Alexandra Busto

Alexandra Busto: Healthcare Transaction and Regulatory Legal Counsel

Alexandra Busto is an associate attorney specializing in healthcare law at a leading firm. She provides expert transactional and regulatory counsel to a diverse range of clients, including academic medical centers, hospitals, long-term care facilities, surgery centers, foundations, clinics, medical groups/IPAs, accountable care organizations, and related entities. Alex also represents innovative companies operating within the health information, medical device, and telehealth sectors, demonstrating a deep understanding of the evolving landscape of the healthcare industry.

My Focus: Healthcare Transactions

I specialize in guiding clients through complex strategic transactions, with a particular focus on hospital/physician alignment strategies, joint ventures, mergers, and acquisitions. My practice spans a broad spectrum of industry sectors, 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—often through strategic physician practice acquisitions and the meticulous structuring of complex services agreements and staffing arrangements. This includes providing expert legal opinion and structuring transactions within the stringent parameters of state prohibitions on the corporate practice of medicine (and other healthcare professions), utilizing the ‘friendly’ PC-MSO model to ensure compliance and facilitate successful ventures.

Navigating Complex Regulatory Requirements

A critical aspect of my work involves navigating the intricate regulatory approval processes required for healthcare transactions. I represent nonprofit clients in seeking waivers and consents from the California Attorney General, demonstrating a strong ability to advocate for my clients’ interests within a highly regulated environment. My expertise extends to ensuring compliance across a multitude of federal and state regulations.

Regulatory Compliance Expertise

I serve as healthcare regulatory counsel, providing comprehensive guidance on critical areas such as federal and state physician self-referral prohibitions, anti-kickback statutes, licensing and certification, and other essential healthcare compliance matters. With the rapid advancement of telehealth and the growing emphasis on remote care and digital health technologies, I proactively address the unique challenges posed by these developments, including reimbursement complexities, state law prohibitions, data access and utilization, and stringent fraud and abuse compliance requirements. My focus is on mitigating risk and ensuring that clients operate within the bounds of the law.

Looking Ahead: Innovation and Collaboration in Healthcare

I anticipate that ongoing technological advancements will continue to drive collaboration between healthcare providers, fundamentally changing how organizations deliver care. As federal and state agencies increasingly shift their focus towards data sharing and coordination, and as policies promoting digital health technologies are adopted, I’m committed to staying at the forefront of these changes. I believe this will lead to increased sophistication in approaches to providing accessible, high-quality care at reduced costs. My proactive approach allows me to guide clients through the complexities of this evolving landscape, ensuring they are well-positioned for future success.

Key Areas of Expertise Include:

• Hospital/Physician Alignment Strategies

• Joint Ventures and Mergers & Acquisitions

• Strategic Transactional Counsel

• Physician Foundation Development & Expansion

• Structuring Complex Services Agreements

• Regulatory Compliance – Self-Referral Prohibitions, Anti-Kickback Statutes, Licensing & Certification

• Telehealth and Digital Health Compliance (Reimbursement, Data Privacy, State Law)

Education & Credentials

• Practice Areas: Health Care Law

• Awards: Recognized: Health Care Law

• Affiliations: Recognized Since: Recognized in Ones to Watch since 2023

• Location: Los Angeles, California, United States

• Bar Admissions: California (Details to be added)