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David Hoskins is a partner in King & Spalding’s healthcare practice and specializes in advising healthcare and life sciences companies on maximizing reimbursement strategies under Medicare and Medicaid. With more than 20 years of experience—including as Chief Litigation Counsel for the Centers for Medicare & Medicaid Services (CMS)—David draws upon his deep institutional insight and expansive litigation background to help clients navigate, challenge and influence complex federal healthcare policies.
David’s practice centers on affirmative litigation, where he represents healthcare providers in challenging CMS and state Medicaid agencies over payment policies that directly impact revenue. During his time at the Department of Health and Human Services, David defended hundreds of these cases and helped mold the federal government’s legal strategy in major disputes, including several with billions of dollars at stake. He now brings that same knowledge and strategic foresight to advocate for providers—turning complex administrative legal challenges into powerful tools for financial recovery. Clients count on David to identify policy vulnerabilities, evaluate high-value opportunities for litigation, and lead the charge in federal courts under the Administrative Procedure Act.
In addition to litigation, David maintains a robust regulatory counseling practice. He works with providers, pharmaceutical companies, and medical device manufacturers on engagements involving payment policy strategy, Medicaid demonstration projects, participation in value-based payment models, and navigating CMS coverage and rate-setting decisions. Clients value his ability to cut through the regulatory fog and deliver actionable, revenue-focused guidance backed by decades of agency experience.
David also plays a pivotal role in supporting clients facing fraud and enforcement matters, particularly False Claims Act investigations arising from alleged Medicare or Medicaid violations. He partners with investigations teams to help healthcare entities mount sophisticated defenses informed by his rare knowledge of CMS reimbursement frameworks and enforcement priorities. His insider understanding of how federal agencies develop and pursue enforcement theories gives clients a crucial advantage.
Beyond litigation and counseling, David also advises clients in developing advocacy strategies before CMS and HHS. Many healthcare companies rely on David to guide them through the policy development process, shape coalitions, and engage with federal leadership to advance their strategic objectives.
David earned his J.D. from the University of Virginia School of Law and clerked for the Honorable John P. Wiese at the U.S. Court of Federal Claims. He is admitted to practice in the District of Columbia and before the D.C. Circuit. A respected speaker and thought leader, David is uniquely positioned to not only help clients understand federal healthcare regulations, but to also use them to their advantage.
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