Alexandra B. Shalom


Alexandra B. Shalom


Alexandra (Allie) Shalom is an associate and health care business lawyer with Foley & Lardner LLP and a member of the firm’s Health Care Practice Group.

Allie’s practice focuses on counseling clients in the health care and medical device industries with respect to a wide range of transactional and health care regulatory compliance matters. Her experience includes advising clients on managed care and value based payment arrangements; self-disclosures; federal and state fraud and abuse compliance; Medicare and Medicaid reimbursement; and provider enrollment and state licensure issues. She also assists health care clients with a broad range of transactional matters, including mergers and acquisitions, affiliations, and formation of friendly professional corporations.

Representative Experience

Transactional Matters

  • Represented Sports Medicine North Orthopedic Surgery, Inc., and its affiliated ambulatory surgery center in their acquisition by Connecticut-based orthopedic and spine care management services organization Spire Orthopedic Partners, a portfolio company of Kohlberg & Co.
  • Represented a family-owned subacute rehabilitation and nursing operator in connection with its sale of a 120-bed, long-term care facility in New Jersey.
  • Represented LCMC Health in connection with its acquisition of East Jefferson General Hospital, a 400+ bed public health system on the east bank of Jefferson Parish, Louisiana.
  • Assisted Alliance Healthcare Services in connection with the establishment of a joint venture with independent diagnostic testing facilities across several states.
  • Represented Spectrum Dermatology in connection with its recapitalization by Pinnacle Dermatology.
  • Represented a specialty physician group in its merger into a larger ophthalmology practice.
  • Represented a Massachusetts health system in connection with its acquisition of seven urgent care centers.
  • Structured management and professional services arrangements between clinical providers and management services organizations.
  • Represented a sole practitioner in connection with the acquisition of Kansas-based medical pain intervention practice and an ambulatory surgical center.
  • Assisted Troy Gastroenterology, a large GI platform company, and its affiliated entities with a pop-up F reorganization in connection with its recapitalization by HIG Growth Capital.
  • Prepare cross purchases for physician group practices.

Regulatory Matters

  • Negotiated managed care agreements for health care providers, including hospitals, physician groups, and DMEPOS suppliers.
  • Assisted Maxim Healthcare Services, an Allegis Company, in connection with multi-state regulatory filings required for the sale of Maxim Home Healthcare to Aveanna Healthcare, a Bain Capital Private Equity portfolio company.
  • Performed an assessment of the compliance program for a Massachusetts-based hospital.
  • Advised a remote patient monitoring platform with respect to its expansion and compliance program.
  • Advised DMEPOS companies on compliance with the Federal Sunshine Act and state level reporting requirements.
  • Counseled companies on professional scope of practice matters.

Telemedicine, Virtual Care, and Digital Health Matters

“Foley is the premier firm for telehealth counsel.”
“A market leader in telemedicine issues.” “This is the Dream Team.”
– Chambers USA: America’s Leading Business Lawyers (2020, 2021)

  • Worked with an emerging telemedicine company on strategic models for care delivery and revenue streams, practice of pharmacy restrictions and regulation, and state and federal fraud and abuse considerations.
  • Advise telemedicine companies with respect to health care quality improvement activities qualifying for reimbursement by Medicare and Medicare Advantage.
  • Counsel a tele-behavioral health company concerning scope of practice restrictions for different levels of practitioners.
  • Advised a client on telemedicine practice standards under state laws, regulations, and medical board policies across multiple states, including cross-state licensing issues and telemedicine prescribing of medications.

Awards and Recognition

  • Massachusetts Rising Stars,  Super Lawyers Magazine (2020 – 2022), which recognizes the top 2.5 percent of Massachusetts lawyers under 40


  • Member, Boston Bar Association
  • Member, American Health Lawyers Association

Community Involvement

  • Member of the Anti-Defamation League New England Associate Board
    • Co-chair of the Engagement and Communications Committee
    • Awarded the Krupp Leadership Award by the Anti-Defamation League New England, which is given to community members who demonstrate outstanding dedication and leadership on behalf of ADL. ADL New England Regional Director, Robert Trestan commented that:

“[this year’s recipients] represent Boston’s best and brightest future leaders… They are changing the world we live in today, and will continue to be ambassadors promoting equality and fair treatment for years to come.”

Presentations and Publications

  • Co-author, “Gender Affirming Care in Florida: Current Rules of the Road,” Health Care Law Today (August 23, 2023)
  • Co-author, “The No Surprises Act: A District Court’s Decision Results in Federal IDR Outage,” Health Care Law Today (August 14, 2023)
  • Co-author, “Gender Affirming Care Restricted Under Missouri Bill,” Health Care Law Today (May 16, 2023)
  • Co-author, “Florida’s Bill Targeting Gender Affirming Care Impacts Minors and Adults,” Health Care Law Today (May 9, 2023)
  • Speaker, “Thinking About Selling your Facility? What to Expect During a Long Term Care Facility Transaction,” The New England Alliance Winter Conference & Annual Meeting (January 12-14, 2022)
  • Co-author, “Massachusetts DPH Delays Enforcement Penalties for State Surprise Billing Law,” Health Care Law Today (January 5, 2022)
  • Co-speaker, “No Surprises Act: A Federal and State Overview,” MHA Webinar (August 5, 2021)
  • Co-author, “Federal Government Publishes an Interim Final Rule (Part 1) Implementing the No Surprises Act,” Health Care Law Today (July 20, 2021)
  • Speaker, “AKS and Stark Law Compliance in Managed Care Contracts,” Stafford Webinars (May 6, 2021)
  • Co-author, “Telehealth Legal and Regulatory Issues,” Chapter in Telemedicine: Overview and Application in Pulmonary, Critical Care, and Sleep Medicine (April 1, 2021)
  • Panelist, “The “Regulatory Sprint:” Accelerating New Business Models for Telehealth and Remote Patient Monitoring,” ATA20 (June 22-26, 2020)
  • Presenter, “Patient Brokering Prohibitions,” New England Alliance Winter Conference (January 16, 2020)
  • Co-presenter, “Managed Care Contracting,” Massachusetts Hospital Association (January 23, 2020)
  • Co-author, “COVID-19: Centers for Medicare and Medicaid Services Innovation Center Announces Flexibilities” (June 8, 2020)
  • Presenter, “Long Term Care in a Digital World, Trends and Considerations,” New England Alliance Winter Conference (January 17, 2019)
  • Co-presenter, “CMS’ New Proposed Telehealth and Virtual Care Services for 2020,” American Telemedicine Association (August 14, 2019)
  • Co-presenter, “Behavioral Health in a Digital World, Trends and Considerations,” 2018 Boston Health IT Summit (August 8, 2018)
  • Co-author, “The Relationship Between Enforcement and Compliance,” Health Care Compliance Legal Issues Manual (AHLA published on Lexis in 2019)
  • Co-author, “Structuring and Operationalizing Value Based Payments: Legal Developments and Practical Tips,” Health Law Watch 2019 (May 31, 2019)
  • Co-author, “A Round Up of Key Trends in Health Care Private Equity Investments,” Health Care Law Today (May 8, 2019)
  • Co-author, “The Good and the Bad of the New MassHealth Telemedicine Rule,” Health Care Law Today (March 4, 2019)
12 October 2023 Honors and Awards

Foley Attorneys Named to 2023 Massachusetts Super Lawyers and Rising Stars Lists

Foley & Lardner LLP is pleased to announce that 9 of its attorneys were selected for inclusion in the 2023 Massachusetts Super Lawyers and Rising Stars lists.
03 October 2023 Health Care Law Today

The No Surprises Act: The Departments Proposed Another Increase to IDR Fee, Will it Stick?

On September 26, 2023, the Departments of Health & Human Services, Labor, and the Treasury jointly proposed rules updating the administrative fee and Certified Independent Dispute Resolution entity fee ranges for the Federal IDR Process under the No Surprises Act.
28 September 2023 Events

A Year After the No Surprises Act: What We've Learned and What to Watch Out For

Foley partner Nick Welle, chair of the firm’s Health Benefits Practice, and associates Alexandra Shalom and Kara Sweet are hosting an informative CLE webinar on September 28, covering how the NSA has affected the health care industry a year after going into effect.
23 August 2023 Health Care Law Today

Gender Affirming Care in Florida: Current Rules of the Road

On May 4, 2023, the Florida Senate passed SB 254 by a sweeping vote of 83 to 23. This law, which imposes restrictions on gender-affirming care in Florida, took effect immediately upon Governor Ron DeSantis signing on May 17, 2023.
14 August 2023 Health Care Law Today

The No Surprises Act: A District Court’s Decision Results in Federal IDR Outage

Although the No Surprises Act was signed into law almost three years ago and has been in effect for the past year and a half, there have been numerous delays in implementation and execution due to the complexity of elements of the rules.
7 June 2023 Events

Medicare Advantage: 2023 Final Rule Focuses on Social Determinants of Health and Utilization Review

Foley Partner Judith Waltz, Co-Chair of the Firm’s Health Care Practice Group and Associate Alexandra “Allie” Shalom will be presenting their article, "Medicare Advantage: 2023 Final Rule Focuses on Social Determinants of Health and Utilization Review," at the upcoming American Health Law Association’s (AHLA) RAP Practice Group networking call on June 7.