Agenda
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Day 1 - Thursday, May 16, 2019
7:30 |
Continental Breakfast |
8:15 |
Co-Chairs’ Welcoming Remarks |
8:30 |
Townhall on New Developments in the Managed Care Industry |
9:15 |
IN-HOUSE COUNSEL THINK-TANKThe Challenges of Being a Managed Care Entity in Today’s Healthcare Environment |
10:15 |
Morning Coffee Break |
10:30 |
Developing Successful Strategies for Handling Payor vs. Non-Par Provider Reimbursement Disputes |
11:45 |
Addressing Disputes among Contracted Providers and Payors |
12:30 |
Networking Luncheon |
1:30 |
Coverage Considerations for New Trends in Behavioral Therapy |
2:30 |
Assessing the Impact of the Medicaid Work Requirement on Managed Care Organizations |
3:15 |
Afternoon Networking Break |
3:45 |
Medicare Risk Adjustment: Understanding the Implications of the Latest Enforcement and Litigation Developments |
4:30 |
Understanding How Future Developments with the Affordable Care Act Will Impact Managed Care Organizations |
5:15 |
Conference Adjourns to Day Two |
Day 2 - Friday, May 17, 2019
7:45 |
Continental Breakfast |
8:15 |
Co-Chairs’ Remarks and Recap of Day One |
8:30 |
FOCUS ON FCA/QUI TAM AND CLASS ACTION ACTIVITYWhat Lies Ahead for Managed Care Organizations with Respect to Opioid Litigation |
9:15 |
FOCUS ON FCA/QUI TAM AND CLASS ACTION ACTIVITYFalse Claims Act and Enforcement Activity Affecting MCOs |
10:15 |
Morning Coffee Break |
10:30 |
Examining New Class Action Activity in the Managed Care Space |
11:15 |
A Practical Guide for Assessing and Responding to Potential Data Breach |
12:15 |
Networking Luncheon |
1:15 |
Spotlight on Antitrust: Disputes and Investigations Involving Contracting Practices Between Providers and Payors in Managed Care |
2:15 |
What Do Payors Need to Be Aware of with Respect to PBM Litigation |
3:00 |
Conference Ends |
Day 1 - Thursday, May 16, 2019
7:30 |
Continental Breakfast |
8:15 |
Co-Chairs’ Welcoming RemarksArchana R. Rajendra Thomas Vecchio |
8:30 |
Townhall on New Developments in the Managed Care IndustryKari Bomash Kirstin B. Ives Having a holistic view of the industry is crucial in determining litigation strategies. This session will provide a review of current cutting-edge developments and policies impacting the managed care industry. Topics of discussion will include:
|
9:15 |
IN-HOUSE COUNSEL THINK-TANKThe Challenges of Being a Managed Care Entity in Today’s Healthcare EnvironmentSara Anthony Elizabeth Monohan Lou Patalano
|
10:15 |
Morning Coffee Break |
10:30 |
Developing Successful Strategies for Handling Payor vs. Non-Par Provider Reimbursement DisputesMark Abernathy Jessica Chapman John T. Fogarty Matthew A. Heinle Jason Daniel Joffe Disputes with non-par providers in both the emergency and nonemergency context are perhaps one of the greatest challenges that the managed care industry is presently facing. This session will help you address these disputes in both the emergency and nonemergency context. Emergency context
|
11:45 |
Addressing Disputes among Contracted Providers and PayorsRania M. Basha Michael W. Lieberman Jon Rose
|
12:30 |
Networking Luncheon |
1:30 |
Coverage Considerations for New Trends in Behavioral TherapyCavender C. (“Chris”) Kimble Jonathan M. Herman
|
2:30 |
Assessing the Impact of the Medicaid Work Requirement on Managed Care OrganizationsAshlee M. Knuckey Archana R. Rajendra
|
3:15 |
Afternoon Networking Break |
3:45 |
Medicare Risk Adjustment: Understanding the Implications of the Latest Enforcement and Litigation DevelopmentsJason E. Christ Julie Nielsen
|
4:30 |
Understanding How Future Developments with the Affordable Care Act Will Impact Managed Care OrganizationsUrsula A. Taylor Thomas Vecchio
|
5:15 |
Conference Adjourns to Day Two |
Day 2 - Friday, May 17, 2019
7:45 |
Continental Breakfast |
8:15 |
Co-Chairs’ Remarks and Recap of Day One |
8:30 |
FOCUS ON FCA/QUI TAM AND CLASS ACTION ACTIVITYWhat Lies Ahead for Managed Care Organizations with Respect to Opioid LitigationMichael P. Abate Amanda L. Waesch
|
9:15 |
FOCUS ON FCA/QUI TAM AND CLASS ACTION ACTIVITYFalse Claims Act and Enforcement Activity Affecting MCOsNorman Beck Colin R. Jennings
|
10:15 |
Morning Coffee Break |
10:30 |
Examining New Class Action Activity in the Managed Care SpaceMary Beth Edwards Geoffrey M. Sigler Jaime Stilson Thomas J. Sullivan
|
11:15 |
A Practical Guide for Assessing and Responding to Potential Data BreachJamie R. Kurtz Pamela C. Williams Jeffrey D. Grossman
|
12:15 |
Networking Luncheon |
1:15 |
Spotlight on Antitrust: Disputes and Investigations Involving Contracting Practices Between Providers and Payors in Managed CareMike Cowie Peter J. Mucchetti Christine L. White Contracting practices with hospital systems and other healthcare providers often raise significant antitrust issues. These issues arise both in government investigations and in private litigation. Antitrust issues arise from provider steering and transparency restrictions, use of narrow or tiered networks, referenced based pricing most-favored-nation terms, and from other contracting practices. This session will explore best practices for managed care companies to minimize antitrust risks and for potential offensive use of antitrust to achieve commercial objectives. |
2:15 |
What Do Payors Need to Be Aware of with Respect to PBM LitigationMark Bina Suzette Schommer
|
3:00 |
Conference Ends |