Overview

Raja Sékaran has practiced in the healthcare industry for twenty-five years.  He represents healthcare delivery systems, health plans, hospitals, Federally Qualified Health Centers, dialysis centers, medical groups, medical device companies, other providers, private equity investors in providers, and trade associations.  His practice focuses on corporate structuring and operations, regulatory compliance, government investigations, white collar defense, Medicare, Medicaid, and revenue cycle.  In addition, he advises health plans and risk-bearing providers on network contracting and matters pertaining to the laws of managed care, including the Knox-Keene Act in California.

Raja brings a comprehensive perspective to his practice obtained through experience in both the private and public sectors.  After beginning his health law career as an Associate at Nossaman, he served as Senior Counsel in the Office of Inspector General (OIG) for the U.S. Department of Health & Human Services, where he undertook False Claims Act investigations, negotiated Corporate Integrity Agreements, brought administrative litigation and authored OIG advisory opinions involving the federal Anti-Kickback Statute.  Following his public service career, Raja held a number of corporate leadership positions, including Vice President of Regulatory Affairs of a national, publicly-traded healthcare company, Chief Legal Officer and Compliance Officer (respectively) of two California health plans and Vice President & Associate General Counsel of the nation’s fifth largest healthcare delivery system.  With this diverse and deep background, Raja represents his clients in transactions, disputes, regulatory matters, government investigations, and voluntary compliance activities.

Raja also has a special interest in the senior living and long-term care sector and provides outside general counsel services to a senior living start-up specializing in fall-prevention and data analytics.  In addition, he is a member of the Board of Directors and Chair of the Corporate Governance and Board Development Committee of Elder Care Alliance, an owner and operator of senior living communities.  As an active leader in various professional settings, Raja is well respected in the legal and healthcare sectors.

Additionally, Raja is the Co-Chair of Nossaman’s Minority Affinity Group.

Experience

Experience

Telemedicine group.  Represented a telemedicine group in the reorganization of its ownership structure and relationship to its management services organization.

Gastroenterology medical group.  Completed a gastroenterology medical group merger including an in-office pathology lab.

Private equity investors.  Served as regulatory counsel to private equity investors in successful acquisitions of interests in a speech language pathology group and a clinical trial company.

Corporate practice of medicine investigations.  Represents device manufacturers in investigations brought by professional boards under the Department of Consumer Affairs.

Other Government investigations.  Represents diverse clients in active investigations at the state and federal levels. Over his career, Raja has been involved in over 100 government investigations, approximately 75 under the False Claims Act.

False Claims Act DOJ investigations.  Brought to conclusion a False Claims Act investigation against a medical group related to its relationships with a specialty lab.  Currently representing a specialty pharmacy in False Claims Act litigation related to Medi-Cal reimbursement.

Nonprofit healthcare system.  Leads the Firm’s representation of this system, which spans three states, and includes hospitals, clinics, and physician groups.  Raja handles regulatory matters involving physician transactions and billing of federal health care programs.  In doing so, Raja leads privileged audits, investigations, policy formation and, when necessary, self-disclosures to government agencies.

Federally Qualified Health Centers (FQHCs).  Serves as lead counsel for several FQHCs in matters relating to business strategy, government reimbursement, risk contracting, and managed care licensing.

Legislative advocacy.  Represent a disease advocacy organization in seeking continued state funding of the disease registry.  Represent a provider in seeking passage of a private bill in Congress to remedy a Medicare error.

Vivacitas Healthcare, Inc.  Plays a significant role as Outside General Counsel to this startup company which offers a fall prevention product and develops analytics of value to the senior living industry.  In this role, Raja has advised on investor fundraising, IP protection, executive recruitment, and employment law.

Hospital Quality Institute.  Led the Nossaman team in constructing a contracting and data protection model for the client to perform data analyses for up to 380 hospitals, integrating vendors and hospital trade associations.  The model was designed to comply with privacy, data security, and antitrust laws, and required numerous contract types containing regulatory safeguards.

Insights

Publications

Speaking Engagements

Organizations

Community & Professional

Law360 2019 Health Editorial Advisory Board, Member

California Society for Healthcare Attorneys, Past President (2013-2015)

American Health Lawyers Association, Member

Health Care Compliance Association, Member

South Asian Bar Association, Member

Education

Admissions

Jump to Page

We use cookies on this website to improve functionality, enhance performance, analyze website traffic and to enable social media features.  To learn more, please see our Privacy Policy and our Terms & Conditions for additional detail.