National Managed Care Institute


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


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

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

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

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

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


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

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

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

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

5:30 PM | Sponsored Reception (BRG)


Friday, October 9, 2020 


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

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

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

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

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

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

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


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

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

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

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

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

4:15 PM | Farewell & Thanks