Josh has a national practice representing health care clients in high-stakes disputes where reimbursement, regulatory risk, and business operations intersect. He advises hospitals, health systems, physician groups, ambulatory surgery centers, air ambulance providers, behavioral health providers, and medical device companies in managed care disputes, reimbursement litigation, and related regulatory matters.

A significant part of Josh’s practice centers on the No Surprises Act. He advises on compliance, federal independent dispute resolution proceedings, and challenges to implementing regulations. He also counsels clients through complex disputes with commercial payors and other counterparties across the country.

Clients turn to Josh for counsel on:

• Managed care disputes, reimbursement litigation, and out-of-network payment issues
• The No Surprises Act, including compliance, federal IDR disputes, and challenges to implementing regulations
• Underpayments, denials, recoupments, offsets, and payor audit disputes
• Network contracting disputes, code-editing and downcoding issues, and medical device coverage policies
• Balance billing laws, transparency requirements, and related health care regulatory matters

Josh represents clients in negotiation, mediation, arbitration, and litigation in state and federal courts nationwide. He brings a pragmatic, business-oriented perspective to complex disputes and advises clients with clarity and precision at each stage. His practice focuses on matters that directly affect revenue, operations, and regulatory exposure.