National Managed Care Institute

Schedule

October 8-9, 2020

Jones Day | Washington, DC | Eastern Time (ET)

Thursday, October 8, 2020 

8:45 AM - 9:00 AM | Introduction & Welcome 

David H. Ellenbogen, Institute Chair, Scott & White Health Plan, Temple TX

MEDICAID QUADRANT

9:00 AM - 10:00 AM | Session 1: Telemedicine and Other Innovative Care Delivery Models

Panelists:
Julian L. Rivera, Husch Blackwell LLP, Austin, TX
Rose Hayden, RAH Counsulting, Austin, TX
Dorothy DeAngelis, Ankura, Phoenix, AZ

10:00 AM - 11:00 AM | Session 2: Opioids and PBMs

Panelists:
Edward Baker, Constantine Cannon, Washington, DC
Vickie Yates Brown Glisson, The Glisson Group, Louisville, KY

11:00 AM - 12:00 PM | Session 3: Most Recent Trends in Enforcement: What the States Are Doing in Medicard Managed Care Enforcement

Panelists:
Barbara L. Zelner, National Association of Medicaid Fraud Control Units (NAMFCU), Washington, DC
Benjamin Koplin, Reed Smith LLP, Austin, TX

11:00 AM - 11:15 AM | Break

11:15 AM - 12:15 PM | Featured Speaker

Matthew Eyles, America's Health Insurance Plans (AHIP), Washington, DC
Matthew (Matt) Eyles is President & Chief Executive Officer of America‚Äôs Health Insurance Plans (AHIP), the national trade association representing health insurance providers. Matt leads the association toward fulfilling its mission and vision: expanding access to affordable health care coverage to all Americans, through a competitive marketplace that fosters choice, quality, and innovation. He joined AHIP in 2015 and led its Policy & Regulatory Affairs team, and he was Chief Operating Officer before his appointment as President & CEO.

12:15 PM - 1:15 PM | Networking Lunch

1:15 PM - 2:00 PM | Session 4: Lessons Learned from Recent Bid Protests - A Growing Field

Panelists:
Evan Raskas Goldfarb, Thompson Coburn LLP, Saint Louis, MO
Kevin J. Cosgrove, Hunton Andrews Kurth, Norfolk, VA
Marc Kesler, Hahn Loeser and Parks, Columbus, OH

MEDICARE QUADRANT

2:00 PM - 3:00 PM | Session 5: Risk Adjustment Litigation and FCA claims

Panelists:
Alex Oliphant, BRG, Washington, DC
Elizabeth M. Bock, O'Melveny & Myers LLP, Los Angeles, CA
John Kelly, Bass Berry & Sims PLC, Washington, DC

3:00 PM - 3:15 PM | Break

3:15 PM - 4:15 PM | Session 6: Driving Down Medical Costs and Improving Quality of Care through Risk Contracting

Panelists:
Matthew R. Fisher, Mirick O'Connell, Westborough, MA
Rachael K. Padgett, Mitchell, Williams, Selig, Gates & Woodyard, PLLC, Austin, TX

4:15 PM - 5:15 PM | Session 7: M&A with MA (and MCO) Plans

Panelists:
J. Everett Wilson, Polsinelli, Miami, FL
Ashlee Marie Knuckey, Locke Lord LLP, Chicago, IL

5:30 PM | Sponsored Reception (BRG)

 

Friday, October 9, 2020 

ACOs QUADRANT

8:00 AM - 9:00 AM | Session 8: How to Succeed in Direct-to-Employer Relationships 

Panelists:
Curtis Bernstein, Pinnacle Consultants, Centennial, CO
Lori A. Henley, QuadMedical, Milwaukee, WI

9:00 AM - 10:00 AM | Session 9:  Social Determinants of Health

Panelists:
Amy Papsun, Oscar, Jersey City, NJ
Dr. Lisa Fitzpatrick, Promoting Practical Health, Inc.
Thomas Campanella, Baldwin Wallace University & BakerHostetler, Cleveland, OH

10:00 AM - 10:15 AM | Break

10:15 AM - 11:15 AM | Session 10: The Role of Reinsurance

Panelists:
Kenneth White, J.D. Willis Towers Watson, Parkland, FL
Jason Alvarez, J.D. Willis Towers Watson, Portland, ME

10:15 AM - 11:15 AM | Session 11: Data Sharing Between Plans and Providers

Panelists:
Lynn Sessions,  BakerHostetler, Houston, TX
Iliana Peters, Posinelli, Washington, DC

11:15 AM - 12:00 PM | Networking Lunch

MANAGED CARE QUADRANT

12:00 PM - 1:00 PM | Session 12: The Future of Risk-Based Agreements with New Stark & AKS Regulations

Panelists:
Matthew Dimmock Jenkins, Hunton Andrews Kurth, Richmond, VA
Jen Johnson, VMG, Dallas, TX
Nicole J. Aiken-Shaban, Reed Smith, Philadelphia, PA

1:00 PM - 2:00 PM | Session 13: Balanced Billing Legislation Nationwide

Panelists:
Travis Lucas, Lucas Compton Law PLLC
Brian Hoyt, BRG, Washington, DC

2:00 PM - 2:15 PM | Break

2:15 PM - 3:15 PM | Session 14: Balanced Tips from Experts Using Mediation/Arbitration to Resolve Payor/Provider Disputes

Panelists:
Michelle Skipper, American Arbitration Association, Charlotte, NC
Emily E. Wey, Wey West Dispute Resolution LLC, Denver, CO
Christopher Flynn, Crowell & Morning, LLP, Washington, DC
Justin C. Fineberg, Lash & Goldberg LLP, Miami, FL

3:15 PM - 4:15 PM | Session 15: Ethics in Payer/Provider Disputes

Panelists:
Jonathan M. Herman, Herman Law Firm, Dallas, TX
TBD
Kevin D. Feder
, O'Melveny & Myers, Washington, DC

4:15 PM | Farewell & Thanks