Rachel E. Yount
Rachel Yount is an associate in the Health Care group at Arent Fox where she regularly advises clients on compliance with health care fraud and abuse laws, with an emphasis on the Stark law and Anti-Kickback statute. She also advises clients on internal and external investigations, particularly investigations related to the False Claims Act, as well as on reimbursement issues, licensing requirements, and other compliance matters. She assists clients with drafting, implementing, and evaluating compliance programs.
Additionally, Rachel routinely represents health care providers in significant reimbursement and coverage disputes with government payers, managed care companies, health insurers, third-party administrators, Medicare Advantage plans, and employer-sponsored health plans. Her work frequently addresses issues that arise under ERISA, COBRA, the Affordable Care Act, and the Medicare Secondary Payer Act.
Rachel also monitors and advises pharmaceutical manufacturers on recently-enacted state laws affecting drug pricing transparency laws.
Prior to joining Arent Fox, Rachel was a compliance attorney for Sentara Healthcare, a nonprofit health system in Virginia and North Carolina. Rachel was responsible for the oversight and maintenance of Sentara Healthcare’s compliance and privacy programs. In her role, she addressed compliance concerns regarding existing physician contracts, analyzed proposed terms and operational impacts of physician agreements, and conducted compliance training on the physician contracting process. She also coordinated and conducted internal investigations and compliance audits and oversaw implementation of corrective actions.
Rachel is an active member of the Health Care Compliance Association and the American Bar Association’s (ABA) Health Law Section. She serves as the Vice Chair of the ABA’s Health Law Committee of the Young Lawyers Division for 2017-2018. In this role, she has moderated a webinar on telemedicine and organized an in-person networking event with a panel of speakers from CMS.
Publications and Presentations
Rachel frequently contributes to the Arent Fox health care blog, Health Care Counsel, on regulatory developments, drug price transparency laws, and fraud and abuse issues relevant to the health care industry.
- Connecticut and Maine Become the Latest States to Adopt New Drug Pricing Transparency Laws, Health Care Counsel Blog, June 6, 2018.
- CMS Issues Letter Prohibiting Pharmacy ‘Gag Clauses’ for Part D Plan Sponsors in First Step to Lower Drug Prices, Health Care Counsel Blog, May 22, 2018.
- Maryland’s Drug Price-Gouging Law Struck Down as Unconstitutional, Health Care Counsel Blog, April 20, 2018.
- New CMS Final Rule Gives States Increased Flexibility to Define Essential Health Benefits Despite Disapproval from Patient Advocacy Groups, Health Care Counsel Blog, April 19, 2018.
- Oregon Joins Growing Number of States with New Drug Pricing Transparency Laws, Health Care Counsel Blog, March 21, 2018.
- Fighting the Opioid Epidemic: New DOJ Prescription Interdiction & Litigation Task Force to Target Drug Manufacturers & Distributors, Health Care Counsel Blog, March 6, 2018.
- Recently-Passed CHRONIC Act Allows for Increased Medicare Coverage for Telehealth Services, Health Care Counsel Blog, February 22, 2018.
- Here’s your Chance! OIG Seeking Proposals From the Health Care Industry on New Anti-Kickback Statute Safe Harbors and Fraud Alerts, Health Care Counsel Blog, January 16, 2018.
- California Passes Drug Transparency Law with Onerous Reporting Requirements for Manufacturers, Health Care Counsel Blog, October 20, 2017.
- Tally-ho! Flurry of Legislative Activity Signals Ease on Federal Barriers to Telehealth, Health Care Counsel Blog, May 17, 2017.
- In a Must Read, New OIG Guidance Provides Practical Ways to Evaluate Compliance Program Effectiveness, Health Care Counsel Blog, May 5, 2017.
- From the Source: Senior Advisor Provides Valuable Insight into Office for Civil Rights’ Plans, Health Care Counsel Blog, March 28, 2017.
- Substance Abuse Medical Record Privacy Rules Updated For the First Time in Nearly 30 Years, Health Care Counsel Blog, February 22, 2017.
- New Final Regulations Provide Overdue Guidance on Permissible Arrangements Between Providers, Financial Relief for Patients, Health Care Counsel Blog, December 7, 2016.
- Needing to Adjust: DOJ and HHS Announce Steep Increases to FCA, Stark Law, Anti-Kickback Statute, and EMTALA Penalties, Health Care Counsel Blog, September 13, 2016.
- CMS Proposes New Requirements for Stark Self-Disclosures, Health Care Counsel Blog, May 12, 2016.
- Together we Stand(ard): CMS and AHIP Announce Standardization of Quality Measures for Physicians and ACOs, Health Care Counsel Blog, February 24, 2016.
- CMS’s Long-Awaited Final 60-Day Repayment Rule Provides Guidance and Eases Some Requirements for Health Care Providers and Suppliers, Health Care Counsel Blog, February 18, 2016.
Life Beyond the Law
In her free time, Rachel enjoys traveling internationally, reading mystery novels, and camping.
Bar & Court Admissions
- Virginia Bar
- District of Columbia Bar
William & Mary Law SchoolJD,2013University of TennesseeBA,summa cum laude,2010