KAREN L. CAVALLI is a Senior Counsel in the Health Care and Life Sciences practice, in the New York office of Epstein Becker Green. She has more than 20 years of experience in health care law and in the payor and provider environments.
- Reviews, negotiates, and drafts agreements by and among managed care companies, insurers, hospitals, health systems, physicians, and ancillary providers
- Provides assistance to health care providers and payors with transactional work emanating from accountable care and value-based purchasing
- Assists clients with transactions involving quality and utilization management programs, population health, and pay-for-performance incentive reimbursement plans
- Advises on the establishment of retail/convenient care, walk-in clinics, and urgent care centers
- Provides counsel to health care entities on a broad range of issues, including strategic development, transactions, interactions with state and federal agencies, and routine and non-routine contracting matters
- Counsels health care organizations and providers on federal and state regulatory compliance matters, including provider and vendor contracting, government and commercial reimbursement, and insurance and licensure laws
- Updates health care entities on industry trends and policy developments
- Negotiates and drafts arrangements for specialty services, including hospitalist and emergency department services, for providers
Prior to joining Epstein Becker Green, Ms. Cavalli was the Deputy General Counsel of Managed Care Contracts at a multi-hospital health system in Philadelphia, Pennsylvania. In that position, she was responsible for the legal evaluation, negotiation, drafting, and management of managed care and third-party payor contracts for the system, including hospitals, physician practices, ancillary providers, and urgent care centers. Prior to that, she served for 18 years as a Senior Counsel at the leading health insurer in southeastern Pennsylvania, where she provided legal counsel in the areas of managed care, compliance, and insurance.
While attending law school, Ms. Cavalli completed coursework in Comparative International Health Law and European Economic Community at the Padua International Law Institute, in Padua, Italy. In addition, Ms. Cavalli served as a Legal Intern at a not-for-profit health system based in Delaware County, Pennsylvania.
- Widener University School of Law (J.D., 1990)
- President, Health Law Society
- Student Managing Editor, Society of Health Care Attorneys of the Hospital Assoc. of PA Newsletter
- Muhlenberg College (B.A., 1988)
- District of Columbia
- New Jersey
- New York
- U.S. District Court, Eastern District of Pennsylvania
- American Bar Association
- American Health Lawyers Association
- Philadelphia Bar Association