The Urge to Merge: Do Hospital Mergers Benefit the Community?," Healthcare Planningand Marketing Society of New Jersey, 5.6.2016 "The Health Financing and Delivery System From the Flintstones to the Jetsons,"Healthcare Financial Management Association, NJ Chapter, 9.10.2015

Seminar

“Bioethics and the Law,” Villanova University Law School, taught by James J.McCartney OSA, Ph.D., Associate Professor, Department of Philosophy VillanovaUniversity, Spring 2004 “Attorneys General vs. Non-Profit Healthcare Directors: The Corporate Mission And ThePublic Good,” sponsored by Seton Hall University School of Law & Public PolicyProgram and American Society Of Law, Medicine & Ethics, April 25, 2003 “Roundtable Discussion on Artificial Nutrition and Hydration in PVS and RelatedDisorders of Consciousness” sponsored by the Catholic Healthcare Partnership of NewJersey, December 2, 2004 “TOPOFF3 – Module C, Understanding the Law” sponsored by the New Jersey HospitalAssociation, February 15, 2005 “Impact of the Sarbanes-Oxley Act on Nonprofit Organizations” sponsored by Seton HallUniversity School of Law Health Law Forum and the Corporate Law Association, April 6,2005

Awards & Recognitions

Recognized in 2018 Chambers USA as a leading lawyer in the area of HealthcareRecipient of the 2014 Robert H. Reeves Silver Founders Award by the NJ Chapter of theHealthcare Financial Management AssociationListed in Super Lawyers® (2006-2018), a Thomson Reuters business, in the area(s) ofHealth Care, General Litigation, and Business/Corporate. A description of the standard ormethodology on which the accolade is based can be found HERE (No aspect of theadvertisement has been approved by the Supreme Court).Listed in Best Lawyers® (2008-2019), a Woodward/White, Inc. business and partners withU.S. News & World Report, in the area of Health Care Law. A description of the standardor methodology on which the accolade is based can be found HERE (No aspect of theadvertisement has been approved by the Supreme Court).

© 2018 McElroy, Deutsch, Mulvaney & Carpenter, LLP All rights reserved.