Atty. Alexandra Busto
Alexandra Busto is an associate 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.
Profile Summary
About Alexandra Busto at a glance
Alexandra Busto is a health care attorney based in Los Angeles, California, practicing at Nixon Peabody LLP. Educated at University of Southern California (J.D., 2016). Recognitions include Best Lawyers in America — Health Care Law (2026). Serands clients in Los Angeles, CA and the surrounding metropolitan area.
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About
- Alexandra Busto is an associate 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
- My focusHEALTHCARE TRANSACTIONS 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
- REGULATORY COMPLIANCE I also serve as healthcare regulatory counsel to our clients, specifically with respect to federal and state physician self-referral prohibitions, anti-kickback statutes, licensing and certification, and other healthcare compliance matters
- With the continued rise of telehealth and focus on capabilities related to remote care and digital health, I work to address challenges of reimbursement, licensing, state law prohibitions, access to and use of data, and fraud and abuse compliance in these areas
- Looking ahead I expect that the continuing development of new technologies will encourage greater collaboration between providers and will have the potential to change the way healthcare organizations deliver care
- As federal and state agencies shift their focus to data sharing and coordination and adopt policies promoting digital health technologies, I anticipate seeing increased sophistication in approaches to the provision of accessible, quality care at lower costs
Practice Areas Explained
Alexandra Busto's Areas of Practice
Each practice area below reflects the types of cases Alexandra Busto handles, with a brief overview of what that area of law covers.
Health care attorneys for HIPAA, Medicare, Medicaid, regulatory compliance, and medical licensing matters.
Alexandra Busto is one of 66,735 health care attorneys indexed nationally. Browse health care attorneys in California →
Jurisdictional Context
Why local counsel matters in California
Practicing law in California. Legal matters in California are governed by state-specific rules of civil and criminal procedure, statutes of limitations, and substantive law. Cases originating in Los Angeles are typically filed in the local municipal court or the appropriate California state district court, depending on subject matter and amount in controversy. An attorney licensed in California brings working knowledge of local procedural deadlines, judicial practices in this andnue, and the substantive law that applies to cases brought here. Out-of-state attorneys generally cannot represent clients in California courts without local counsel or pro hac vice admission.
Looking for additional California attorneys? Browse all attorneys in Los Angeles or all attorneys in California.
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