Rachel Grunberger is an associate in the firm’s Washington, DC office, where she practices in the areas of health care, federal-state programs, and privacy and data security. Ms. Grunberger helps clients navigate the rapidly changing legal landscape for the health care industry. Her practice focuses on health information privacy and government-sponsored health care programs, including Medicaid, Medicare, and CHIP.
Ms. Grunberger has extensive experience advising clients on compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and state medical privacy laws. She also counsels clients on the federal rules and policies governing the Medicaid and Medicare programs, as well as the Affordable Care Act. Ms. Grunberger is regularly called upon to provide advice on Medicaid managed care, Section 1115 demonstration projects, dual eligibles, the Medicaid expansion under the Affordable Care Act, the Medicare Part D prescription drug benefit, fraud and abuse laws, and other complex issues facing the health care industry.
- Advised numerous pharmaceutical companies on new requirements for marketing and research under HIPAA, HITECH, and the final HITECH omnibus rule.
- Assisted several state agencies in securing Centers for Medicare & Medicaid Services (CMS) approval of Section 1115 demonstration projects and renewals.
- Successfully represented a Medicare Part D prescription drug plan in an arbitration against its former pharmacy benefit manager related to compliance with Medicare Part D regulations.
- Drafted comments for a leading provider of cloud services regarding the impact of proposed HIPAA regulations issued by the Department of Health and Human Services.
- Advised a non-profit provider of reproductive health services on the Medicaid primary care rate increase available under the Affordable Care Act.
- Revised and updated HIPAA sections of practice manual for pro bono attorneys representing detainees with mental disabilities in the immigration detention and removal system.
- Assisted a local non-profit organization in its efforts to ensure that the regional affiliate of a national insurance company fulfills its charitable health care obligation to citizens of the National Capital area.
- Assisted a non-profit organization in its efforts to improve the provision of special education and related services to juveniles incarcerated in a local adult correctional facility.
Publications and Speeches