Burr & Forman

Rachel O. Gilbert

Rachel O. Gilbert Headshot
  • B.A. summa cum laude, North Carolina State University (2006)
  • J.D., University of Texas School of Law (2011)
  • LL.M. in International Law, with Distinction, University of Edinburgh School of Law (2011)

North Carolina

South Carolina


  • American Bar Association
  • Austin Young Lawyers Association
  • Greenville Business Magazine, "Legal Elite," Healthcare (2020-2021)

Partner | Greenville, SC Raleigh, NC

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Health Care


Health Care

Rachel is a Partner in the firm’s Health Care Practice Group, focusing on assisting hospital clients with regulatory compliance, transactions, financial strategies, and advocacy related to participation in federal and state reimbursement programs.

Rachel has assisted in the development, implementation, and operation of new Medicaid reimbursement programs in several states, including Uncompensated Care (UC) programs, Delivery System Reform Incentive Payment (DSRIP) programs, managed care rate increase programs, and Upper Payment Limit (UPL) programs. Rachel also has significant experience advising public, investor-owned, non-profit, children’s, and rural hospitals on regulatory compliance issues related to participation in Medicaid and Medicare reimbursement programs, as well as representing hospital clients in regulatory audits and appeals.

Rachel has performed due diligence related to the reimbursement and compliance impact of several complex transactions, including mergers, acquisitions, and joint ventures. Rachel’s transactional experience also includes drafting and negotiating purchase agreements, professional services agreements, leases, and management agreements.

Rachel enjoys working with her clients to compliantly develop and implement hospital financial strategies.  Rachel is well-versed in preparing advocacy materials for clients, developing talking points for C-suite executives, drafting proposed laws and regulations, performing complex financial modeling to determine the impact of proposed or adopted reimbursement rules, and facilitating coalitions of industry stakeholders to advocate to state and federal lawmakers for improved access to reimbursement.