Mary Emma Karam
Mary Emma (Ackels) Karam has practiced law at Jackson Walker since 1979. Her practice consists of representing various organizations as outside general counsel and coordinator of legal work. She is an advisor in health care and managed care contracting and consults in litigation matters involving emerging health care issues.
Ms. Karam is a recognized authority in the field of health care/managed care law and was appointed by the Texas Attorney General to serve a term as Special Outside Counsel to the Office of the Attorney General for the State of Texas for consultation in health care/managed care matters for the state (2000-2001). For the past 25 years, Ms. Karam has reviewed and negotiated all forms of managed care contracts including PPO, HMO, indemnity, traditional, managed Medicare and Medicaid Advantage, STAR and STAR+Plus programs, and workers compensation. She consults on national contracts, including revisions of a plan's managed care contract form for a national hospital system to use in 47 states.
Ms. Karam represents all types of provider and health care organizations including hospitals, academic medical centers, laboratories, Independent Practice Associations (IPAs), preferred provider organizations, managed care organizations, physician-owned hospitals, ancillary service centers, physicians, dentists, durable medical equipment suppliers, nursing homes, assisted living facilities, medical clinics, and management companies. She also represents employers in the analysis of the components of their health insurance benefit plans. Her wide range of expertise in managed care gives her a unique ability to advise on the multiple aspects of the contracting process, including issues related to the employer, member, plan, managed care organizations, third-party administrator, broker, and regulatory oversight. She also advises trusts, banking institutions, and other corporations on decisions that involve health care matters. Her diverse background also enables her to provide invaluable assistance in the sale or transfer of health care entities and provider networks, as well as the formation of Accountable Care Organizations (ACOs), integrated delivery systems, clinically integrated networks and various health care models.
Ms. Karam works with health care entities on strategic thinking regarding formation of entities and integrated corporate health care systems to meet new managed care initiatives. She assists health care organizations in positioning themselves for future health care ventures. She counsels clients on medical staff issues, credentialing matters, contract review, management service agreements, employment agreements, recruitment and shareholder agreements, practice acquisitions, auditing and overpayment issues, prompt payment, clean claims, and medical records.
Ms. Karam also acts as outside general counsel and advisor to several client entities selecting legal teams and overseeing work for clients who have legal needs in several legal areas. She serves as the general counsel to the Diocese of Dallas.
With a litigation background, Ms. Karam consults in litigation matters that involve a variety of health care and insurance issues and advises banking and corporate institutions in disputes involving health care matters. She has tried numerous jury and bench trials, representing a variety of corporate clients in various business litigation matters. For several years, she represented Texas Utilities in nuclear power plant litigation, involving the coordination of a large number of attorneys, engineers, and other professionals; the briefing and argument of numerous legal issues; and the organization, review, production and maintenance of more than forty million pages of documents. Ms. Karam has also handled various noise matters at D/FW International Airport on behalf of an association and its member airlines.
Attorney Profile: Mary Emma Karam — Practical, strategic leadership
Ms. Karam is a member of the American Health Lawyers Association, the State Bar of Texas and its Health Law Section, and the Dallas Bar Association and its Health Law Section and the DFW Alliance for Healthcare Excellence. Ms. Karam is also a member of the State Bar of Texas Pro Bono College.
Ms. Karam is involved in a number of civic and charitable activities. In recognition of her pro bono services, the Dallas Bar Association and Legal Services of North Texas awarded her a Certificate of Appreciation in 1993. With her husband, Albert G. Karam, M.D., she served as honorary Co-Chair of Children's Medical Center of Dallas annual fund raising event at Six Flags over Texas in 2006. She received the Distinguished Alumna Award from Ursuline Academy of Dallas, where she is Past-Chairman of the Ursuline Academy Foundation and Past-President of its Board of Trustees. In 2007, she received the President's Award for her extraordinary leadership and service to support excellence in the education of young women. She was also appointed to serve on the Blue Ribbon Committee for Dallas High Schools for the Diocese of Dallas. She serves as counsel to the Board of St. Joseph's residence, a non-profit assisted living facility for the indigent and underserved. She also Co-Chaired the 2009 St. Monica School Annual Fund Drive.
Speeches / Publications
Ms. Karam has given numerous presentations at health care forums, medical societies, healthleadership councils, board meetings, and shareholder meetings of health care corporations. She was awarded the Texas Medical Association Philip R. Overton Lecture on Medicine and Law plaque, commemorating her presentation on managed care contracting to the TMA Leadership Conference.
Ms. Karam has authored or co-authored the following:
Links to Publications
B.A., summa cum laude, Spring Hill College (AL)
J.D., Southern Methodist University Dedman School of Law