An article published in the August 2025 issue of New Jersey Lawyer, a New Jersey State Bar Association publication, notes:

“The concept of artificial intelligence has permeated almost all aspects of society. AI is being implemented more and more each day by major technology companies to try to improve daily living and optimize the delivery of data and information in our daily lives. AI is also being viewed as a tool that will revolutionize and improve the delivery of health care.”

Read more about the concerns being raised by members of the health care industry, and the federal government,  about the use of AI by insurers in this article authored by Greenbaum partners Bob Hille and John Kaveney.

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Photo of John W. Kaveney John W. Kaveney

Partner, Healthcare and Litigation

John provides legal guidance to healthcare sector clients on a broad variety of topics, including Medicare/Medicaid reimbursement issues, corporate compliance, data privacy and cybersecurity concerns, healthcare provider licensure and medical staffing concerns, involuntary commitment laws, and general healthcare regulatory…

Partner, Healthcare and Litigation

John provides legal guidance to healthcare sector clients on a broad variety of topics, including Medicare/Medicaid reimbursement issues, corporate compliance, data privacy and cybersecurity concerns, healthcare provider licensure and medical staffing concerns, involuntary commitment laws, and general healthcare regulatory support. He represents a diverse roster of healthcare entities, including for-profit and nonprofit hospitals and health systems, academic medical centers, individual physicians and physician groups, ambulatory surgery centers, ancillary service providers, medical billing companies, skilled nursing and rehabilitation facilities, behavioral health centers and pharmacies.

John advises on Medicaid reimbursement matters before the New Jersey Division of Medical Assistance and Health Services (DMAHS), which administers the state’s Medicaid programs, and handles Medicare reimbursement disputes, both in New Jersey and in numerous other states, before the federal Provider Reimbursement Review Board (PRRB).

In the area of corporate compliance, John supports clients on matters including the implementation of new, and the assessment and improvement of existing, compliance programs. He assists healthcare clients in navigating compliance audits, internal investigations, and governmental investigations related to compliance issues, including potential violations of the federal Stark Law, Anti-Kickback Statute (AKS), and Civil Monetary Penalties law (CMP). He further provides general guidance concerning compliance and regulatory matters under state and federal healthcare laws.

On issues related to information privacy and cybersecurity at the intersection of healthcare law, John assists providers with issues arising under the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). This includes the implementation and assessment of privacy and security policies and procedures to ensure the proper protection and utilization of protected health information (PHI) both by healthcare providers and the business associates with which they contract. In addition, he represents healthcare clients in investigating, reporting, and remediating information breaches and the liability such breaches create under various information privacy and security laws.

John also counsels healthcare providers with professional licensure issues and advises hospitals and health systems regarding their medical staff bylaws and corresponding policies and procedures, as well as assisting with internal investigations of medical staff members and the corresponding disciplinary process. He further provides legal guidance related to New Jersey’s involuntary commitment laws, and provides representation in civil litigation.

John serves as Editor-In-Chief of Healthcare Perspectives, Greenbaum’s blog covering issues of interest to the healthcare industry.

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

Contact information:

jkaveney@greenbaumlaw.com | 973.577.1796 | vCard | LinkedIn

For more information visit the Greenbaum, Rowe, Smith & Davis LLP website.

Photo of Robert B. Hille Robert B. Hille

Partner, Healthcare and Litigation

Bob is a civil and criminal trial attorney who represents clients in litigation in state and federal courts, and before federal and state administrative boards and agencies. His areas of concentration include professional liability defense, professional ethics, disputes involving…

Partner, Healthcare and Litigation

Bob is a civil and criminal trial attorney who represents clients in litigation in state and federal courts, and before federal and state administrative boards and agencies. His areas of concentration include professional liability defense, professional ethics, disputes involving healthcare providers, insurance coverage matters, white-collar criminal defense, regulatory issues, and legal issues associated with the use of technology and AI, including those related to professional ethics.

Bob has considerable expertise related to professional ethics for legal and healthcare industry professionals. He represents attorneys facing allegations of ethical violations in disciplinary actions before the District Ethics Committee (DEC), in Office of Attorney Ethics (OAE) investigations and prosecutions, and in proceedings before the Disciplinary Review Board (DRB) and the New Jersey Supreme Court, in matters ranging from suspension to dismissal to disbarment.

In the healthcare sector, Bob represents physicians and other licensed healthcare professionals in professional board inquiries and investigations, including those involving alleged violations of medical ethics and alleged breaches of standards of care. His white-collar experience includes involvement in both state and federal investigations, including those related to healthcare fraud and abuse and the taking of fraudulent payments from government entities.

In the area of insurance coverage, Bob has litigated numerous lawsuits. He represents business policyholders in complex insurance coverage litigation with the goal of maximizing the value of insurance assets by aggressively disputing unwarranted denials of coverage. He provides coverage analysis and opinions, interpreting the scope of coverage for pending or potential claims under commercial general liability (CGL), directors & officers (D&O), errors & omissions (E&O), and other types of policies. Bob vigorously represents clients at the trial and appellate levels to resolve disputes concerning an insurer’s duty to defend and duty to indemnify. This includes prosecuting declaratory judgment actions and claims for breach of contract. He has pursued extra-contractual claims against insurers for wrongful or unreasonable delay and denial of payment in “bad faith” litigation with the objective of ensuring that clients recover the full benefits of their policies.

Certified by the Supreme Court of New Jersey as a Civil Trial Attorney, Bob has served as an amicus representative for professional and business associations on a number of matters before the Supreme Court.

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

Contact information:

rhille@greenbaumlaw.com | 973.577.1808 | vCard  | LinkedIn

For more information visit the Greenbaum, Rowe, Smith & Davis LLP website.