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Practices

Education

University of Houston Law Center J.D. (2008)
University of Texas at Austin BSW (2001)

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Rachael K. Padgett

Member

Email:	rpadgett@mwlaw.com
Phone:	(512) 480-5110
Location:	Austin
Bar Admissions:	Texas

Rachael Padgett has a diverse health care and benefits practice representing institutional and individual clients in transactions, administrative proceedings and litigation as well as counseling on operational and regulatory issues. She focuses her practice on counseling managed care clients concerning insurance regulatory matters, license applications, product filings and compliance with other health related laws.

Experience

Represents clients in investigations, contested matters, administrative appeals and due process hearings before various state agencies including the Texas Department of Insurance, Texas Health and Human Services Commission, Texas State Board of Pharmacy, Texas Board of Nursing and Texas Medical Board and the Texas Workforce Commission.
Assists clients with obtaining certificates of authority from the Texas Department of Insurance to operate as health maintenance organizations, third-party administrators and utilization review agents.
Advises clients regarding issues relating to Medicaid, Medicare and other state and federal health care programs.
Reviews and negotiates provider payor, employment, medical director and coverage agreements.
Evaluates and analyzes compliance with anti-fraud and abuse statutes and regulations on both state and federal levels.

Assists clients involved in government contracting with protecting their confidential and proprietary information from public disclosure through open records requests made under the Texas Public Information Act.
Defends health plans against provider claims for payment.
Defended a managed care organization in arbitration brought by a Medicare Risk Adjustment vendor.
Represented a health plan in litigation against claims of tortious interference with business relationships and misappropriation of trade secrets.

Professional Recognition

Austin Monthly Top Attorney in Health Care (2020)

Involvement

State Bar of Texas
Texas Young Lawyers Association
Austin Bar Association (Health Law Section)
Co-Chair, Mitchell Williams Regulated Business Practice Group
The Fifty - Seton Fund Dell Seton Medical Center
- Former Member, President's Council - Seton Fund Dell Seton Medical Center
Former Board Member, Carrying Hope