Amy L. Mackin
  Attorney

BIOGRAPHY

Amy Mackin's practice focuses on health care regulatory law for hospitals, health systems, clinical laboratories and other providers. Amy has a particular interest in managed care contracting, primarily in advising providers in the negotiation and administration of managed care contracts with commercial and governmental health plans. She has expertise in various reimbursement models, including capitation and pay-for-performance incentive programs.  In addition, she has represented providers in contract disputes with payors, as well as in the transition to out-of-network status. Amy also advises clients on compliance with federal and state fraud and abuse laws, privacy laws, EMTALA and medical staff matters. She routinely handles physician and other professional service contracting, as well as compliance matters, for health systems.

EDUCATION

Harvard University, A.B. - 1996; University of North Carolina at Chapel Hill, Certificate in Nonprofit Leadership - 2000; Duke University, Certificate in Nonprofit Management - 2001

University of North Carolina School of Law, J.D. - 2009

ADMITTED TO BAR

  • North Carolina - 2009

memberships

  • American Health Lawyers Association
  • North Carolina Society of Health Care Attorneys
  • North Carolina Bar Association, Health Law Section

Experience

  • Negotiating managed care contracts on behalf of providers
  • Initiating and responding to contract and reimbursement disputes with payors
  • Drafting physician employment contracts and service agreements in compliance with applicable health care regulatory parameters
  • Conducting compliance investigations
  • Analyzing complex arrangements in light of fraud and abuse laws such as Stark and the Anti-Kickback Statute
  • Structuring contractual arrangements in accordance with HIPAA requirements to promote the privacy and security of protected health information
  • Advising hospital emergency departments on EMTALA compliance
  • Responding to government inquiries under the False Claims Act
  • Assisting with medical staff governance matters

honors

  • Listed in North Carolina Super Lawyers Rising Stars – 2018

Civic Involvement

  • Cleft Palate Foundation - Board of Directors, 2012-2017