David A. King

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David King is the leader of the firm’s Managed Care Strategy & Disputes Group.  He regularly serves as lead counsel in managed care matters and other healthcare disputes on a national basis for several of the largest healthcare providers in the country. These providers include for-profit and non-profit hospital systems, ambulatory surgery companies, air ambulance services, specialty providers, physician groups and ancillary service providers.  David brings to these matters nearly thirty years of experience as a healthcare and trial attorney, as well as his skill in creating and applying straightforward, timely, and cost-effective solutions to complex problems.  His focus on managed care issues includes:

  • Managed Care Disputes – David regularly represents healthcare providers in disputes with managed care companies  around the country. These disputes include but are not limited to underpayments, medical necessity denials, attempted recoupments and offsets, contract interpretation, refusal to contract, discrimination and retaliation against out-of-network providers and related reimbursement disputes, and related legal issues involving the Affordable Care Act, ERISA preemption, UCR laws, prompt pay laws, any willing provider laws, and laws regarding payor audits, recoupments, and offsets. David has many years of experience and success implementing all forms of resolution for these disputes, including negotiation, mediation, arbitration and litigation.
  • Managed Care Strategy and Contracting – David consults with various healthcare providers on payor network and out-of-network strategies, communication plans, and other issues involving the relationships among providers, insurers, self-funded plans, benefit administrators, and vendors. He also participates in drafting and negotiating contracts, as well as creating and implementing out-of-network reimbursement strategies and agreements.
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Memberships

American Bar Association — Health Law Section

American Health Lawyers Association (AHLA)

Tennessee Bar Association — Health Law Section

Nashville Healthcare Council

Nashville Council of Healthcare Attorneys