With a particularly active healthcare practice, King & Spalding is regularly sought out by service providers for representation in high-stakes litigation and arbitrations involving new CMS and HHS rules, and breach of contract matters. The team represents a large number of hospitals, and also advises on business transactions, developments and funding work. The practice is led by two partners: Atlanta-based Jim Boswell is devoted to managed care issues and False Claims Act disputes, and Mark Polston is a key advisor in Medicare reimbursement litigation from Washington DC, including regulatory compliance issues and healthcare fraud investigations. Also in Washington DC, Dan Hettich is best known for advising hospitals on complex Medicare reimbursement issues, and has experience before the Supreme Court. From Atlanta, Jennifer Lewin has a proven track record defending healthcare clients in FCA litigation, in addition to assisting in investigations and regulatory matters. Alek Pivec focuses on reimbursement litigation from the Washington DC office. The team gained Robert DeConti and David Hoskins from the Department of Health & Human Services in June and August 2025.
Legal 500 Editorial commentary

Testimonials

Collated independently by Legal 500 research team.

  • ‘What we value most is the combination of expertise, integrity, and collaboration. The lawyers we work with are not only technically excellent but also deeply respectful of the non-profit context, demonstrating flexibility, empathy, and a shared sense of purpose. This differentiates them meaningfully from competitors and makes them a trusted long-term partner.’
  • ‘King & Spalding is at the highest level of skill and experience of sophisticated healthcare regulatory attorneys that we work with. They are highly attuned to looking for opportunities to work within the regulatory rules applicable to the healthcare industry.’
  • ‘Mark Polston, Chris Kenny and Alek Pivek are always up to speed about the latest status of complex regulatory issue and able to provide acute advice.’
  • ‘My primary experience with K&S healthcare attorneys is in litigation. The firm has excellent attorneys who represent providers in disputes with insurance companies. Often the financial stakes are large, and the K&S lawyers know the subject matter and provide effective representation in negotiations through trial.’
  • ‘Glenn Solomon is an excellent negotiator and strategist; very helpful as a thought partner to clients.’
  • ‘Dana Berkowitz is an excellent attorney, very good at explaining complex legal issues.’

Key clients

  • American Clinical Laboratory Association
  • Arrowhead Regional Medical Center
  • Atrium Health
  • Aveanna Healthcare
  • Baylor College of Medicine & Affiliated Medical Services
  • Bon Secours Health System
  • Brown University Health
  • California Hospital Association
  • Capital Health
  • CHRISTUS Health
  • Citizens Medical Center
  • Community Health Systems, Inc.

Work highlights

Represented The University of Texas Southwestern Medical Center (“UTSW”) on the formation of a new $5.5 billion jointly owned pediatric hospital in Dallas with Children’s Health System of Texas.
Representing Baylor College of Medicine in a False Claims Act case brought by a former employee and Director of their Center for Comparative Medicine.
Representing hundreds of hospitals nationwide in challenging CMS’s ongoing efforts to narrow the types of patients considered “eligible for Medicaid.”

Lawyers

Leading partners

The strongest partners in their field, leading on market-leading deals and endorsed by peers and clients alike.

Leading associates

Leading associates with regular involvement in their team's key work, and recognition from peers or clients as being ones to watch.

Alek Pivec
Alek Pivec
Practice head

Jim Boswell; Mark Polston

Other key lawyers

Dan Hettich; Jennifer Lewin; Robert DeConti; David Hoskins; Chris Kenny; Alek Pivek; Glenn Solomon; Dana Berkowitz; Kyle Gotchy