View Full Agenda - 340B Coalition Summer Conference
Transcription
View Full Agenda - 340B Coalition Summer Conference
CONFERENCE AGENDA Capitol Hill CONFERENCE AGENDA 1 PRE-CONFERENCE AGENDA RECORDING/VIDEOTAPING POLICY AND PHOTO RELEASE: Only officially contracted 340B Coalition vendors will be permitted to photograph, video, and/or audiotape sessions. Individuals recording with personal video/audio equipment or other recording devices (e.g., cell phones, digital or film cameras or recorders) without prior permission from the 340B Coalition may be asked to cease recording or utilizing such devices immediately. By virtue of your attendance at the 340B Coalition Conference, the 340B Coalition reserves the right to use photographs or video/audio of conference participants in our promotional materials and products. SUNDAY, JULY 12, 2015 9:00 AM 7:00 AM Location: Exhibit Hall Location: West Registration Desk Exhibitor Setup 3:00 PM Early Registration Location: West Registration Desk 5:00 PM Conference Primer for Attendees Location: Palladian Room This is session is the “decoder ring” of the conference designed for those attendees and exhibitors who like to be ahead of the curve. Attendees will speak with conference staff and learn how to make the most of their 340B Coalition Conference experience. Whether it is your first time or fifth time, primer attendees will learn new facts about the conference, receive hands on help with the conference app, and leave this short program with useful tips. For attendees who wish to continue networking, the 340B Coalition team has made reservations at several local DC eateries. Be sure to stop by the registration desk to check out the restaurants and sign up for your favorite— bring a friend or come alone and leave with new 340B friends. Dinner is not included with conference registration. Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Moderator) 6:00 PM Adjourn BADGE COLORS: nnnnnnnnnnn Sessions indicating a badge color are limited to the respective covered entity, industry or government groups. For example, hospitals should not attend the pharmaceutical manufacturer’s session and vice versa. Please visit the conference help desk if you have questions regarding your badge color or attendance to sessions. 2 MONDAY, JULY 13, 2015 340B COALITION SUMMER CONFERENCE I Registration 7:00 AM–8:15 AM Continental Breakfast & Stakeholder Networking Opportunity (Workshop Attendees and Exhibitors Only) Location: Exhibit Hall Join attendees during breakfast to discuss topics of interest to various stakeholders. Topics will include split billing, contract pharmacy, in-house pharmacy, and many others. This informal format will provide time to network with peers. Check the “hot topic” board in the Exhibit Hall for table topic assignments. Attendees are encouraged to stay as short or as long as the conversation flows and moving to different topics is all up to the attendees. 8:15 AM–11:45 AM Pre-Conference Workshops (Two Options)* Pre-Conference Workshop Option 1: 340B Essentials 8:15 AM 340B Essentials (Part 1) Location: Ambassador Ballroom This is not your average 340B introductory session! We have reinvented Essentials to be highly interactive. Part 1 will take you through the essential elements of 340B and contract pharmacy to provide a baseline foundation that will cover program requirements, prohibitions, and compliance. Attendees will then participate in an entity-specific practical application to test their knowledge with fellow attendees through the “340B Simulator.” During Part 2, participants will continue their “simulator” experience through case studies that will connect the dots between policy and operations. Case studies will be led by facilitators from practice sites including hospitals (DSH, Children’s, Rural), #340bconf community health centers, Ryan White/HIV/ AIDS facilities, and contract pharmacies that have in-house and/or contract pharmacy operations. Attendees will select which practice site best suits their educational needs. This workshop requires active participation. Rusol Karralli Manager, 340B Education and Compliance Support, Apexus Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Moderator) 9:30 AM Networking and Refreshment Break (Workshop Attendees and Exhibitors Only) Location: Exhibit Hall 10:15 AM 340B Essentials (Part 2) Location: Ambassador Ballroom Workshop Continues. Burnis Breland Manager, 340B Education and Compliance Support, Apexus Dana Darger Director of Pharmacy, Rapid City Regional Health Amy Gutierrez Chief Pharmacy Officer, Los Angeles County Department of Health Services Maria Lopez Andrzejek Pharmacy Director, Mission Wellness Pharmacy Andrew Lowe Clinical Director of Pharmacy, Arrowhead Regional Medical Center Mary Elizabeth Marr Chief Executive Officer, Thrive Alabama Joanne O’Kane National 340B Program Director, Catholic Health Initiatives Rory Phillips Director of Pharmacy Services, Southern Ohio Medical Center Rosanne Thurman Director of Pharmacy, Cook Children’s Medical Center Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Moderator) *Please note there is an additional cost to attend the pre-conference workshops and you must register for them. MONDAY, JULY 13, 2015 11:45 AM Networking Lunch (Workshop Attendees and Exhibitors Only) Location: Exhibit Hall Pre-Conference Workshop Option 2: Audit Results, Preparing for Mega-Guidance and Implementing Effective Compliance Plans 8:15 AM Part 1—Audit Results and Preparing for Mega-Guidance With HRSA’s mega-guidance expected to be released in 2015, 340B stakeholders are taking stock of their operations to prepare for anticipated changes to the program. Since the mega-guidance will affect each stakeholder group differently, the first part of this workshop will be broken into three separate sessions for hospitals, HRSA grantees, and manufacturers. In their respective sessions, hospitals and grantees will discuss HRSA’s key audit findings and what they might mean for potential program changes in the mega-guidance. During their session, manufacturers will discuss how the mega-guidance could impact their participation in 340B, as well as recently proposed HRSA regulations regarding 340B ceiling price regulations, civil monetary penalties, and the forthcoming formal dispute resolution process. A) Audit Results and Preparing for Mega-Guidance for Hospitals (covered entities only) Location: Palladian Room Badge Color: n Charles Cooper 340B Program Manager, University of Minnesota Medical Center, Fairview Jeff Davis Counsel, Legal and Policy Affairs, 340B Health Maureen Testoni Senior Vice President and General Counsel, 340B Health (Moderator) B) Audit Results and Preparing for Mega-Guidance for HRSA Grantees (covered entities only) Location: Diplomat Room Badge Color: nnnnn Kathryn Watson Associate, Feldesman Tucker Leifer Fidell; Counsel, Hemophilia Alliance Michael Glomb Partner, Feldesman Tucker Leifer Fidell; Counsel, National Association of Community Health Centers (Moderator) C) Audit Results and Preparing for Mega-Guidance for Manufacturers (manufacturers only) Location: Congressional Room Badge Color: n Linda Schock Director, Government Programs & Price Reporting, Jazz Pharmaceuticals Marcy Imada Principal, Deloitte & Touche LLP (Moderator) 9:30 AM Networking and Refreshment Break (Workshop Attendees and Exhibitors Only) Location: Exhibit Hall 10:15 AM Part 2—Implementing Effective Compliance Plans The second part of workshop will focus on 340B compliance. For a covered entity, running a 340B program is a complex operation with many moving parts. Compliance requires an understanding of program requirements and how to apply them to the purchasing, dispensing, billing, and inventory management systems within a health care facility. Covered entities should establish not only policies and procedures (P&Ps) to comply with 340B requirements, but also ongoing oversight mechanisms to verify that the organization’s P&Ps are followed and are working. For covered entities considering enrolling in 340B, these safeguards should be established before discounted drugs are ordered and dispensed. The need to be prepared is especially acute because HRSA continues to audit a steadily increasing number of entities to ensure 340B compliance. Part 2 of the workshop will assist covered entities and other stakeholders in identifying key compliance areas, as well as the types of systems or procedures that should be in place to monitor compliance. There will be a particular focus on how to conduct self-audits. Part 2 will consist of two separate sessions, one for HRSA grantees and another for hospitals, and will cover topics specific to each group. Both Part 2 sessions will be open to all workshop attendees. A) Implementing Effective Compliance Plans for Hospitals (open to all workshop attendees) Location: Palladian Room Kevin Jones 340B Program Director, Intermountain Healthcare Shaun Phillips Vice President, Clinical and Pharmacy Services, Bronson Battle Creek Hospital Cynthia Williams Vice President, Chief Pharmacy Officer, Riverside Health System Jeff Davis Counsel, Legal and Policy Affairs, 340B Health (Moderator) B) Implementing Effective Compliance Plans for HRSA Grantees (open to all workshop attendees) Location: Diplomat Room Matthew Bare Program Coordinator, Virginia Commonwealth University Ryan White and HIV Clinical Service Programs Sarah Minick Pharmacist in Charge, Carolina Health Centers Ed Shanshala Chief Executive Officer, Ammonoosuc Community Health Services Kathryn Watson Associate, Feldesman Tucker Leifer Fidell; Counsel, Hemophilia Alliance (Moderator) 11:45 AM Networking Lunch (Workshop Attendees and Exhibitors Only) Location: Exhibit Hall WALK FOR A CAUSE! Join us for our charity fun walk Wednesday morning in Rock Creek Park to benefit Food and Friends, an organization delivering meals to those in need. CONFERENCE AGENDA 3 MONDAY, JULY 13, 2015 COMMENCEMENT OF MAIN CONFERENCE 1:00 PM Opening Remarks Location: Regency Ballroom This session will be your official welcome to the conference. Conference hosts will introduce themselves and get you prepared for the rest of conference. 1:20 PM 340B Update from HRSA Location: Regency Ballroom Office of Pharmacy Affairs (OPA) Deputy Director Michelle Herzog will update attendees on various agency initiatives including the proposed mega-guidance and regulations pending at the Office of Management and Budget (OMB). The proposed guidance will address a range of important program issues, including patient definition, contract pharmacy, hospital eligibility, and offsite facilities. HRSA is also in the process of proposing formal regulations establishing a mandatory and binding dispute resolution process, civil monetary penalties for manufacturers that intentionally overcharge covered entities, and taking steps to make a database of 340B ceiling prices publicly available. In addition to rulemaking, Deputy Director Herzog will address the agency’s continued oversight efforts and initiatives including the approximately 200 audits of covered entities the agency plans to complete in FY 2015 in addition to more audits of manufacturers. Michelle Herzog Deputy Director, Office of Pharmacy Affairs, Health Resources and Services Administration 2:05 PM Apexus Update Location: Regency Ballroom Apexus, as HRSA’s government contractor for the 340B Prime Vendor Program (PVP), is responsible for negotiating sub-ceiling discounts on 340B drugs and discounts on other pharmacy-related products and services for participating covered entities. The organization also plays an important role in providing 340B technical assistance to covered entities. Apexus will provide an update on key initiatives. Christopher Hatwig President, Apexus 2:35 PM Exhibitor Forum, Refreshment Break, and Networking Opportunity Location: Exhibit Hall 3:20 PM HRSA Audit Experience Over the past year, there have been several significant changes to HRSA’s 340B audits. Not only did HRSA double the number of audits, but it changed the process for disputing findings, preparing corrective action plans, and notifying manufacturers of repayment obligations. In addition, covered entities are reporting an increasing number of inquiries by drug companies into covered entity purchasing practices and compliance processes. Panelists representing the hospital and HRSA grantee community will discuss their experience including responding to audit findings. Because audits impact 340B stakeholders in different ways, there will be two sessions, one for hospitals and one for HRSA grantees. Manufacturers and other 340B stakeholders may attend either session. A) Hospitals Location: Regency Ballroom Meetali Desai 340B Compliance Specialist, UMass Memorial Medical Center Marcy Imada Principal, Deloitte & Touche LLP Jason Mills Pharmacy Supply Chain Manager, Medical University of South Carolina Maureen Testoni Senior Vice President and General Counsel, 340B Health (Moderator) B) HRSA Grantees 4 340B COALITION SUMMER CONFERENCE I #340bconf Location: Palladian Room Susan Dunne Senior Principal, Managed Markets Services, IMS Health Brian Rasmussen Pharmacy Director, Cares Community Health Michael Glomb Partner, Feldesman Tucker Leifer Fidell; Counsel, National Association of Community Health Centers (Moderator) 3:20 PM Contract Pharmacy Interest Group Location: Ambassador Ballroom Limited to contract pharmacies only. Whether you are operating a contract pharmacy or considering becoming a contract pharmacy, this session is designed for you. Connect with colleagues, hear from experts, and receive the latest updates impacting 340B contract pharmacy. Likely topics include 340B legislation, track and trace law, megaguidance, audits, contract negotiations, and PBM developments. Alan Arville Member of the Firm, Epstein Becker & Green Greg Doggett Counsel, Legal and Policy Affairs, 340B Health Michael Keegan Director, Policy and Regulatory Affairs, National Community Pharmacists Association Frank Messina General Counsel, SCL 340B Care Jason Reddish Associate, Powers Pyles Sutter & Verville PC Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Facilitator) 4:35 PM 10 Minute Transition Break 4:45 PM Breakout Sessions for Various 340B Stakeholders A) Hospitals (DSH, Rural, Children’s and Cancer Hospitals) Location: Blue Room Badge Color: n Hospitals will learn about expected 340B program developments for 2015, including proposed legislative changes and the much-anticipated HRSA mega-guidance. MONDAY, JULY 13, 2015 We will also discuss different ways hospitals can educate their local communities on the importance of the 340B program. Randy Barrett Vice President, Communications, 340B Health Dolores Dunn Vice President, Government Relations, 340B Health Anna Mangum Vice President, Member and Board Relations Ted Slafsky President and Chief Executive Officer, 340B Health Maureen Testoni Senior Vice President and General Counsel, 340B Health B) Community Health Centers Location: Palladian Room Badge Color: n Join us to discuss the latest 340B issues and developments affecting community health centers (CHCs). Likely topics will include the upcoming mega-reg and its implications for health centers, continuing scrutiny of the 340B program, Medicaid and other thirdparty billing and reimbursement issues, and an update on legislative matters impacting CHCs. This session will be an opportunity to raise any issues affecting your CHC. Jennifer Taylor Manager, Federal Affairs, National Association of Community Health Centers Michael Glomb Partner, Feldesman Tucker Leifer Fidell; Counsel, National Association of Community Health Centers (Co-Facilitator) Colleen Meiman Director of Regulatory Affairs, National Association of Community Health Centers (CoFacilitator) C) Family Planning Clinics Location: Forum Room Badge Color: n This session will focus exclusively on family planning clinics and programs, with an emphasis on 340B issues, including implications of the upcoming megaguidance on family planning clinics, audits, recertification, and meetings with and outreach to government agencies regarding billing and reimbursement of 340B Medicaid managed care drugs. We will also discuss the political landscape around the program, 340B legislation, the status of 340B-related health care reform provisions, including issues related to third-party billing and reimbursement. Amanda Kelinson Manager, Health Care Delivery, National Family Planning and Reproductive Health Association (Co-Facilitator) Amy Yenyo Senior Policy Counsel, Planned Parenthood Federation of America (Co-Facilitator) D) Hemophilia Treatment Centers Location: Cabinet Room Badge Color: n This session will focus exclusively on matters impacting hemophilia treatment centers (HTCs), with an emphasis on 340B issues. Likely topics include 340B legislation, implications of HRSA’s forthcoming mega-guidance, HRSA’s oversight efforts, including audits, and Medicaid billing and reimbursement issues. This session also will be an opportunity to discuss issues impacting your HTC. Sean Singh Vice President, Hemophilia Alliance Kathryn Watson Associate, Feldesman Tucker Leifer Fidell; Counsel, Hemophilia Alliance Joseph Pugliese President, Hemophilia Alliance (Facilitator) E) HIV/AIDS Clinics, ADAPs, and AIDS Service Providers Location: Executive Room Badge Color: nn This session will focus on 340B issues affecting Ryan White grantees and subgrantees, AIDS Drug Assistance Programs (ADAPs), and other HIV/AIDS clinics and service providers. This will be a discussionbased session. Kim Hood Chief Compliance Officer, HIV/AIDS Alliance Region Two (Louisiana) Sean Dickson Manager, Health Care Access, National Alliance of State and Territorial AIDS Directors (CoFacilitator) Emily McCloskey Senior Manager, Policy and Legislative Affairs, National Alliance of State and Territorial AIDS Directors (Co-Facilitator) F) Pharmaceutical Manufacturers Location: Diplomat Room Badge Color: n will impact the pharmaceutical industry. Likely topics include HRSA’s forthcoming mega-guidance, 340B legislation and HRSA’s plans to increase oversight over the pharmaceutical industry, and HRSA and manufacturer audits of covered entities. Mike Benedict Vice President of Operations, Apexus Linda Schock Director, Government Programs & Price Reporting, Jazz Pharmaceuticals Christopher Schott Associate, Hogan Lovells Kathleen Black Director Government Strategy, Pfizer (Moderator) G) 340B Service Providers (Contract Pharmacies, Consultants, PBMs, and Related Vendors) Location: Ambassador Ballroom Badge Color: nn This session is designed for all 340B service providers. Participants will exchange ideas and share information on various 340B hot topics including compliance, indigent care programs, the upcoming mega-guidance, and the track and trace law. An expert panel (wholesaler, pharmacy, advocacy association, and legal counsel) will provide insight into the future of the 340B program and the role service providers play. Alan Arville Member of the Firm, Epstein Becker & Green Greg Doggett Counsel, Legal and Policy Affairs, 340B Health Michael Keegan Director, Policy and Regulatory Affairs, National Community Pharmacists Association Frank Messina General Counsel, SCL 340B Care Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Facilitator) 5:45 PM–6:45 PM Exhibits and Opening Reception Location: Exhibit Hall Sponsored by (Booth 25/30): Pharmaceutical manufacturers will learn about the latest developments involving the 340B program and how those developments CONFERENCE AGENDA 5 TUESDAY, JULY 14, 2015 TUESDAY, JULY 14, 2015 7:30 AM Continental Breakfast—Stakeholder Networking Opportunity Location: Exhibit Hall Join attendees during breakfast to discuss topics of interest to various stakeholders. Topics will include split billing, contract pharmacy, in-house pharmacy, and many others. This informal format will provide time to network with peers. Check the “hot topic” board in the exhibit hall for table topic assignments. Attendees are encouraged to stay as short or as long as the conversation flows and moving to different topics is all up to the attendees. Sponsored by (Booth 8): With the Mobile App ... Access: CONFERENCE PRESENTATIONS SPEAKER BIOS AND MORE! 7:30 AM Ask the Experts Breakfast for Pharmaceutical Manufacturers Location: Cabinet Room Badge Color: n This session is an opportunity for pharmaceutical manufacturers to hear from experts who work on a broad range of 340B-related issues. Consultants with significant experience with 340B and other federal drug pricing programs will field your questions in this small group discussion. Jeremy Docken Engagement Manager, IMS Health Marcy Imada Principal, Deloitte & Touche LLP 8:30 AM Patient Perspectives Location: Regency Ballroom Congress created the 340B program in 1992 to “reach more eligible patients and provide more comprehensive services.” Over two decades later, safety-net providers continue to use their 340B savings to serve patients in a variety of ways. This session puts a human face on the 340B program by providing patient perspectives on 340B, including patients telling stories of how the program helped them get the care they needed. Dorian-Gray Alexander Patient of CrescentCare Health, New Orleans, LA Shannon Williams Patient of Monroe County Hospital, Monroeville, AL Gustavo Rosales Patient of Mile Square Health Center, Chicago, IL Randy Barrett Vice President, Communications, 340B Health (Moderator) 9:15 AM Legislative Update Location: Regency Ballroom Search “340B” in the app store or scan the QR code above! 6 340B COALITION SUMMER CONFERENCE I Attendees will be briefed about the latest 340B developments from Washington and hot-button pharmaceutical and biotech industry issues. Topics include: status of 340B legislation, congressional oversight, GAO, OIG, MedPAC studies and recommendations; what’s in store for 340B for the remainder of the congressional calendar and a preview of 2016 elections. Michael McCaughan Senior Editor, RPM Report; Founding Member, Prevision Policy LLC #340bconf Ted Slafsky President and Chief Executive Officer, 340B Health; Editor-in-Chief, Drug Discount Monitor (Moderator) 10:15 AM Exhibits Open: Networking and Refreshment Break Location: Exhibit Hall 11:00 AM Keynote Panel Location: Regency Ballroom Where is healthcare going in the coming months and what does 2016 have in store? Join us for an enlightening conversation featuring the Hon. Henry Waxman (D-Calif., ret.) and Dean Rosen, moderated by veteran journalist Susan Dentzer. Now that the Supreme Court has made its historic decision in King vs. Burwell, policymakers are starting to focus on how to make the ACA work better, rather than debating whether Obama Care will stay in existence. You will get the perspectives of the three of the nation’s most respected health policy experts on Congress’s next moves, as well as the challenges ahead on the health reform area. The Honorable Henry Waxman Co-Founder, Waxman Strategies, former U.S. Congressman—California Dean Rosen Partner, Mehlman Castagnetti Rosen Bingel & Thomas Inc. Susan Dentzer Senior Policy Adviser, Robert Wood Johnson Foundation (Moderator) 12:15 PM State Networking Lunch for Attendees and Exhibitors Location: Exhibit Hall TUESDAY, JULY 14, 2015 Note: The following sessions have been organized into three separate tracks to accommodate the varying interests of conference attendees. TRACK ONE SESSIONS are designed for covered entities and other parties that are interested in learning about how to operationalize 340B. TRACK TWO SESSIONS will appeal to the broader community of 340B stakeholders, including the pharmaceutical industry, who might be more interested in hearing about (1) recent developments involving 340B policy and compliance and (2) expert analysis. TRACK THREE SESSIONS are designed for all attendees to discuss the patient care aspects of 340B and how savings from this vital program are utilized. ROUNDTABLE SESSIONS are designed to facilitate small group discussions primarily focused on the other two tracks’ topics. These sessions, which are limited to 50 attendees each (first come, first served) allow for more dialogue with our expert panels. Although attendees may be drawn to all of the presentations organized under one track, they are free to attend any track that interests them. 1:30 PM Track One—340B Operations: Experiences from the Field Key Elements of 340B Contract Pharmacy Arrangements Location: Palladian Room Covered entities are responsible for ensuring that their contract pharmacy arrangements comply with 340B program rules such as patient definition and the duplicate discount prohibition. Therefore, covered entities must be mindful of program requirements through each stage of a contract pharmacy relationship, including negotiation of the contract, implementation, and ongoing oversight. Speakers will explore what legal, business, and operational issues covered entities and contract pharmacies should consider when entering an agreement, specific challenges to be aware of when implementing an arrangement, and how entities can continually monitor their contract pharmacies to ensure 340B compliance. The session also will address the implications of the track-and-trace law for these arrangements and how covered entities further their safety-net missions by using their contract pharmacies to provide discounted drugs to low-income insured patients. Jason Atlas Manager, 340B Education and Compliance Support, Apexus Lydia Klinger Director, Virginia Commonwealth University Ryan White and HIV Clinical Service Programs Jason Reddish Associate, Powers Pyles Sutter & Verville PC Greg Doggett Counsel, Legal and Policy Affairs, 340B Health (Moderator) 1:30 PM Track Two—340B Policy and Compliance Manufacturer Oversight of Covered Entity Compliance Location: Regency Ballroom Has your organization ever received a formal letter of inquiry from a manufacturer and wondered why it was receiving such a letter? This session will aim to provide answers to that question as attendees will receive a behind the scenes view of the internal process behind these inquiries from manufacturer representatives. Panelists will share methods and key indicators they look for when determining whether to initiate the formal inquiry process. A provider representative will also discuss the latest trends in this area and covered entity best practices for responding to inquiries. Emily Cook Partner, McDermott Will & Emery LLP Romit Kamdar Partner, Akara Group Aaron Vandervelde Director, Berkeley Research Group Maureen Testoni Senior Vice President and General Counsel, 340B Health (Moderator) 1:30 PM Track Three— Clinical Best Practices Revolutionizing Care Post Affordable Care Act Location: Diplomat Room Health care is changing. 340B is changing. Don’t be left behind! This session will discuss programs that are implementing cutting-edge practices in reducing costs to underserved patients as we experience a revolution in health care. See how effective sliding fee and co-pay assistance programs paired with patient engagement efforts can revolutionize care for the most complicated cases. Come to this session to learn from the “uber” generation of health care providers in 340B. Patrick Dunham President and Chief Executive Officer, Curant Health Andrew Lowe Clinical Director of Pharmacy, Arrowhead Regional Medical Center Mary Elizabeth Marr Chief Executive Officer, Thrive Alabama Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Moderator) 1:30 PM Small Group Discussions/Roundtables A) Medicare Reimbursement Principles for 340B Hospitals: Major Issues and Current Trends Location: Congressional Room Two attorneys that represent 340B providers will provide a course on Medicare cost reports and Medicare’s provider-based rules as they relate to 340B. Topics to be addressed include how to make a facility provider-based and how to use the cost report to determine and support the 340B eligibility of facilities and patients. Todd Nova Shareholder, Hall, Render, Killian, Heath & Lyman Barbara Straub Williams Principal, Powers Pyles Sutter & Verville PC (Moderator) B) ADAP Roundtable Location: Executive Room Like other 340B covered entities, AIDS Drug Assistance Programs (ADAPs) can purchase drugs at 340B prices. Unlike other CONFERENCE AGENDA 7 TUESDAY, JULY 14, 2015 entities though, ADAPs can also receive 340B discounts by collecting rebates after drugs have been dispensed. Under HRSA guidance, ADAPs must take steps to ensure that they do not collect a 340B rebate on a drug that was purchased at a 340B price by another covered entity. Panelists will address different methodologies that ADAPs are using to prevent this from happening and will discuss how those methodologies have affected other covered entities. Eric Gutierrez Health Policy Director, Los Angeles Gay & Lesbian Center Diana Jordan Director, Division of Disease Prevention, Virginia Department of Health Sean Dickson Manager, Health Care Access, National Alliance of State and Territorial AIDS Directors (CoFacilitator) Emily McCloskey Senior Manager, Policy and Legislative Affairs, National Alliance of State and Territorial AIDS Directors (Co-Facilitator) 2:45 PM Exhibits Open: Networking and Refreshment Break Location: Exhibit Hall Sponsored by (Booth 51): challenges, with rural and cancer hospitals needing systems in place to manage orphan drug purchases, and hospitals subject to the group purchasing organization (GPO) exclusion using inventory management systems that incorporate wholesale acquisition cost (WAC) purchasing accounts. HRSA grantees face their own unique challenges when it comes to inventory management. This session will review options to support compliant inventory management practices. Attendees will hear both the hospital and community health center perspective on strategies to manage 340B drug inventories, with a particular emphasis on ways to ensure replenishment occurs at the 11-digit NDC level. Jennifer Agee Manager, Pharmacy Services Systems, Legacy Health System Corey Heiligmann 340B Analyst, Dartmouth-Hitchcock Medical Center Cindy Kehr Director of Pharmacy Services, Keystone Healthcare Maureen Testoni Senior Vice President and General Counsel, 340B Health (Moderator) 3:45 PM Track Two—340B Policy and Compliance A) Medicaid Billing & Reimbursement Location: Palladian Room 340B providers face challenges managing their drug inventories in ways that are compliant with program rules. Covered entities must establish inventory management systems to protect against the risk of drug diversion and duplicate discounts, and those entities with contract pharmacy arrangements must find suitable IT solutions to address inventory management needs. Entities using virtual inventory systems are also required to replenish at the 11-digit national drug code (NDC) level. Hospitals face particular State Medicaid agencies continue to issue 340B-specific rules on billing and reimbursement of 340B drugs, and questions persist related to how states can identify 340B managed care claims to prevent duplicate discounts. The drug industry also continues to monitor whether 340B purchases have subjected manufacturers to duplicate discounts. This session will review recent developments in these areas and provide perspectives from 340B providers, the drug industry and a representative of state Medicaid directors. Panelists will discuss trends in Medicaid billing and reimbursement for 340B drugs as well as compliance obligations related to duplicate discounts and strategies for manufacturers to identify when duplicate discounts have occurred. George Oestreich Medicaid Consultant, Apexus 340B COALITION SUMMER CONFERENCE I #340bconf 3:45 PM Track One—340B Operations: Experiences from the Field Inventory Management Location: Diplomat Room 8 Matt Salo Executive Director, National Association of Medicaid Directors Jeff Davis Counsel, Legal and Policy Affairs, 340B Health (Moderator) B) Taking Corrective Action and Making Repayments Location: Regency Ballroom Covered entities and manufacturers are responsible for complying with 340B program requirements and invest in knowledgeable staff and sophisticated software systems to do so. But even when the most robust compliance efforts are made, issues may arise, as 340B is complex and evolving. Perhaps your organization has chosen to validate its 340B compliance status by conducting an internal audit or HRSA has indicated that it will conduct a formal audit of your organization. In either instance, if a compliance problem is identified, your organization will be required to fix it and in some cases, take additional corrective action. How will you know what corrective action is needed and when you need to take it? This session will address these questions and cover: self-auditing methods to identify compliance problems, knowing when self-disclosure is appropriate and how to self-disclose, creating and implementing an effective corrective action plan, calculating and offering refunds, determining the appropriate look-back period, resolving disputes, and guarding against or minimizing potential liability. The panel will include speakers who offer both provider and manufacturer perspectives. Josh O’Harra Assistant General Counsel, Eli Lilly and Company Michael Ostrander Chief Financial Officer, Nathan Littauer Hospital and Nursing Home Bill von Oehsen Principal, Powers Pyles Sutter & Verville PC; Outside Counsel, 340B Health (Moderator) TWEET FROM YOUR SESSIONS! Be sure to use #340bconf TUESDAY, JULY 14, 2015 3:45 PM Small Group Discussions/Roundtables A) Advocating and Communicating the 340B Story Location: Congressional Room Badge Color: nnnnnn This session is open to all health care providers and HRSA grantees participating in 340B, including C-Suite executives. The battle over the 340B program is entering a new and decisive phase in Washington. It is imperative that healthcare providers proactively support the program in the media and persuasively make the case with lawmakers. The session will cover best practices in communications and government relations as they relate to 340B. Expand your toolkit with stories from experts on the front lines. Randy Barrett Vice President, Communications, 340B Health Robert Chapman Director, Josephine Ford Cancer Institute, Henry Ford Health System Melisa Lindamood Director, Government Affairs, Johns Hopkins Health System Jennifer Taylor Manager, Federal Affairs, National Association of Community Health Centers Kathryn DiBitetto Director, Government Relations, 340B Health (Moderator) B) Third-Party Billing & Reimbursement Roundtable Location: Executive Room Over the last few years, a number of thirdparty payers and their pharmacy benefits managers (PBMs) have tried to contract with 340B pharmacies on different terms than those applied to non-340B pharmacies. In most cases, the different terms include paying 340B pharmacies at lower rates. Some payers and PBMs are also requiring pharmacies to identify 340B claims at the point of sale. Speakers will address a range of issues relating to 340B reimbursement including: • Why these trends are occurring • How they impact covered entities and their patients • The payer’s perspective on the 340B program and reimbursement of 340B drugs Alan Arville Member of the Firm, Epstein Becker & Green Frank Messina General Counsel, SCL 340B Care Greg Doggett Counsel, Legal and Policy Affairs, 340B Health (Moderator) C) 340B Vendor Perspectives Location: Ambassador Ballroom Are you preparing to issue an RFP for consulting services to support your 340B operations? Do you know the vendor marketplace? This session is designed for covered entities to hear vendor perspectives and lessons learned from their extensive experience with 340B. Bruce Boelter Vice President, National Practice Leader, Intelligent Compliance Solutions Ivy Espendez Senior Manager 340B Compliance and Audits, Sentry Data Systems, Inc. Chad Gay Director, Contract Compliance, Cardinal Health Lori Grosso Senior Vice President, PSG340B Bryce Morsello Chief Executive, Officer, Cirrus Pharmacy Systems David Sirowich Executive Vice President, PBIRx Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Moderator) 5:00 PM Adjourn CONTINUING EDUCATION To receive CE credit for the activities at this conference, you must complete the activity evaluations online no later than Friday, August 14, 2015. Call for Winter Conference Speakers! Do you have an interesting story to tell? Have you considered sharing your thoughts, ideas, experiences, and expertise? The 340B Coalition Conference is the nation’s most well attended and respected venue for stakeholders to hear the latest on 340B program developments and implementation. We are interested in receiving proposals on a broad range of 340B-related topics, including operations, policy, compliance, and patient care. The conference will be held February 17-19, 2016 in San Diego, CA. Speakers will have their conference registration fee waived but will be responsible for hotel and travel costs. Please note that preference is given to proposals from 340B covered entities, pharmacies (retail, independent, and specialty), and pharmaceutical manufacturers. We will not be able to select all proposals. The call for speakers is open until Friday, September 25, and we welcome early submissions. Please visit www.surveymonkey. com/s/MHLCXBK to view the required information and application form to learn how to submit your proposal. Encourage your colleagues to participate – share this announcement! Thank you for your interest, and we hope to see you this winter in San Diego. If you have any questions, please contact Sam Wilhelm-Ross at sam.wilhelm-ross@340bhealth.org or 202-536-2280. CONFERENCE AGENDA 9 WEDNESDAY, JULY 15, 2015 6:30 AM–7:15 AM Charity Fun Walk in Rock Creek Park (check-in will begin at 6:00 am) Location: West Registration Desk Proceeds from the Charity Fun Walk will be donated to Food & Friends, the only home-visiting nutrition service in the DC Metro Region that delivers hope by the meal to children and adults living with critical illnesses, such as HIV/AIDS, cancer and other life-challenging conditions. Trevor Casey Director of Pharmacy, Mount Desert Island Hospital Kevin Jones 340B Program Director, Intermountain Healthcare Sue Veer President and Chief Executive Officer, Carolina Health Centers Jeff Davis Counsel, Legal and Policy Affairs, 340B Health (Moderator) 8:00 AM WEDNESDAY, JULY 15, 2015 7:00 AM Continental Breakfast and Stakeholder Networking Opportunity Location: Exhibit Hall Join attendees during breakfast to discuss topics of interest to various stakeholders. Topics will include split billing, contract pharmacy, in-house pharmacy, and many others. This informal format will provide time to network with peers. Check the “hot topic” board in the exhibit hall for table topic assignments. Attendees are encouraged to stay as short or as long as the conversation flows and moving to different topics is all up to the attendees. 8:00 AM Track One—340B Operations: Experiences from the Field 8:00 AM Track Two—340B Policy and Compliance Rural Provider Issues Location: Palladian Room Specialty drug spending has grown rapidly in recent years, and this trend shows no sign of slowing. As specialty drugs become an ever bigger share of the pharmaceutical market, many such drugs are being sold to providers through manufacturer’s limited distribution networks and given to patients through payers’ limited provider networks. Providers report challenges when purchasing specialty drugs or simply attempting to access these networks, including when buying or trying to obtain specialty drugs at 340B prices. This session will outline these challenges, relevant 340B developments and HRSA policy, and reasons why manufacturers and Rural safety net providers participating in 340B face their own, unique challenges when it comes to program participation. In particular, their remote location and limited resources can require a different approach to program compliance and monitoring of systems than methods used by other providers. Rural hospitals are also subject to different program rules than other participants and must maintain inventory management systems to track their orphan drug purchases. This session will provide the perspective of rural hospitals and community health clinics and their experiences managing 340B programs. There will be a particular emphasis on the latest developments with implementation of the orphan drug exclusion and access to 340B pricing on orphan drugs for rural hospitals. 340B COALITION SUMMER CONFERENCE I #340bconf The Future of Specialty Drugs and 340B Location: Regency Ballroom 10 payers use such networks. The panel also will discuss how providers can try to address these challenges, including developing their own specialty pharmacies and entering 340B contract pharmacy arrangements with specialty pharmacies, and the issues that providers should consider when evaluating potential solutions. Michael Hess Member, Bass, Berry & Sims PLC Gary Johnson Chief Pharmacy Officer, University of Kentucky Healthcare Greg Doggett Counsel, Legal and Policy Affairs, 340B Health (Moderator) Track Three— Clinical Best Practices How 340B Savings Improves Quality Location: Diplomat Room While 340B becomes ever more important in supporting hospitals, CHCs and other covered entities in their mission to provide care to all regardless of ability to pay, the environment is evolving and the focus has shifted to just how entities are serving vulnerable populations. This clinical track is designed for providers who wish to learn more about connecting their 340B savings to 340B’s purpose “to stretch scarce federal resources and serve more patients through comprehensive programs.” Learn how 340B savings improve and strengthen patient care programs, reach critically underserved patients, and enable organizations to survive the rising costs of pharmaceuticals and a payor system moving from quantity to quality. Lydia Klinger Director, Virginia Commonwealth University Ryan White and HIV Clinical Service Programs Ed Shanshala Chief Executive Officer, Ammonoosuc Community Health Services Mark Loafman Chair, Family and Community Medicine, Cook County Health and Hospitals System (Moderator) NEED A PLAYBACK? Purchase materials and select video recordings at www.340bsummerconference.org WEDNESDAY, JULY 15, 2015 8:00 AM Small Group Discussions/Roundtables A) Hospital Audit & Corrective Action Plan Roundtable (hospitals only) Location: Congressional Room Badge Color: n This roundtable is limited to hospitals only. Attendees will hear from hospitals that have been through a HRSA audit and developed a corrective action plan (CAP). The roundtable will provide an opportunity to discuss best practices in audit preparation and lessons learned from the audit experience and CAP development. Maureen Testoni Senior Vice President and General Counsel, 340B Health (Moderator) B) 340B Vendor Perspectives Location: Ambassador Ballroom Are you preparing to issue an RFP for consulting services to support your 340B operations? Do you know the vendor marketplace? This session is designed for covered entities to hear vendor perspectives and lessons learned from their extensive experience with 340B. Rita Baskett Partner, Integrated Pharmacy Services, LLC Gabrielle Scheer Vice President, Strategic Initiatives, Macro Helix Shafi Shilad Vice President, Business Development, ScriptPro Brian Ward Vice President, Regulatory Affairs & Compliance, SUNRx Lisa Scholz Senior Vice President and Chief Operating Officer, 340B Health (Moderator) 8:45 AM 10:45 AM Location: Exhibit Hall Location: Regency Ballroom Exhibits Open: Networking and Refreshment Break & Prize Drawing 9:30 AM HRSA Audit Update Location: Regency Ballroom As HRSA continues to enhance its oversight of the program, audits of covered entities remain a major point of interest for all 340B stakeholders. This is a unique opportunity to hear directly from HRSA on the latest audit developments and the agency’s audit plans for the near future. Brad Lang Public Health Analyst, Office of Pharmacy Affairs, Health Resources and Services Administration Jane McLaughlin-Middlekauff Pharmacist, Office of Pharmacy Affairs, Health Resources and Services Administration Jelani Murrain Public Health Analyst, Office of Pharmacy Affairs, Health Resources and Services Administration Sherry Pontell Branch Chief, Program Performance and Quality, Office of Pharmacy Affairs, Health Resources and Services Administration ProCE® is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Perspectives on 340B from Government Watchdogs and Health Care Researchers The HHS Office of Inspector General (OIG) and Government Accountability Office (GAO) have become increasingly active in their work on 340B in 2015. In March 2015, OIG and GAO representatives testified before Congress on its oversight of program. Both agencies are expected to release additional reports in 2015 about the 340B program, including 340B’s relationship to Medicare Part B and Part D and duplicate discounts, all of which could impact 340B moving forward. Representatives from the OIG and GAO will be joined by a prominent Washington health care policy researcher Joan DaVanzo. Ms. DaVanzo, of Dobson & DaVanzo Associates, will discuss the findings of a recent report her firm released on the extent to which disproportionate share hospitals that participate in the 340B program focus their services on vulnerable patient populations. Geri Brennan Assistant Director, Healthcare, U.S. Government Accountability Office Joan DaVanzo Chief Executive Officer, Dobson & DaVanzo Associates LLC Ann Maxwell Assistant Inspector General, Office of the Inspector General Maureen Testoni Senior Vice President and General Counsel, 340B Health (Moderator) 12:00 PM Conference Adjourns MARK YOUR CALENDARS: FEBRUARY 17–19, 2016 JULY 11–13, 2016 Hotel del Coronado, San Diego, CA Omni Shoreham Hotel, Washington, D.C. Winter 2016 Conference www.340bwinterconference.org Summer 2016 Conference www.340bsummerconference.org CONFERENCE AGENDA 11
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