“My goal is to serve as a seamless extension of medical clients’ businesses.”


A Partner in the firm’s Health Care group, Renee Rayne focuses on the representation of public hospitals, private hospitals, and physician groups in regulatory and transactional matters, particularly related to Medicaid participation and reimbursement. Approaching each transaction with an analytical eye, Renee identifies issues and the risk tolerance to solve problems and help clients reach their goals.

Renee has been a primary contact for several hospital systems in markets across Texas and Tennessee, conferring with and advising hospital CEOs and CFOs regarding regulatory matters. Additionally, Renee has assisted with structuring and establishing large Medicaid supplement payment programs. Renee takes a collaborative approach to matters, strategically aligning with others to navigate complex negotiations.

When away from the office, Renee enjoys spending time with family and attending concerts.

Renee earned her J.D. from the University of Texas School of Law and her B.A. from Vanderbilt University. Renee interned with the Honorable E. Clifton Knowles, Magistrate Judge of the U.S. District Court for the Middle District of Tennessee, and was a recipient of the Dean’s Achievement Award for Academic Excellence and William Ellis Woods Endowed Presidential Scholarship.


  • Assisting hospitals and state Medicaid agencies in designing state-directed Medicaid managed care payment programs and assisting in responses to CMS inquiries in order to obtain program approval.
  • Structuring, developing, and assisting hospitals in working with healthcare industry associations, including the Tennessee Hospital Association, to implement a program to address hospitals’ uncompensated costs of treating uninsured patients.
  • Drafting healthcare provider contracts between hospitals, physicians, and other healthcare organizations and professionals.
  • Researching and drafting briefing materials for hospital intervenors in a disallowance appeal before the Department of Health and Human Services Departmental Appeals Board.
  • Analyzing hospital data to model reimbursement impacts due to federal or state policy changes or hospital operational modifications
  • Advising clients regarding compliance with the Stark law and federal and state anti-kickback laws, HIPAA, and other healthcare regulatory issues.
  • Negotiating agreements with Medicaid managed care organizations to effectuate hospital participation in a state-directed Medicaid managed care payment program.
  • Advising Texas hospitals related to their participation in the 1115 Medicaid Transformation Waiver and its associated Uncompensated Care and Delivery System Reform Incentive Payment programs.
  • Assisting hospitals in obtaining Medicaid managed care incentive payments for developing and implementing initiatives to improve access and quality of care to Medicaid managed care beneficiaries.

Honors & Recognitions

  • Listed in The Best Lawyers in America®: Ones to Watch, Health Care Law since 2022


Professional & Community

Professional Activities

  • American Bar Association
  • Texas Star Bar – Health Law Section


Legal Practice Assistant

Nancy Johnson 
(615) 724-3264


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