How do I help healthcare organizations plan for the future?

One of the things I’ve enjoyed most throughout my career is helping healthcare organizations find a path forward during periods of change. Whether they’re evaluating a partnership, responding to new reimbursement models or expanding access to care, the legal issues are only part of the decision. My role is to help clients understand their options so they can make decisions that strengthen their organizations and the communities they serve.

Helping hospitals remain part of their communities

Karen Rieger has spent much of her career helping hospitals adapt as financial pressures, changing reimbursement models and evolving healthcare delivery reshape the industry. In recent years, she has worked extensively with rural hospitals considering acquisitions or partnerships with larger health systems, helping them evaluate options that allow healthcare services to remain available locally. She also advises hospitals transitioning to Rural Emergency Hospital status, establishing rural health centers and developing telehealth relationships that expand access to specialty care while keeping patients closer to home.

Representing healthcare organizations in transactions and regulatory matters

Karen represents hospitals, health systems, physicians and other healthcare providers throughout Oklahoma on the broad legal and business issues that accompany growth, restructuring and operational change. She negotiates physician and service agreements, structures acquisitions and joint ventures and advises clients as they develop new service lines and other strategic initiatives such as constructing a new surgical center. Her practice also includes counseling healthcare organizations on regulatory matters involving Medicare reimbursement, HIPAA privacy and security, the Anti-Kickback Statute, the Stark Law, medical staff governance and laws affecting tax-exempt and governmental healthcare providers.

Helping healthcare leaders evaluate difficult decisions

Healthcare executives often involve Karen before making significant organizational or operational decisions. Drawing on more than four decades of experience, she efficiently identifies the legal issues affecting a client’s particular situation, explains them in clear, straightforward terms and outlines the available options without minimizing the challenges involved. Clients value her ability to explain not only what the law requires, but also the practical implications of different approaches so they can make informed decisions with confidence.

Contributing to healthcare law and education in Oklahoma

Karen has remained actively involved in Oklahoma’s healthcare legal community throughout her career. She is a past chair of the Oklahoma Bar Association Health Law Section, has served as a speaker, author and dispute resolver through the American Health Law Association and taught healthcare law as an adjunct professor at the University of Oklahoma College of Law. These leadership roles have allowed her to remain engaged with emerging legal developments while helping educate future healthcare lawyers.

What Clients Say About Karen

Credentials

  • University of Oklahoma College of Law, J.D., With Honors, 1981
    • Order of the Coif
    • Oklahoma Law Review, Articles and Notes Editor
    • Phi Delta Phi
  • University of Oklahoma, B.A., 1978
    • With Distinction
    • Phi Beta Kappa

  • Oklahoma

  • American Bar Association
    • Business Association Member (1981 – Present)
    • Health Law Section Member (1981 – Present)
  • Oklahoma Bar Association
    • Associate Bar Examiner (2010 – Present)
    • Awards Committee (1996 – 2010)
    • Oklahoma Bar Journal Board of Editors (1996 – 2000)
    • Public Information Committee (2001 – 2002)
    • Health Law Section, Chairperson, 1995
    • Health Law Section, Chairperson-Elect (1994 and 2014)
    • Health Law Section, Secretary (1993 and 2013)
    • Health Law Section, Treasurer (1992 and 2012)
    • Law Day Committee (1983 – 1988)
    • Law Day Chairman, 1988
    • Business Associations Section
  • Oklahoma County Bar Association
    • Law Day Committee (1983 – 1984)
    • Briefcase Newsletter Committee (1982 – 1985)
    • Co-Editor, Briefcase Newsletter (1983 – 1985)
    • Public Affairs and Media Relations Committee (1987)
    • Alternate Delegate to OBA Convention (1985 – 1986)
  • Cleveland County Bar Association
  • American Health Lawyers Association
    • Co-Chair, Long-Term Care Practice Group (1997 – 2001)
    •  Medical Staff, Credentialing and Peer Review Practice Group
    • Fraud and Abuse Practice Group
    • Hospitals and Health Systems Practice Group
    • Regulation, Accreditation and Payment Practice Group
  • Oklahoma Health Lawyers Association
    • President (2000 – 2001)
    • Vice President (1999 – 2000)
    • Secretary/Treasurer (1998 – 1999)
    • Director (1997 – Present)
    • COBRA Task Force (1990)

Honors & Awards

  • Chambers USA, Band 1 in Corporate/Commercial Healthcare (2010 - Present)
  • Best Lawyers 2025 Lawyer of the Year (OKC) in Corporate Governance Law
  • Best Lawyers Lawyer of the Year (OKC) in Health Care Law (2012, 2014)
  • Best Lawyers Lawyer of the Year (OKC) in Corporate Compliance Law (2013, 2015)
  • Best Lawyers, Corporate Compliance Law, Corporate Governance Law, Corporate Law, Health Care Law, Mergers and Acquisitions Law, Non-Profit/Charities Law (1991 - Present)
  • Oklahoma Super Lawyers, Top 25 Women (2020 - Present)
  • Oklahoma Super Lawyers, Healthcare, Not-for-Profit Entities  (2006 - Present)
  • Received two Leadership in Law awards
  • Twice recognized as a finalist for the Woman of the Year Award by The Journal Record
  • Fellow of the Oklahoma Bar Foundation
  • 2015 OBA Mona Lambird Spotlight Award
  • 2018 University of Oklahoma Gaylord College Distinguished Alumni Award

Publications & Media

  • “The Medical Staff Guidebook: Minimizing the Risks and Maximizing Collaboration, Fourth Edition” (Author), American Health Lawyers Association, 2016
  • Change in OPPS Reimbursement, The Oklahoman Q&A, December 2015
  • Unique Anti-Referral Laws: How They Affect Business Arrangements in the Health Care Industry, Oklahoma Bar Journal, January 2015
  • 2 Midnight Rule, The Oklahoman Q&A, August 2014
  • HIPAA Update, The Oklahoman article, August 2014
  • 2 Midnight Rule, Modern Healthcare Interview, 2014

  • Medical Staff Fundamentals and Emerging Issues, The American Health Lawyers Association Fundamentals of Health Law Program, November 2017
  • The Color of Money: Provider Reimbursement Update, Crowe & Dunlevy Health Law Update, April 27, 2017
  • Back to the Future: Potential Changes to ACA & the Effect on Providers, Payers & Employers, Crowe & Dunlevy Health Law Update, April 27, 2017
  • Oklahoma!: Healthcare Legislation and the Medicaid Nursing Facility UPL Program, Crowe & Dunlevy Health Law Update, April 27, 2017
  • War and Peace: Emerging Issues in Hospital/Physician Relationships, Crowe & Dunlevy Health Law Update, April 27, 2017
  • Tip for Negotiating Physician Employment and Other Agreements, University of Oklahoma School of Medicine, February 2, 2017
  • EMTALA Update, Stillwater Medical Center, January 31, 2017
  • 2016 Year-in-Review Health Law Update, Oklahoma Bar Association, December 8, 2016
  • Fundamentals of Health Law – Medical Staff Fundamentals and Emerging Issues, American Health Lawyers Association (Chicago, Illinois), November 14, 2016
  • Trending Legal Issues, Oklahoma Hospital Association Convention, November 2, 2016
  • PA Employment, Independent Contractor and Recruitment Arrangements, OCU PA Program, November 2016
  • Health Information Privacy and Security Update, Oklahoma Health Information Management Association (Tulsa, Oklahoma), September 16, 2016
  • Managing Key Legal Tipping Points, Oklahoma Hospital Association 2016 Health Care Leaders Forum, June 17, 2016
  • HIPAA Update and More, Administrative Consultant Services, LLC, June 3, 2016
  • HIPAA Legal Workshop, Oklahoma Health Information Management Association, May 20, 2016
  • Balancing the Interests: The Revolution in Health Information, Crowe & Dunlevy Health Law Update, May 3, 2016
  • Teaming Up for Success: Emerging Issues in Hospital/Physician Employment, Crowe & Dunlevy Health Law Update, May 3, 2016
  • HIPAA and Law Enforcement, Stillwater Medical Center, April 27, 2016
  • Contract Education and Contract Checklist, Stillwater Medical Center, April 27, 2016
  • The Changing Face of the Medical Staff, OBA Health Law Section, April 21, 2016
  • Oklahoma Hospital Association – Legal Update, November 2015
  • Mental Health and Substance Abuse Records, Oklahoma Health Information Management Assocation, September 2015
  • HIPAA Webinar, Oklahoma Health Information Management Assocation, April 17, 2015
  • Ranchers and Rodeos: A Roundup of the Top Ten Healthcare Legal Developments, Crowe & Dunlevy Health Law Update, April 16, 2015
  • Boom or Bust: The Changing Face of the Medical Staff, Crowe & Dunlevy Health Law Update, April 16, 2015
  • Emerging Medical Staff Issues, American Health Lawyers Association, Physicians and Hospitals Program (Las Vegas, Nevada), February 2015
  • Oklahoma Hospital Association Health Law Update, November 9, 2014
  • Can’t Buy Me Love — Impact of Stark Law Developments on Physician/Hospital Relationships, Crowe & Dunlevy Health Law Update, April 1, 2014
  • Magical Mystery Tour – Key Healthcare Legal Developments, Crowe & Dunlevy Health Law Update, April 1, 2014
  • Health Law Section Update, Oklahoma Bar Association, November 2014