Neil M. Sullivan

Neil M. Sullivan

recognized lawyers icon Recognized in Best Lawyers since 2024
Awarded Practice Areas
Health Care Law
Neil M. Sullivan
Neil M. Sullivan
Roseland, NJ
Works at
Greenbaum, Rowe, Smith & Davis LLP

49 Best Lawyers awards

Greenbaum, Rowe, Smith & Davis LLP logo

Biography

Neil’s healthcare and insurance law practice has a particular emphasis on the intersection of healthcare finance and healthcare delivery systems. He has significant experience assisting both healthcare providers and insurance companies in the negotiation and drafting of provider-payer contracting agreements, including participation in commercial, Medicare Advantage and managed Medicaid networks, and provides representation in insurer compensation disputes.

He regularly represents and counsels health plans and healthcare providers in regulatory compliance and filings, and alternative financial models for healthcare delivery, including Medicare Advantage (Part C) and managed Medicaid plans, Organized Delivery Systems (ODS), Accountable Care Organizations (ACO), Multiple Employer Welfare Arrangements (MEWA), and health system equity ownership or participation in insurance organizations. He has provided his expertise in complex regulatory requirements in conjunction with multiple lawsuits.

Neil served as Assistant Commissioner of the New Jersey Department of Banking and Insurance (NJ DOBI) from 2010-2014, a period of fundamental change in both the healthcare and insurance sectors. This encompassed the implementation of the Affordable Care Act (ACA) and the Dodd-Frank Wall Street Reform and Consumer Protection Act, the emergence of alternative financial models for health care delivery, and the transition to electronic health records and implementation of the ICD-10 mandate.

In his role, he had overall responsibility for the implementation of insurance reforms under the ACA, including the establishment of a high-risk pool and feasibility study of health insurance exchanges, and rationalizing conflicting points of state and federal law. He served as the DOBI Commissioner’s designee on the NJ Individual Health Coverage (IHC) and Small Employer Health (SEH) program boards, the Mandated Health Benefits Advisory Commission, and the NAIC Regulatory Framework Task Force and Senior Issues Committee and acted as liaison with the Centers for Medicare & Medicaid Services (CMS) over ACA implementation.

Results may vary depending on your particular facts and legal circumstances.

Works at
Greenbaum, Rowe, Smith & Davis LLP

49 Best Lawyers awards

Greenbaum, Rowe, Smith & Davis LLP logo

Locations

Education

  • Rutgers University–Newark, B.A., graduated 1980
  • Rutgers University–Newark, J.D., graduated 1993

Bar Admissions

  • New Jersey, New Jersey State Bar Association, 1993

Client Testimonials

Awards & Focus

Recognized in The Best Lawyers in America® 2027 for work in:
  • Health Care Law
Awards:
  • Mr. Sullivan ranked among the top 15 professionals in the NJBIZ annual “Power 50 in Healthcare” list in 2012 - 2014

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