David focuses his practice on advising complex health systems, health care providers and payers on the regulatory, contracting, compliance and litigation aspects of health insurance. He routinely advises clients on the analytical underpinnings of government health insurance models and regulations, the inner-workings of the regulatory bodies that develop these systems, as well as the compliance challenges and litigation risks that health insurance stakeholders face.
David brings an insider’s understanding to the regulatory challenges and opportunities in the ever-changing health insurance space. A former government litigator and authority on alternative payment models under the Affordable Care Act (ACA), David now advises health care providers and payers on regulatory, compliance and litigation issues in health insurance, focusing on value-based contracting. He also provides counsel on complex issues arising from pharmaceutical manufacturer government price calculation and reporting practices.
David has spent years on the forefront of key industry trends and shifts, including the broader transition to value-based reimbursement. He spent almost a decade with the U.S. Department of Health and Human Services, including serving as director of the Division of Financial Risk within the Center for Medicare and Medicaid Innovation (a subset of the Centers for Medicare & Medicaid Services (CMS)).