22 nd annual · 2020. 1. 1. · ffs and managed medicaid biosimilars and high-priced generics...
TRANSCRIPT
an informa business
“One of the best conferences I’ve seen that addresses the key issues facing the industry as it pertains to Medicaid and other pricing issues.”
22nd ANNUAL
MAY 19-21, 2020 • DISNEY’S CONTEMPORARY RESORT • ORLANDO, FL
Conference Preview
PRICING &CONTRACTING SERIES
A.I and Machine Learning
Bona Fide Service Fees
340B ProgramRebate
Processing
State Pricing
TransparencySupplemental
Rebates
Backed by 21 years of content and industry expertise, the Medicaid and Government Pricing Congress convenes hundreds of executives within the GP community representing
pharmaceutical, biotech, generic and medical device manufacturers. The Congress arms attendees with action-oriented discussions and implementable takeaways led by the
industry’s most authoritative government pricing experts for up-to-the minute insights in an evolving and uncertain regulatory and political landscape.
Gross-to-NetGovernment
Price Reporting
Value-Based
ContractsFederal
Contracting
WHAT TO EXPECT...
M&A
FFS and Managed Medicaid
Biosimilars and High-
Priced Generics
Medicare Part B & D Dispute
Resolution
State Invoicing
CPIU Penalty
State Policy
TAA Compliance
Medicaid Rebate
Processing
AGENDA AT A GLANCEPRE-CONFERENCE SYMPOSIA — TUESDAY, MAY 19, 20208:00 Pre-Conference Summit Registration and Networking Breakfast 9:00 CHOOSE BETWEEN TWO SUMMITS BASED ON LEVEL OF EXPERTISE (A-B)
GOVERNMENT PRICING AND REPORTING 101 BOOT CAMP A SENIOR-LEVEL THINK TANKB12:00 Networking Luncheon3:30 CHOOSE BETWEEN THREE TRACKS BASED ON COMPANY TYPE (1-3)
1:00 Track Chair’s Welcome
1:05 Product Launch Roadmap — Price Reporting Strategies and Considerations
1:45 Blueprint for Establishing Your Product’s Medicaid National Drug Rebate Agreement
2:25 Process and Methodologies for GP System Design and Implementation
1:00 Track Chair’s Welcome
1:05 Technology and Automation Driving GP Efficiencies
1:45 Strategies to Streamline Processes and Expand Commercial and GP Teams
2:25 Innovative Contracting and Bundling
1:00 Track Chair’s Welcome
1:05 CPIU Penalty Impact to Manufacturers 1:45 Medicaid Drug Price Reporting Changes
for Authorized Generics 2:25 Generic Product Launch Approaches
and Considerations
1. SMALL AND EMERGING BIOTECH 2. MID-LARGE PHARMA 3. GENERICS
3:05 Networking and Refreshment Break3:35 CHOOSE BETWEEN THREE TRACKS (4-6)
3:35 Track Chair’s Welcome
3:40 Supplemental Contracting and Claims 4:20 Improve the Efficiency of Medicaid
Rebate Processing 5:00 State Invoice Processing and
Dispute Resolution
3:35 Track Chair’s Welcome
3:40 Country of Origin and Trade Agreement Act Compliance
4:20 Federal Acquisition Regulation Fundamentals for FSS Contractors
5:00 Single vs. Dual Pricing Methodology Strategies and Considerations
3:35 Track Chair’s Welcome
3:40 340B Update — Program Integrity, Compliance and Regulatory Oversight
4:20 Mitigate Duplicate Medicaid and Commercial Rebates
5:00 Refund Processing for New Products and Restatements
4. MEDICAID CLAIMS AND CONTRACT OPERATIONS
5. FEDERAL CONTRACTING AND REPORTING
6. 340B PROGRAM OVERSIGHT AND COMPLIANCE
5:45 Close of Tracks / Welcome Reception Begins
MAIN CONGRESS DAY ONE — WEDNESDAY, MAY 20, 20207:30 Networking Breakfast
8:30 Chair’s Welcome and Opening Remarks
INDUSTRY AND MDRP CRITICAL UPDATES
8:45 State of the Industry — Political and Legislative Trends Impacting Coverage and Access
9:30 OIG Work Plan and 2020 Initiatives
10:15 Networking and Refreshment Break
11:00 HRSA Address — 340B Program Oversight and Initiatives
11:45 PANEL DISCUSSION Navigate Complexities of State Price Transparency and Reporting Requirements
12:30 Networking Luncheon
STATE AND FEDERAL MEDICAID POLICY1:30 LUMINARY ADDRESS Expanding Access to Affordable Healthcare Coverage 2:45 Regulatory Developments and Government Initiatives Impacting the Future of Medicaid
3:30 Networking and Refreshment Break
4:00 CMS Policy Initiatives and Operational Updates
4:45 State Spotlight — Prevailing Trends and Key Factors Impacting State Policy
5:30 Close of Day One / Networking Cocktail Reception Begins
MAIN CONGRESS DAY TWO — THURSDAY, MAY 21, 20208:00 Networking Breakfast
8:30 CHOOSE BETWEEN 3 TRACKS BASED ON FUNCTION (7-9)
8:30 Track Chair’s Welcome8:40 Status of U.S. Territories and Impacts to
Pricing Calculations 9:25 Understand and Integrate Government
Pricing in the Broader Market Access Stream 10:10 Networking and Refreshment Break 10:45 Navigate Evolving Value-Based Contracting
Models and Overcome GP Implications11:30 Trends in Fee-for-Service and Managed
Medicaid
8:30 Track Chair’s Welcome8:40 Ensuring Compliance with State Price
Transparency Reporting 9:25 Electronic Reporting Requirements for
ASP in Part B 10:10 Networking and Refreshment Break 10:45 Bona Fide Service Fees and Fair Market
Value Determination11:30 Strategies for Commercial and
Government Compliance
8:30 Track Chair’s Welcome8:40 Financial Impacts of the Removal of
Coverage Gap 9:25 GTN Models and Best Practices for Forecasts,
Estimates and Accruals 10:10 Networking and Refreshment Break
10:45 PANEL • Evaluate the Importance of Cross-Functional Collaboration of GP, Finance and Compliance
11:30 Best Practices and Analytics to Understand 340B Customer Behavior
7. PRICING, CONTRACTING AND REIMBURSEMENT 8. LEGAL AND COMPLIANCE 9. FINANCE OPERATIONS
12:15 Networking Luncheon
1:45 Legal and Compliance Closing Fireside Chat
3:00 Chair’s Closing Remarks
3:15 Close of Congress
WHO YOU’LL MEET...
NEARLY 350 ATTENDEES
FROM 130 COMPANIES
ANNUAL AUDIENCE:
“Up to the minute updates, informative and great speakers. Conference is great for beginners to experts. I can always
take something from this conference and enjoy the networking opportunities.”
Attendee Profile By Function
62% Pricing/Contracts/Reporting/MDRP
19% Finance/Accounting
12% Managed Markets/Market Access
7% Legal/Compliance
Attendee Profile by Company Size
60% Small
20% Large
12% Upper-Mid
8% Mid
Gary Alexander, President and CEO, The Alexander Group; former Head, Health and Human Services, Commonwealth of Pennsylvania and the State of Rhode Island
Marci Anderson, Auditor, VA Office of Inspector General, Office of Contract Review
Jeffrey Baab, Vice President, Life Sciences, daVIZta, an IntegriChain Company
Mike Benedict, Vice President Operations, Apexus
Steve Benz, Partner, Arnold & Porter
David Berger, Vice President, Legal Affairs, Hikma Pharmaceuticals USA Inc.
Joseph Birdsall, Senior Vice President, Financial Services EVERSANA
Kathleen Black, Director, Government Strategy, Pfizer Inc
Brian Bohnenkamp, Partner, King & Spalding
Mike Borgia, Group Director, Government Channel, Johnson & Johnson
Larry Breen, Director, Financial Planning and Analysis, Sunovion Pharmaceuticals
Lynn Buhl, Director, KPMG LLP
JoAnn Bute, Director, Government Pricing and Compliance, Amneal Pharmaceuticals
David Chan, Co-Founder and CEO, Riparian
Jeff Clayton, Principal, Baker Tilly Virchow Krause, LLP
Lisa Clayton, Director, Government Reporting, Granard Pharmaceuticals
Jonathan Connell, Senior Counsel, Bristol-Myers Squibb
Chris Cobourn, Managing Director, KPMG LLP
Carmela Crimeni, Principal, Cumberland Consulting Group
Jennifer Crosswell, Manager, Government Pricing and Reimbursement, Arbor Pharmaceuticals
Meenakshi Datta, Partner, Sidley Austin LLP
Lenis De León, Senior Manager, Government Pricing and Compliance, Apotex
Rujul Desai, Of Counsel, Covington & Burling LLP
Rajeev Devgan, Director, Government Rebate Operations, Johnson & Johnson Health Care Systems
Susan Dunne, Managing Director, BDO
Aubrey Elmore, Engagement Manager, HighPoint Solutions, an IQVIA Company
Jennifer English, Senior Director, Market Access, Pricing and Gross-to-Net Financial Operations, Insmed Incorporated
Sandy Fischer, Government Pricing Senior Director, Ingenus Pharmaceuticals, LLC
Simon Gisby, Managing Director, Deloitte Corporate Finance LLC
Tanuja Gohil, Associate Director, Government Contracts and Rebates, Novo Nordisk Inc.
Stacey Hale, Drug Rebate Manager, Oklahoma Health Care Authority
Josephine Hawkins, Associate Director, Medicaid, AstraZeneca
Doug Helling, Associate General Counsel, UCB
Kristin Hicks, Partner, Arnold & Porter
Christine Hinds, Policy Analyst, CMS
Marcy Imada, Principal, Deloitte & Touche LLP
Glen Huttar, Director, Government Pricing, Johnson & Johnson Health Care Systems
Murray Kay, Former Senior Vice President and CFO, Solvay Pharmaceuticals; Former Commercial Controller, AbbVie & Abbott Laboratories
Stephanie Kupski, Director, U.S. Pricing and Government Reporting, CSL Behring
Mike Kurland, Vice President, Revenue Management and Compliance Solution, EVERSANA
Michael Kvassay, Social Science Research Analyst, Office of Evaluations and Inspections, OIG
Miree Lee, M.S., MBA, Bio/Pharma Pricing Consultant, M. Lee Consulting, LLC
Lynn Lewis, Director, Data Acquisition and Integrity, IQVIA
Naomi Lopez Bauman, Director, Healthcare Policy, Goldwater Institute
Jennifer Lospinoso, Managing Director, KPMG LLP
Josef Magpantay, Principal, Cumberland Consulting Group
Janice Matasi, Manager, KPMG LLP
Jesse Mendelsohn, Vice President, Centers of Excellence, Model N
Jennifer Woodruff McElhenny, Manager, Baker Tilly Virchow Krause, LLP
Ed McAdam, Director, Government Pricing, Contract Operations and Analytics, Indivior Inc.
Lisa McNair, Senior Manager, Managed Care and Government Pricing, Alvogen
Mark Myers, Director, Healthcare Resources Division, VA Office of Inspector General, Office of Contract Review
Mallory O’Connor, Director, Healthcare Policy and Federal Programs, BIO
Funso Olufade, Ph.D., MBA, Director, U.S. Commercial Finance, Amicus Therapeutics Inc.
Jill Page, Director, Government Pricing Strategy Analysis, Fresenius Medical Care
Andrew Parks, Director, KPMG LLP
Kathleen Peterson, Counsel, Hogan Lovells
Allison Pugsley, Partner, Hogan Lovells
Dorine Rascoe, Fiscal Program Manager, Drug Rebates, Maryland Department of Health
Ron Sandhu, Senior Manager, Deloitte Risk and Financial Advisory, Deloitte & Touche LLP
William Sarraille, Partner, Sidley Austin LLP
Christopher Schott, Partner, Hogan Lovells
Phillip Scott, Senior Vice President, Business Development, NCPDP
John Shakow, Partner, King & Spalding
Brenna Sniderman, Senior Manager, Deloitte Services LLP
James Stansel, Executive Vice President and General Counsel, PhRMA
David Tawes, Regional Inspector General, Department of Health and Human Services, OIG
Michael Tomaselli, Senior Manager, EY
Nicholas Torre, Manager, Riparian
Stephanie Trunk, Partner, Arent Fox LLP
Aaron Vandervelde, Managing Director, BRG
Raquel Villanueva, Senior Manager, Contract Operations, Jazz Pharmaceuticals
Debbie Walters-Francique, Vice President, Assistant General Counsel, Pfizer Inc
Trevor Wear, Partner, Sidley Austin LLP
Donna White, Vice President, Contracts and Compliance, Chiesi USA, Inc.
Greg Wiefel, Director, KPMG LLP
Constance Wilkinson, Member of the Firm, Epstein Becker Green
Cathy Zhang, Associate Director, Government Contracts, Eisai Inc.
Rick Zimmerer, Partner, KPMG LLP
AUTHORITATIVE SPEAKERS DRIVING THE DIALOGUE IN 2019
HOW YOU’LL CONNECT…
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Reach Out to the #OrlandoMedicaid Team to Get Involved:
SPEAKING OPPORTUNITIES:
Elise Guerin Saas [email protected] 339-298-2251
SPONSORSHIP OPTIONS:
Derek Tagliarino [email protected] 339-298-2206
REGISTRATION & TEAMS:
Christian Alongi [email protected] 339-298-2131
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“The quality of the speakers was outstanding – Informative and insightful!”