Agenda
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Day 1 - Wednesday, March 30, 2022
Day 2 - Thursday, March 31, 2022
Day 1 - Wednesday, March 30, 2022
8:45 |
Co-Chairs’ Opening Remarks![]() Viktoriya Torchinsky-Field ![]() Denise Zamore |
9:00 |
In House Counsel Hot TopicsExamining How the Latest Industry Trends, Challenges and Opportunities are Shaping In-House Priorities and Responsibilities![]() Marguerita Brunson Sims ![]() Raymond Walker ![]() Inbal Hasbani Moderator:![]() Denise Zamore Topics Include:
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10:00 |
Fireside Chat on the Managed Care Industry 2022 and Beyond![]() Marianne Short Moderator:![]() Viktoriya Torchinsky-Field |
10:30 |
Break |
10:45 |
Anticipating the Impact of the No Surprises Act on Payors and Health Care Providers![]() Archana Rajendra ![]() JoAnna Younts
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11:30 |
Vertical Integration: Antitrust Planning and Risk Mitigation Considerations for Payors![]() Liz Brady ![]() Mike Cowie ![]() Joseph Miller The Biden Administration has jettisoned the Vertical Merger Guidelines, creating uncertainty while new guidelines are under consideration. In the current environment, Health insurers may combine with hospitals or physician groups through acquisition, joint venture, or other forms of collaboration. This session will explore:
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12:15 |
Networking Lunch |
1:15 |
Payor-Provider Litigation: Building Your Case Strategy with Lessons from the Most Influential Decisions of the Past Year![]() Adam J. Petitt ![]() Geoffrey Sigler ![]() Paul Weller Moderator:![]() Matt Ryan This session will offer a detailed examination of some of the year’s most notable coverage disputes involving in-network and out of network providers. Pinpoint the issues being frequently litigated, involving overpayment recovery, and provider underpayment claims. |
2:00 |
Case StudyLitigating Behavioral Health Claims: The Biggest Wins, Losses and Future Considerations for Payors![]() Brad Lerner ![]() Ben McCoy Behavioral health coverage continues to be a developing, and critical focus for MCOs. This session will focus on:
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2:45 |
Break |
3:00 |
Legal Landmines for MCOs in the Digital Landscape and How to Avoid them![]() David E. Kopans
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3:45 |
Part I - Interactive Breakout DiscussionsHow to Define, Assess and Improve DEI in All Aspects of the Business![]() Brian P. Seaman ![]() Denise Zamore |
4:30 |
How to Navigate Client Expectations: The Top Dos, Donts and Ethical Considerations for Inside and Outside Counsel![]() Hilary Dudley ![]() Jonathan Herman ![]() Akure Paradis ![]() Kimberly J. Donovan |
5:30 |
Conference Adjourns—Cocktail Reception |
Day 2 - Thursday, March 31, 2022
8:45 |
Co-Chairs’ Opening Remarks |
9:00 |
Fraud and Abuse: Tracking the Latest in Medicare and Medicaid Related Enforcement Actions and What it Means for Payors Moving Forward![]() Megan Tinker ![]() Ed Baker
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10:00 |
Spotlight on CaliforniaWhat MCOs Need to Know about Golden State Standards and the Implications for the Rest of the Nation![]() Sarah Ream
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10:30 |
Break |
10:45 |
Blip or Wave? Examining COVID-19 Related Disputes and Litigation Involving MCOs and Anticipating What the Future Holds![]() Timothy McMichael ![]() Eli Burriss ![]() Ashlee Knuckey Moderator:![]() Amanda L. Genovese
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11:45 |
How MCOs Should Approach Value-Based Contracts![]() Tiffany Wandy ![]() Selina P. Coleman
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12:30 |
Networking Lunch |
1:30 |
Social Determinants of Health and Promoting Health Equity: New and Emerging Coverage Considerations in Support of Improved Health Outcomes and the Business![]() Melinda J. Dutton
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2:15 |
Medical Loss Ratio Compliance and Enforcement Considerations for MCOs![]() Elizabeth M. Bock ![]() Alex Oliphant
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2:45 |
Break |
3:00 |
Affirmative Litigation Against Drug Manufacturers: “ Pay-for-Delay” Antitrust Claims and Other Recovery Opportunities![]() James Cash ![]() Kathy Kottos ![]() Peter D. St. Phillip Jr.
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4:00 |
Cyber Security, Privacy and Ransomware: Critical Steps to Take in the 24-Hours Following a Data Breach![]() Brian Lichter ![]() Kellen Dwyer
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5:00 |
Conference Concludes |