The Challenges of Being a Managed Care Entity in Today’s Healthcare Environment

May 16, 2019 9:15am

Sara Anthony
Senior Associate General Counsel
Blue Cross and Blue Shield of Kansas City (Kansas City, MO)

Elizabeth Monohan
Assistant General Counsel
Humana (Louisville, KY)

Lou Patalano
Vice President & Deputy General Counsel
BCBSNC (Durham, NC)

  • Addressing coverage and cost challenges in the current environment
    • How to expand coverage and keep premiums low
  • Examining the Medicare/Medicaid expansion in various states and potential impact on payors
  • Exploring the impact of new entrants (e.g., Amazon, Berkshire) on payors
  • Analyzing HHS’ guidance on how to implement its blueprint for drug pricing
    • How do MCOs anticipate the drug pricing developments will impact existing contractual arrangements? What types of risk will MCOs potentially be exposed to?
  • Exploring the recent trend of moving discovery in-house
    • Do in-house counsel feel they are equipped to handle the bulk of the discovery matters in-house?