Amy L. Mackin

Attorney | Raleigh

Phone: (919) 447-4963
| Fax: (844) 801-5883

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About Amy

Amy Mackin is a managed care and regulatory attorney who advises hospitals, health systems, clinical laboratories and other providers on contracting strategy and payor relationships across commercial and governmental health plans.

Working closely with legal and financial leadership teams, Amy helps clients negotiate stronger contract terms, implement agreements compliantly and respond effectively to payor audits, recoupments and reimbursement disputes.

Amy’s practice includes:

  • Advising hospitals, health systems and other health care organizations on managed care contracting strategy and negotiations with commercial and governmental payors;
  • Strategizing with financial leadership teams on new approaches, including out-of-network status, development of health plan and direct-to-employer offerings, and transition to value-based care arrangements;
  • Counseling clients on reimbursement models, including fee-for-service, capitation and shared-risk arrangements; and
  • Supporting managed care initiatives involving market access, provider networks and related regulatory considerations.

Amy leads the Firm’s Health Economics Practice Group, guiding the team’s strategic focus on the financial and contractual challenges shaping health care delivery. She brings a mission-driven perspective to her work, shaped by prior nonprofit leadership experience.

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 Law 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
  • Establishing provider-sponsored health plans
  • Conducting compliance investigations and establishing compliance programs for providers and plans
  • 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

honors

  • Best Lawyers Health Care Law “Lawyer of the Year” in Raleigh– 2027
  • Chambers USA | Healthcare, North Carolina – 2024, 2025
  • Best Lawyers in America
  • Listed in North Carolina Super Lawyers Rising Stars – 2018-2019

Civic Involvement

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