David K. Ries

Senior Counsel

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David Ries has healthcare experience on behalf of providers and payers and benefits administrators. He was general advice counsel to San Francisco’s health and human services agencies, including during the City’s COVID-response. On behalf of insurers, he has contracted with, credentialed and audited general and specialty hospitals, medical groups, nursing facilities, behavioral health programs, and nontraditional healthcare providers. David’s litigation practice has included elder abuse, compliance, reimbursement, HIPAA, licensing hearings, benefits eligibility and medical necessity determinations.

David has practiced within managed care, for San Francisco Health Plan and the Health Plan of San Mateo, where his work touched all areas of operations: contracting and compliance, claims, grievances, appeals, utilization management, quality and member enrollment. His client work in managed care has included network contracting and licensing in a dozen states, particularly for Medicaid and managed behavioral health plans.

As a Deputy City Attorney, David advised the City and County of San Francisco’s hospitals, clinics, and shelters, as well as health and human services policymakers and administrators. He represented client agencies in superior court, probate court, housing court, criminal court, treatment courts, administrative hearings, public meetings and mediations.

David clerked for the Honorable Louisa S. Porter, Magistrate Judge (ret.), in the United States District Court for the Southern District of California.

Medicare Shared Savings Program Lacks Behavioral Health Expertise, ABA Health Law eSource, June 2011
Small Business Outlook Under Healthcare Reform, National Healthcare Reform Magazine, Dec 2010
Healthcare Reform and Mental Health, American Bar Association Health Law eSource, June 2010
Mandated Coverage of Autism Spectrum Disorders, Selfhelp Magazine, April 2010
Duty-To-Protect Claims by Inmates after the Prison Rape Elimination Act, 13 Journal of Law & Policy 951, Sum. 2005

Street-based Behavioral Health Services, California Department of Healthcare Services (DHCS) Quality and Health Equity Conference; Sacramento 2023
County Health Officers’ Authority for Tuberculosis Control, County Counsels' Association of California; Napa, 2019
Adult Protection Services’ Investigatory Function and Case Management Responsibilities, Legal Assistance for Seniors' Annual Conference on Elder Abuse; UC-Hasting, San Francisco, 2019

Admissions

California

Community Involvement

Trustee, Peninsula Sinai Congregation, Foster City
Coach, San Mateo National Little League

Education

J.D., Brooklyn Law School, 2006
- Executive Notes & Comments Editor, Journal of Law and Policy
- Edward V. Sparer Public Interest Fellow
- Carswell Merit Scholar
B.A., Political Science, Vassar College, 1998