Day Two - CT (Central Time)
- Odalys Caprisecca - Vice President, Managed Markets Finance, Novartis Pharmaceuticals Corporation
With the highly anticipated election on the horizon, join us in a policy overview of different scenarios based on the election outcome. We will model out possibilities with experts in the field on health policy issues, drug pricing and treatment of Pharma.
- Review past initiatives by presidential candidates that impacted the industry and expected shifts
- Landscape for 2025 and beyond
- Implications for both the national and state level
- IRA impact on election and outlook for amendments post-election
- Joel White - Founder and President, Horizon Government Affairs
- Maria Ghazal - President & CEO, Healthcare Leadership Council
- James Stansel - Executive Vice President, General Counsel and Corporate Secretary, PhRMA
- Rujul Desai - Partner, Covington & Burling LLP
- Heidi Ross, MPH - Vice President, Policy and Regulatory Affairs, National Organization for Rare Disorders
- Mallory O’Connor - Executive Director, Public Policy, Mallinckrodt Pharmaceuticals
- Alice Valder Curran - Partner, Global Regulatory, Hogan Lovells
Hear from expert manufacturers of various size and type on how policy has impacted their commercialized product.
- Appropriate weighting within organization and what it means for pricing long term
- Approaches to compliance and risk-based evaluation
- Tips for communicating updates and downside to senior leadership
- Implications of the IRA on development pipeline
- Jesse Mendelsohn - Senior Vice President, Model N
- Dana Lerro - Sr. Director, US Government Analytics, Market Access, BMS
- J'Aime Conrod, MSPH - Vice President, Government Business & Healthcare Policy, Amneal Pharmaceuticals
- Megan Falkowski - Director, Government Pricing & Government Contracting Policy, Pfizer Inc
- Daniel Yerves - Director, Government Pricing, Contracting, & Trade, scPharmaceuticals
This session will provide stakeholders with key policy, programmatic and compliance updates from the Office of Pharmacy Affairs, which oversees the federal 340B Drug Pricing Program.
- Chantelle Britton - Director, Office of Pharmacy Affairs, Office of Special Health Initiatives, Health Resources & Services Administration (HRSA)
- Lisa Scholz, PharmD, MBA, FACHE - Vice President, 340B Enterprise Strategy, Health System and Government Services, Cencora
- Refresh on the Medicare Drug Price Negotiation Program
Insights from the publication of MFPs from the first round of negotiation
How may future rounds of negotiation differ?
What to prepare and best practices on process
Market access implications of the MFP and changing Part D dynamics
- Jeff Baab - Partner, Advisory Services, IntegriChain
- Kristin Hicks - Partner, Arnold & Porter
- Angie Franks - Chief Executive Officer, Kalderos
What keeps YOU up at night? The newest requirements for State Drug Pricing? Is it the circling litigation with 340B and contract pharmacies? IRA and Medicaid negotiations? Smoothing and stacking? PBMs and PDABs? Join this open Q&A with external counsel to get answers to your most challenging questions. We’ll also hear about issues that keep them up at night and how it will impact you. *Pre-Conference we’ll poll the attendees for questions to ask our speakers.
- Odalys Caprisecca - Vice President, Managed Markets Finance, Novartis Pharmaceuticals Corporation
- Meena Datta - Partner, Sidley Austin LLP
- Christopher Schott - Partner, Latham & Watkins
- Stephanie Trunk - Partner, ArentFox Schiff LLP
- Information regarding all modifications made to rules, regulations, and calculations over the past year, along with their effects on product and delivery processes
- Examine current litigation surrounding IRA
- IRA rebates impact on accruals, forecasting, and new product launches - how to tailor product launch strategy with rebate accruals in mind
- Felecia Manning - Senior Director, Managed Markets Pricing & Government Programs, United Therapeutics Corporation
- Katie Lapins Trujillo - Executive Director, The Pricing Group
- Funso Olufade, PhD, MBA - Sr. Director – Head, Commercial Finance, Ascendis Pharma
- Jennifer English - Chief of Staff for Value & Access - Head of Strategic Pricing, Marketing & Operations, Ipsen
- What are the operational considerations in receiving, validating, and paying the new invoices coming from the IRA and Discarded Drug Refund requirement
- How will systems and processes need to change in this new environment
- Discuss the next steps manufacturers should take to be ready to efficiently and accurately pay these new rebates and refunds
- Jake Keenan - Vice President, GP Managed Services, Federal Compliance Solutions
- Current state of litigation on contract pharmacies by manufacturers
- Genesis implications: What do court findings mean for the future of the program and manufacturer approaches?
- 340B confluence with IRA and state regulatory movements
- Insights on policy on patient definition and eligibility
- John Gould - Partner, Arnold & Porter
Review technology that ensures transparency, proper discounts, and compliance among discount programs
Status of 340B growth and reform efforts and continued 340B ramifications
340B Influence on PDABs, state policy and trends
Research and insights gathered from covered entities, policy makers and manufacturers
Explore new models for ensuring compliance, transparency and trust among key stakeholders
- Gavin Magaha, PharmD, MS - Senior Director, External Affairs and Policy, Kalderos
- Kate Flathers - VP of Product, Kalderos
What we can learn from other industries
Practical applications of advanced analytics
Areas for future improvement
- Utilization of AI in Data Validation, Calculations, and Rebate Adjudication Processes
- Utilization of AI for Process Development and Documentation
- Use Cases for AI in developing a Revenue Leakage Detection Framework
- Josef Magpantay - Director, RSM US LLP
- Dan Boyarsky - Director, Life Sciences Revenue Contract Management, RSM US LLP
- If we are trailing the product from manufacturer to final customer, how do we account for those steps and verify the actions?
- Guiding through the steps for reporting back to CMS and the 14-day process
- How do you approach “following the pill” across all channels while addressing all possible discounts?
- Using the 10 products authorized, identify how the data was captured and possibilities for improvement upon the process
- Judd Caulfield - Lead Counsel, Oncology Business Unit, Takeda Pharmaceuticals
- Amanda Tucker - Associate Director, Northridge Insight
How to prepare for inflation rebates, negotiated prices and other IRA changes in your contracts with customers
Updating your contract operation strategies to accommodate these new programs
What to consider when developing sound compliance policies around the IRA
- Chris Weiser - Senior Corporate Counsel, US Market Access Legal, Sanofi
- Michelle Scheid Meyer - Senior Director of Government Pricing, Riparian
- Susan Dunne - Managing Director, Riparian
- Kimberly Hawkins - Head of Value and Access Contracting, UCB
- Documentation best practices and business strategy materials
Working with R&D colleagues
Product launch planning and post-launch compliance
Customer engagement around program non-compliance
- Matthew Fornataro - Partner, Arnold & Porter
- Understand the size of the problem
Address underlying challenges with identifiers
Review mitigation strategies and tactics
- Marcella Lynch - Director, Forecasting and Pricing - Market Access, Rare Diseases, Chiesi USA, Inc.
- Steve Krikorian - Principal, Contract & Revenue Management, IQVIA
Reimagining Medicaid payments: Who are the emerging personas?
Explore the diverse and evolving personas within the Medicaid landscape
Beyond payments: Expanding use cases for Medicaid and other teams
Discover other use cases where Medicaid and other teams can leverage innovative tech solutions
Uncover how AI-powered data and technology can empower these personas to achieve results efficiently and effectively
- Neelabh Saxena - Principal, ZS
- Nishi Chauhan - Associate Principal, ZS
Join this interactive live polling session to explore how adopting robotic process automation (RPA) and generative AI can enhance efficiency, improve compliance, and drive innovation. This session will uncover key insights into how these technologies are being incorporated into workflows, the critical capabilities organizations prioritize, the challenges they face, and their future aspirations. The session will cover:
The current state of RPA and generative AI adoption across various industries
Essential capabilities and features that organizations prioritize in these technologies
Common setbacks and challenges, including integration with legacy systems, regulatory compliance, and the sustainability of automation solutions
How organizations are managing their automation processes, whether in-house or through vendors
The future of RPA and generative AI, including desired enhancements and emerging capabilities
- Tracy Zheng - Senior Market Access Operations Director, Exelixis
- Mitesh Ghia - Director, Government Reporting, Novartis Pharmaceuticals Corporations
- John Glover - Partner, Pearl Management