Rachael K. Padgett
Member
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
News & Articles
Firm News
Articles
- MAY 27, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- MAY 12, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- MAY 5, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 28, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 24, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 21, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 17, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 14, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 10, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- APRIL 7, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- Navigating COVID-19: Medicare Advantage and Part D Prescription Drug Plans
- APRIL 3, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- MARCH 31, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- MARCH 25, 2020 UPDATE: Survey of State Insurance Department COVID-19 Regulatory Actions
- Survey of State Insurance Department COVID-19 Regulatory Actions
- Texas Responds to Coronavirus (COVID-19) Healthcare Costs
- Texas Insurance Commissioner Issues Bulletin Clarifying Applicability of Texas Small and Large Employer Health Plan Requirements in Light of Recent Federal Rules Expanding Availability of HRAs
- Latest Challenge to Affordable Care Act Arises in Idaho