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Agenda

Update on State and Federal Pharmacy Regulations

November 14-15, 2017
  • Chicago, IL

Agenda

Want more agenda details? Download the brochure.

DAY ONE | Tuesday, November 14, 2017

7:30

Registration and Continental Breakfast

8:30

Chairman’s Welcome and Opening Remarks

Michelle Rodriguez
Senior Director, Regional Medicare Compliance Officer
Centene Corp

8:45

KEYNOTE ADDRESS Outlook for Gov’t Sponsored Programs and Drug Benefits under the Trump Administration

John Gorman
Founder & Executive Chairman
Gorman Health Group

9:30

Expanding Beyond Traditional Systems —
Prescription Drug Monitoring Programs

Kevin Borcher, PharmD, PDMP
Program Director
NeHII, Inc.

10:15

Networking and Refreshment Break

10:45

EXTENDED SESSION Pharmacy Credentialing — Critical Issues for Today and Tomorrow

PRESENTERS:

Phillip Scott
Senior Vice President, Business Development
NCPDP

Gregory S. Kaupp
Senior Vice President, General Manager-Government Markets
Magellan Rx Management

Jill Regan, RPh
Senior Business Consultant
LexisNexis Risk Solutions

11:45

Networking Luncheon

1:00

CHOOSE BETWEEN TWO COMPELLING BREAKOUT SESSIONS

A. Considerations for Pharmacy Rebate Contracts with Your PBM

This presentation provides an overview of rebates paid throughout the pharmacy delivery chain, to employers, health plans, PBMs and pharmacies ,as well as patients. The focus is on considerations to be aware of when negotiating a rebate contract with the PBM handling your pharmacy benefit.

Michael J. Tocco, RPh, MEd
President
Integrated Pharmacy Solutions Inc.

B. Identifying the Red Flags of Potential “Drug Seekers”

In order to better manage prescription opioid usage, pharmacies and PBMs must work to prevent drug seeking.

Kaushik Kotecha, RPh
Vice President, Compliance and Risk Management
Smith Drug Company

1:45

Explore Drug Pricing in the Current Volatile Political Landscape

Erin Atkins
Associate
Arent Fox

2:30

Networking and Refreshment Break

3:00

Understand the Impact of the Current Regulatory Environment

Melissa Whitley, MBA
VP, Client Services
BluePeak Advisors, LLC

Erin W. Skinner, Esq.
Senior Counsel
BluePeak Advisors, LLC

3:45

Understand What Laws and Regulations Health Plans and PBMs are Responsible for When Signing Contracts

Cami Agena, Esq.
The Phoenix Law Group, PLC

Suzanne Broderick, Esq.
The Phoenix Law Group, PLC

4:45

Close of Day One

Networking, Wine and Cheese Reception immediately following the final session on day one

DAY TWO | Wednesday, November 15, 2017

8:00

Continental Breakfast

8:30

Chairman’s Review of Day One

Michelle Rodriguez
Senior Director, Regional Medicare Compliance Officer
Centene Corp

8:45

Delve into the Pitfalls of Opioids and Opioid Management

Phil Walls, RPh
Chief Clinical Officer
myMatrixx, an Express-Scripts Company

9:30

Critical Foundations for Helping Patients by Using Social Determinants of Health and Managing Fraud, Waste, and Abuse Programs

Brian Eidex
Senior Director, Pharmacy
Lexis Nexis Risk Solutions

10:15

Networking and Refreshment Break

10:45

It Starts at “Hello!” — Regulatory Risks in Customer Service Procedures

Lisa Venn
Privacy Officer
EnvisionRx

11:30

Networking Luncheon

12:30

Explore Maximum Allowable Cost (MAC) Pricing Restrictions and Requirements (MAC Legislation)

Alex Sommer
Senior Compliance Analyst
Prime Therapeutics

1:15

Navigate the Multi-Dimensional Complexity of a CMS Program Audit

Michelle Rodriguez
Senior Director, Regional Medicare Compliance Officer
Centene Corp

2:00

Close of Conference

Agenda

Want more agenda details? Download the brochure.
Want more agenda details? Download the brochure.

DAY ONE | Tuesday, November 14, 2017

7:30

Registration and Continental Breakfast

8:30

Chairman’s Welcome and Opening Remarks

Michelle Rodriguez
Senior Director, Regional Medicare Compliance Officer
Centene Corp

8:45

KEYNOTE ADDRESS Outlook for Gov’t Sponsored Programs and Drug Benefits under the Trump Administration

John Gorman
Founder & Executive Chairman
Gorman Health Group

9:30

Expanding Beyond Traditional Systems —
Prescription Drug Monitoring Programs

Kevin Borcher, PharmD, PDMP
Program Director
NeHII, Inc.

10:15

Networking and Refreshment Break

10:45

EXTENDED SESSION Pharmacy Credentialing — Critical Issues for Today and Tomorrow

PRESENTERS:

Phillip Scott
Senior Vice President, Business Development
NCPDP

Gregory S. Kaupp
Senior Vice President, General Manager-Government Markets
Magellan Rx Management

Jill Regan, RPh
Senior Business Consultant
LexisNexis Risk Solutions

11:45

Networking Luncheon

1:00

CHOOSE BETWEEN TWO COMPELLING BREAKOUT SESSIONS

A. Considerations for Pharmacy Rebate Contracts with Your PBM

This presentation provides an overview of rebates paid throughout the pharmacy delivery chain, to employers, health plans, PBMs and pharmacies ,as well as patients. The focus is on considerations to be aware of when negotiating a rebate contract with the PBM handling your pharmacy benefit.

Michael J. Tocco, RPh, MEd
President
Integrated Pharmacy Solutions Inc.

B. Identifying the Red Flags of Potential “Drug Seekers”

In order to better manage prescription opioid usage, pharmacies and PBMs must work to prevent drug seeking.

Kaushik Kotecha, RPh
Vice President, Compliance and Risk Management
Smith Drug Company

1:45

Explore Drug Pricing in the Current Volatile Political Landscape

Erin Atkins
Associate
Arent Fox

2:30

Networking and Refreshment Break

3:00

Understand the Impact of the Current Regulatory Environment

Melissa Whitley, MBA
VP, Client Services
BluePeak Advisors, LLC

Erin W. Skinner, Esq.
Senior Counsel
BluePeak Advisors, LLC

3:45

Understand What Laws and Regulations Health Plans and PBMs are Responsible for When Signing Contracts

Cami Agena, Esq.
The Phoenix Law Group, PLC

Suzanne Broderick, Esq.
The Phoenix Law Group, PLC

4:45

Close of Day One

Networking, Wine and Cheese Reception immediately following the final session on day one

DAY TWO | Wednesday, November 15, 2017

8:00

Continental Breakfast

8:30

Chairman’s Review of Day One

Michelle Rodriguez
Senior Director, Regional Medicare Compliance Officer
Centene Corp

8:45

Delve into the Pitfalls of Opioids and Opioid Management

Phil Walls, RPh
Chief Clinical Officer
myMatrixx, an Express-Scripts Company

9:30

Critical Foundations for Helping Patients by Using Social Determinants of Health and Managing Fraud, Waste, and Abuse Programs

Brian Eidex
Senior Director, Pharmacy
Lexis Nexis Risk Solutions

10:15

Networking and Refreshment Break

10:45

It Starts at “Hello!” — Regulatory Risks in Customer Service Procedures

Lisa Venn
Privacy Officer
EnvisionRx

11:30

Networking Luncheon

12:30

Explore Maximum Allowable Cost (MAC) Pricing Restrictions and Requirements (MAC Legislation)

Alex Sommer
Senior Compliance Analyst
Prime Therapeutics

1:15

Navigate the Multi-Dimensional Complexity of a CMS Program Audit

Michelle Rodriguez
Senior Director, Regional Medicare Compliance Officer
Centene Corp

2:00

Close of Conference