Partner
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Alexandra Busto is a partner in the Healthcare group. She works with academic medical centers, hospitals, long-term care facilities, surgery centers, foundations and clinics, medical groups/IPAs, accountable care organizations, and other entities affiliated with the healthcare industry. Alex also represents companies in the health information, medical device, and telehealth fields. I focus on transactional and regulatory matters for healthcare providers and others in the industry and, specifically, I assist clients with hospital/physician alignment strategies, joint ventures, mergers, acquisitions, and other strategic transactions. My practice spans across multiple sectors of the industry, including physician group practices, community hospitals, multi-state health systems, ambulatory surgery centers, in-vitro fertilization and reproductive services clinics, telehealth platforms and service providers, management services organizations (MSOs), dental providers, veterinarian clinics, imaging centers, and home health agencies. I frequently advise on the development and expansion of physician foundations, hospital-based clinics, and teaching/educational clinics, including through physician practice acquisitions and the structuring of complex services agreements or staffing arrangements. In addition, I regularly opine on and structure transactions within the parameters of state prohibitions on the corporate practice of medicine (and other healthcare professions), including via the “friendly” PC-MSO model. In connection with these transactions, I navigate complex regulatory approval requirements, including representing nonprofit clients in seeking waivers and consents from the California Attorney General.