Rachel is a seasoned health law attorney and litigator who concentrates her practice on representing health plans, payors, and managed care entities in all aspects of managed care and payor regulatory, transactional, and litigation matters with a specialized focus on pharmacy benefit and drug pricing–related issues.
Leveraging her extensive knowledge of and experience in health plan operations and health care law, Rachel helps clients navigate pharmacy benefit manager (PBM) contract negotiation, administration, and procurement matters. She also provides guidance on compliance with federal law, with an emphasis on advising health plans on the requirements of Medicare, the Federal Employees Health Benefits (FEHB) Program, Medicaid, and other government health care programs.
In the litigation side of her practice, Rachel represents clients in state and federal court, arbitration, and mediation, directing and managing cases involving commercial and government contract disputes, False Claims Act cases, and other civil enforcement actions. Clients also seek her assistance with internal and government investigations.
Before law school, Rachel spent more than a decade in the health care administration field, working for industry-leading health plans and provider health care systems in roles primarily focused on contract negotiations and administration.
Rachel is a true trusted adviser and an extension of our team. She is passionate about her work and her industry knowledge and expertise is unmatched.
- Healthcare Client, Chambers USA 2025
Rachel has displayed superior knowledge and experience throughout our dealings.
- Healthcare Client, Chambers USA 2025
Experience
- Provides legal guidance on all aspects of pharmacy benefit manager (PBM) contracting, administration, and dispute resolution.
- Advises on all aspects of health care and government contracting, including drafting and negotiating contracts, subcontracts, and affiliate agreements.
- Provides counseling on regulatory issues related to managed care, including Medicare Part D/Medicare Advantage, Medicaid, the Federal Employees Health Benefits (FEHB) Program, and the Telephone Consumer Protection Act (TCPA).
- Advises and defends health care government contractors with regard to government audits, investigations, and actions, including False Claims Act (FCA), Anti-Kickback, and Stark issues.
- Evaluates and advises on health care corporate compliance programs, assessing whether compliance programs meet evolving legal standards.
- Advises on all aspects of health care and government contracting, including drafting and negotiating contracts, subcontracts, and affiliate agreements.
- Provides counseling on regulatory issues related to managed care, including Medicare Part D/Medicare Advantage, Medicaid, the Federal Employees Health Benefits (FEHB) Program, and the Telephone Consumer Protection Act (TCPA).
viewpoints
Mintz IRA Update — Second Edition: Q1 2024
February 21, 2024 | Blog | By Rachel A. Alexander, Theresa Carnegie, Tara E. Dwyer, Madison Castle, Mitchell Clough, Xavier Hardy, Stephnie John, Bridgette Keller, Abdie Santiago, Hassan Shaikh
In this edition of the Mintz IRA Update, we cover the status of the negotiations underway between CMS and manufacturers pursuant to the Medicare Drug Price Negotiation Program and current legal challenges to the program, other drug pricing–related IRA initiatives, the IRA’s small biotech exemption, implications associated with removing the average manufacturer price cap on Medicaid rebates, and the Biden administration’s proposed draft guidance on patent “march-in” rights.
News & Press
Chambers USA has recognized 43 of Mintz’s practices and 88 of its attorneys in its 2025 guide to the country’s leading law firms. Of those featured in the guide, 17 attorneys and seven practice areas were awarded Chambers’ highest ranking, Band 1. The firm expanded its rankings this year with three new practice area listings and 17 attorneys recognized for the first time or in additional categories.
Medicare Drug Price Cuts Add Fuel to Legal Fight Over Program
August 16, 2024
Member Rachel Alexander was quoted in a recent Bloomberg Law article about Medicare drug price cuts and what they might mean for ongoing litigation. Rachel addresses the potential implications of the US government’s release Thursday of the first ten drug prices that were negotiated for Medicare.
Mintz Announces Record Member Growth in 2023
December 22, 2023
Mintz proudly announced the election of 13 attorneys to Members and the addition of a record-setting 22 new lateral Members in 2023, with 11 Partners in the newly opened Toronto office. This diverse group strengthens Mintz’s core areas, spanning Commercial and IP Litigation, Life Sciences, Tech, Private Equity, and Energy & Sustainability. The elevated Members and new lateral additions bring invaluable expertise to help clients navigate complex legal landscapes.
Mintz Bolsters Healthcare Practice With Wiley Partner
December 5, 2023
Law360 detailed the arrival of Member Rachel Alexander to Mintz’s health law practice. Rachel represents clients in all aspects of managed care and payor regulatory, transactional, and litigation matters with a specialized focus on pharmacy benefit and drug pricing related issues.
Mintz Adds Fire Power to Leading Health Law Practice with New Member
December 04, 2023
WASHINGTON, DC – Mintz has deepened its health care bench with the addition of new Member, Rachel Alexander.
podcasts
Health Law Diagnosed – New Year's Gratitude
February 3, 2025 | Podcast | By Bridgette Keller, Alison H. Peters, Samantha Kingsbury, Theresa Carnegie, Joanne Hawana , Abdie Santiago, Stephnie John, Pamela Polevoy, Karen Lovitch , Jean D. Mancheno, Deborah Daccord, Rachel A. Alexander, Jane Haviland, David Gilboa, Kathryn Edgerton, Hassan Shaikh, Madison Castle, Laurence Freedman, Priyanka Amirneni, Samantha Hawkins, Tara E. Dwyer, Rachel Yount, Sophia Temis, Xavier Hardy
Host Of Counsel Bridgette Keller invites the Mintz Health Law team to reflect on what they’re grateful for as they prepare for the year ahead. Hear from a dynamic group of Members, Of Counsel, and Associates as they share their perspectives on what’s coming up over the horizon.
Events & Speaking
Recognition & Awards
Chambers USA: District of Columbia - Healthcare (2025)
Involvement
- Member, Women’s Bar Association of the District of Columbia
- Co-Chair, Health Law Forum, Women’s Bar Association of the District of Columbia (2013 – 2014)
- Co-Chair, Insurance Law Forum Women’s Bar Association of the District of Columbia (2012 – 2013)
- Board of Trustees, Washington Ethical Society (2015 – 2019)
- Member, Women in Law Empowerment Forum (WILEF)
- Co-Chair, WILEF DC (2015 – 2017)
- Global Advisory Board, Women in Law Empowerment Forum (2015 – 2017)
Recent Insights
PBM Policy and Legislative Update — Spring 2025
June 10, 2025| Blog|
Chambers USA has recognized 43 of Mintz’s practices and 88 of its attorneys in its 2025 guide to the country’s leading law firms. Of those featured in the guide, 17 attorneys and seven practice areas were awarded Chambers’ highest ranking, Band 1. The firm expanded its rankings this year with three new practice area listings and 17 attorneys recognized for the first time or in additional categories.
