EB-2 NIW Approval focused on Advancing Healthcare Operations  

The RFE from USCIS asked for one key clarification: how could an endeavor rooted in specific clinics or organizations demonstrate impact that truly reaches communities nationwide? 

Attorney Picataggio recognized that our client’s vision was never limited to one workplace. His methods were designed as adaptable models that can be used across hospitals, community health centers, and rural clinics throughout the United States. By beginning with targeted pilot programs and proving their effectiveness, his approach could evolve into solutions that directly supported national priorities, from expanding access in vulnerable areas to making healthcare more sustainable and cost-efficient. 

The challenge, then, was to document and explain how locally piloted initiatives could grow into models with national relevance. The RFE provided the opportunity to show that his approach tested in individual clinics could grow into models of lasting value, aligning with federal goals for a stronger, more equitable healthcare system across the country. 

Attorney Picataggio noted that the key in these moments is shifting the perspective from a single clinic to the broader system-wide impact the work can have. As he explained: “USCIS occasionally tries to limit the impact of the endeavor based on the petitioner’s potential employment or entrepreneurship. Our approach, focusing on the bigger picture and impacts to the field more generally, allows us to anticipate and eventually overcome these challenges.”  

In responding to USCIS, Attorney Picataggio developed a strategy that combined precision with clarity. By referencing federal initiatives, executive orders, and agency reports, the filing demonstrated that the client’s methods aligned with government-stated goals. 

Letters of interest from respected institutions, a detailed model plan, and evidence of the client’s prior record showed how his solutions could expand well beyond a single employer. In this way, our team illustrated how the client’s endeavor was a contribution with broad public benefit. Reflecting on this approach, Attorney Picataggio emphasized, “details and specifics matter! As I tell many clients, we can tell USCIS anything we want about their endeavors or their history of success, but we need to show them as well. Looking for statistics, reports, samples of work, and other specific, relevant evidence makes for stronger cases, as we saw here.”  

Ultimately, USCIS approved the EB-2 NIW healthcare operations petition, affirming that our client’s work holds substantial merit, carries significance at a national level, and that he is well-positioned to advance it in the United States. 

Advances in healthcare operations can shorten wait times, strengthen rural healthcare systems, and make care more affordable in communities with limited resources, making our client’s endeavor undeniably nationally important. It also highlights the importance of strategic legal advocacy: by leading both the initial filing and the RFE response, Attorney Picataggio ensured that the full scope of the client’s contributions was clearly demonstrated.  

With this EB-2 NIW healthcare operations approval, our client will continue to pursue a vision that brings measurable improvements to vulnerable communities. His upcoming pilot programs in Georgia, Texas, and Kansas will focus on reducing operational costs, improving patient flow, and expanding access to care. 

The goal is to develop models that can be scaled nationwide. By combining data-driven insights with practical implementation, he aims to build a healthcare system that is more efficient, equitable, and sustainable. His work will contribute to a system where quality care is within reach for every American. Attorney Picataggio reflected on the perseverance that made this outcome possible, even in the face of unexpected challenges: “This client faced a hurricane while we were preparing the case! As a Florida attorney, I certainly know what that feels like, and his dedication to the process is inspiring. His dedication and toughness will lead him to many beneficial impacts in the U.S.”

If you are a professional seeking to make an impact in the United States, we offer a free profile evaluation to help determine your eligibility for an EB-2 NIW or other immigration options.