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Karen Palestini

Partner; Chair, Health Care Group
Primary Office
1500 Market St. 3500E
Philadelphia, PA 19102
Direct(215) 575-7171
Fax(215) 575-7200
99 Park Avenue
Suite 320
New York, NY 10016
Direct(917) 675-4257   
Fax(212) 208-6874


Alicia N. Baldwin

Karen Palestini concentrates her practice on mergers, acquisitions and joint ventures, general corporate business matters, and regulatory compliance. While Karen's practice spans a variety of industries, she has particular experience in the healthcare, wellness, and education areas of commerce, assisting both for-profit and non-profit, tax-exempt organizations.

Karen's clients include hospitals, ambulatory surgery centers, diagnostic testing facilities, pharmaceutical companies, physician practices, behavioral health centers, colleges, universities, foundations, venture capital and private equity firms, group purchasing organizations, commercial lenders, home health agencies, urgent care centers, clinics, pharmacies, assisted living facilities, wellness centers, medical spas, day spas, and fitness centers.

She has assisted those in the healthcare and wellness industries with licensure and accreditation surveys and plans of correction; compliance plan development and audits; physician compensation, remuneration, and recruitment; employment arrangements; medical staff issues; tax-exempt organization issues; EMTALA issues; electronic prescribing and health records; health information privacy and security; identity theft prevention/remediation; private offerings and syndications; licensing and intellectual property rights; and mergers, divestitures, affiliations, and joint ventures.

Karen counsels her clients on federal and state health care reform, managed care contracting, fraud and abuse, electronic medical records, HIPAA and FERPA compliance and data breaches, facility licensing, medical staff issues, regulatory compliance, and government reimbursement programs, including Medicare Advantage, Part D, and state Medicaid programs.

Representative Experience

  • Formed one of the first 27 accountable care organizations ("ACOs") approved by CMS to participate in the Medicare Shared Savings Program in April 2012, involving a geographically diverse, multi-hospital healthcare system in partnership with a regional medical center and with participation from more than 1,300 physicians, including more than 200 primary care physicians, 50 nurse practitioners and 10 ancillary care providers serving patients in two states
  • Negotiated the terms of a multi-million dollar infectious disease laboratory joint venture between a regional blood center and a prominent organ procurement organization
  • Represented the surviving entity in the first conversion of a non-profit hospital to for-profit status in the state of New Jersey
  • Coordinated the private placement of securities for, and assisted with the development of, a novel entity offering investors a vehicle for establishing a pre-ACO operational structure via a ‘roll up' of numerous primary care practices
  • Conducted an extensive compliance plan review and analysis of a multi-provider medical center
  • Developed HIPAA- and FERPA-compliant policies and procedures for large University with application to both its general student population and its health center
  • Represented non-profit organization in internal investigation of alleged criminal misconduct by personnel

Professional & Community Activities

  • Member, Health Care Reform Committee, American Health Lawyers Association
  • Member, ACO Task Force, American Health Lawyers Association
  • Member, Education Committee, Health Care Financial Management Association, New Jersey Chapter

Professional Recognition

  • Taught courses in Health Care Law, Health Care Transactions Health Care Ethics and Education Law at Seton Hall Law School and St. Joseph's University.
  • Served a federal clerkship with the Honorable Joseph L. McGlynn, Jr. of the U.S. District Court for the Eastern District of Pennsylvania
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Alternate Biographies





  • J.D., Villanova University School of Law, 1990
    • Staff member, Villanova Law Review
    • Founding Editor-In-Chief, Villanova Environmental Law Journal
  • B.A., University of Delaware, 1987

Bar Admissions

  • Pennsylvania, 1990
  • New Jersey, 1990
  • New York, 2000