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REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601UBM ADVANSTAR PUBLICATIONS
R E G I S T E R BY A P R I L 1 7, 2 0 1 5 A N D S AV E $ 3 0 0 !
Media Partners:
11TH ANNUAL
JUNE 22-23, 2015HILTON PHILADELPHIA
AT PENN’S LANDING
PHILADELPHIA, PA
Bio/Pharma’s Foremost Event on Commercial Contract Strategies for Transactional Process Excellence and Revenue Leakage Prevention
ELITE MULTI-STAKEHOLDER PERSPECTIVES:Stacey Winston, Senior Director, Contracting Solutions, Amerinet, Inc
Sherice Koonce, Director, Pricing, Dr. Reddy’s Laboratories
Colleen Menges, Director, Government Contracting, Johnson & Johnson Healthcare Systems Inc.
John Shakow, Partner, King & Spalding LLP
Fred Fieder, Director, Pharmaceutical Contract Administration, McKesson Corporation
Kevin Savio, Senior Director, Government Affairs and Managed Markets, Pernix Therapeutics
David Young, Supervisor, Government and Specialty Membership, Global Financial Solutions, Pfizer Inc
AND MORE!
• Hear directly from a GPO on contract and chargeback processes, rebate system enhancements, class of trade and utilization claims
• 7+ collaborative sessions for increased benchmarking opportunities
* preventing revenue leakage
* simplifying rebate administration
* aligning contract/chargeback data with trade counterparts
* navigating complexities of GPO membership and COT
• Insights from the first year of ACA live enrollment — Ramifications in pricing and reimbursement
Two Choices for Deep-Dive Workshops:
Dissect 340B Program Evolution and Complexities
Optimize Data Sets forEDI Procedure Improvements
WHAT’S NEW FOR 2015:
Life Sciences
CPE Credits Available
Pending Approval
REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601
Don’t miss this exclusive opportunity to network with peers! Over 1,500 pharmaceutical and biotech executives have benefited from
CBI’s annual conference — This forum focuses on ways to improve the wholesaler chargeback, manufacturer profitability and GPO membership maintenance. Gain strategies and tools for streamlining these important processes and, ultimately, retaining more revenue for the organization.
“The conference is a great way for those of us who work in the contracting and chargeback arena to network and discuss key issues and best practices.” – Director, Institutional Contracts, Pfizer Inc
“Panels are excellent! They give a variety of opinions and hold your attention.” – AR and Chargebacks, Arbor Pharmaceuticals
Who Should attend: You will benefit from attending this event if you are a senior level executive from the pharmaceutical or biotech industries with responsibilities or involvement in the following areas:
Contracts • Chargebacks • Rebates • Managed Care • Commercial Accounts • Finance • Sales OperationsRevenue • Invoice/Billing • Accounts Receivable • National Accounts • Customer Accounts • Bids and Contracts Channel Operations • Credit/Collections • Enterprise Management • Supply Chain Medicaid and Government Pricing • Technology and Systems Integration
This conference will also benefit consultants or software providers that provide contract management and revenue management services to pharmaceutical companies.
A GREAT PLACE TO MEET YOUR MARKET! Take advantage of the best opportunity to meet potential clients face-to-face.
Build relationships while demonstrating thought leadership and sharing expertise. For more information on how to position your company as a sponsor or exhibitor, contact
Karen Hanover at 339-298-2184 or email [email protected].
Collaborate with peers and industry leaders to:
• Streamline and automate contract and chargeback administration
• Assess challenges related to receiving 340B entity reconciliation
• Validate contract price eligibility through the EDI chargeback process
• Certify membership and oversee terms of contracts
• Minimize revenue leakage or overpayment of chargebacks
• Respond to drug shortage’s negative impact on pricing
CONFERENCE SPONSORS:
What do past attendees have to say?
8:30 Workshop Leaders’ Welcome
and Opening Remarks
Workshop Objective:Manufacturer compliance with the 340B Program,
which was established to help uninsured low-income
patients gain better access to prescription drugs by
providing significant pricing discounts to the entities
who serve these patients, is more important than ever.
Agency action is coming soon, and manufacturers
need to prepare. This workshop provides a forum
for the audience to discuss challenges associated
with 340B verification and system communication
challenges, as well as best practices to ensure program
integrity and compliance.
Key Questions to Be Addressed:• What is the impact on industry with the
withdrawal of 2014’s Mega Rule?
• What changes are taking place with 340B
wholesaler IDs?
• How can manufacturers enhance their role in
managing 340B regulations and compliance?
• How should manufacturers proceed with
anticipated HRSA guidances?
Workshop Outline:
I. Assess Challenges Related to Receiving 340B Entity Reconciliation• Examine the wholesaler data elements that are
included in files provided to manufacturers
• Identify possible duplicate entries from
state Medicaid and the 340B entity
II. Examine 340B’s Impact on Commercial Pricing• Discuss the impact of 340B Program pricing
on contract and chargeback processes and
systems, including how 340B can impact
your commercial book of business
• Gain insight into strategies to avoid double/triple dipping and revenue leakage* consider the implications on company finances
and regulatory compliance, including potential penalties
• Examine 340B membership management and recalculations
III. Utilize 340B Data for Accurate and Timely Pricing and Membership Eligibility Dissemination• Examine 340B class of trade (COT) challenges
* consider the impact of including U.S. territories into the 340B Program on business practices, customer evaluation and calculation accuracy
• Review the fundamental issues with 340B data and areas of weakness
• Apply strategies for pricing eligibility and membership
IV. Implement a 340B ID System to Establish Compliant 340B Sale Strategies• Establish standard chargeback review processes
for 340B sales between manufacturers, wholesalers and legal departments
• Discuss unique identifier changes as suppliers become more fragmented and how this impacts support* implement strategies for policy updates, SOP
updates and risk liability assessments as wholesalers moves away from 340B IDs
Workshop Leaders:
John Shakow, Partner, King & Spalding LLP
Colleen Menges, Director, Government Contracting, Johnson & Johnson Healthcare Systems Inc.
Paula Martins, Director, Contract Operations, Daiichi Sankyo, Inc.
John Giles, MBA, Director of Business Development,
Covance
There will be a 30-minute networking and refreshment break at 10:00 a.m.
WORKSHOP A Dissect 340B Program Evolution and Complexities
Choose from Two In-Conference Workshops
D AY O N E M O N D AY, J U N E 2 2 , 2 0 1 57:30 Conference Registration and Continental Breakfast
REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601
12:00 Networking Luncheon
8:30 Workshop Leaders’ Welcome
and Opening Remarks
Workshop Objective:
EDI data management and optimization is
critical for processing chargebacks and for
realizing appropriate benefits and membership
eligibility. During this workshop, attendees have
the opportunity to discuss challenges and best
practices associated with optimizing data sets,
maximizing processing strategies and defining
contract price eligibility.
Key Questions to Be Addressed:
• What are recent EDI updates?
• How does EDI impact bill to/ship
to processes?
• What metrics can be employed to measure
EDI utilization, cycle time and line rejections?
• How can contract price eligibility
be validated?
Workshop Outline:
I. Optimize EDI 844, 845, 849, 852
and 867 Data Sets
• Overview EDI data transactions
• Employ metrics to measure EDI
utilization, cycle time and line rejections
• Monitor channel data quality and
validate claims
• Match EDI 867 sales data to EDI 844
data for analysis and decision making
II. Maximize EDI for
Chargeback Processing
• Identify strategies for EDI reconciliation errors
* system input
* system translation
* chargeback processing
• Examine how EDI reconciliation errors
cause system input confusion and
best practices for trouble shooting
• Discuss bill to/ship to processes and
chargeback implications
III. Validate Contract Price Eligibility through
the EDI Chargeback Process
• Understand how companies realize
appropriate benefits and membership
eligibility through data use
• Define chargeback levels and future returns
Workshop Leaders:
Marijo G. Bustos,
Manager, Chargebacks,
Fresenius Kabi USA
Lenis De Leon,
Commercial Contracts Contractor,
Indivior
WORKSHOP B Optimize Data Sets for EDI Procedure Improvements
Choose from Two In-Conference Workshops
D AY O N E M O N D AY, J U N E 2 2 , 2 0 1 57:30 Conference Registration and Continental Breakfast
REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601
There will be a 30-minute networking and refreshment break at 10:00 a.m.
12:00 Networking Luncheon
Main Conference Monday, June 22, 2015
1:15 Chairperson’s Opening Remarks
Donna White, Senior Director, Contracts and Compliance, Chiesi
Respond to Industry Shifts that Impact Revenue
1:30 Affordable Care Act Implications on Pricing, Class of Trade, Membership and Eligibility• Examine the impact of healthcare reform on
various stakeholder prices, including payers, providers, manufacturers, pharmacies and consumers
• Chargeback challenges related to the 340B program in light of the ACA-duplicate discounts and orphan drug exclusions for the “new” Covered Entity types
• Contracting and classifying new entities — QHPs, BHPs and ACOs
• Consider pricing and reimbursement changes as a result of the first year of live ACA enrollment* what would the ramifications be if
healthcare reform is repealed or amended? Stephanie Trunk,
Partner, Arent Fox LLP
2:15 THINK TANK Identify Best Practices for Preventing
Revenue LeakageThis think tank focuses on identifying industry best practices for preventing revenue leakage within contract and chargeback management. The content for this session is driven by the participants, who are surveyed ahead of time about the topics they wish to discuss, including:• The various causes of revenue leakage
* diversion* multiple rebates* commercial rebates
• Examining the impact of 340B discount diversion to non-intended customers and patients
• Fully utilizing all available data to identify revenue leakages before they occur
Brooke Reynolds, Contract Specialist, Novo Nordisk Inc
3:00 Networking and Refreshment Break
3:30 Respond to Drug Shortage’s Negative Impact on Pricing• Examine the drug shortage impact on
customers, companies and industry overall
* what role does diversion play in accelerating shortages?
* what is the potential for Congress intervention?
• Discuss the rise in generic pricing
* case studies involving shortage and related pricing issues
William Sarraille, Partner, Sidley Austin LLP
Streamlining Processes for Contract and Chargeback Process Excellence
4:15 Examine Methods for Improving the Chargeback Process between Manufacturers and Wholesalers• Discuss the challenges associated with the
granularity in data between stakeholders
* membership/COT
* DSH eligibility
* use of 340B ID on chargeback EDI 844 lines
• Establish standard practices for how often third-party logistics should be shared with manufacturers
* what happens if there are disagreements?
• Simplify chargeback processes for roll-up by bill and roll-up by entity
Fred Fieder, Director, Pharmaceutical Contract Administration, McKesson Corporation
Angela Bingham, Senior Manager, Chargebacks, Pfizer Inc
5:00 Close of Day One
Networking, Wine and Cheese Reception
immediately following the final session on day one
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CASE STUDY
Day TwoTuesday, June 23, 2015
7:30 Continental Breakfast
8:00 Chairperson’s Review of Day One
Donna White, Senior Director, Contracts and Compliance, Chiesi
Industry Best Practice Illustration and Benchmarking
8:15 Streamline the Administrative Chargeback Process — Overview of Tools Available for Efficient Processes
• Examine the latest and greatest tools available for efficient administrative process management from start to finish
• Discuss the capabilities available within management tools
* what can a contracting and chargeback system do?
* what are the benefits of a customizable tool?
Sharla Payton, Manager, Accounts Receivable, Chiesi USA
9:00 INTERACTIVE LIVE POLLING Simplify Chargeback/Rebate Administration to Reduce Revenue Calculation Risk and Increase ProfitHow it works…Make sure to have your mobile device handy. Text answers to questions and see your results in real-time.
• Identify processing tools that are available and can assist with chargeback/rebate insourcing and outsourcing, including calculation inclusions and exclusions
• Examine various types of chargeback/ rebates and how each impacts manufacturer processes
* contract sales
* net sales
* Generally Accepted Accounting Principles (GAAP)
• Understand how companies are processing chargeback/rebates, including considerations for calculating rebates and fully understanding the process
• Consider pros and cons of accepting customer invoices versus internal calculation audits
* avoid negative impacts on government pricing
* incorporate defined chargeback/rebate methodology in contract language
Discussion leaders:
Marijo G. Bustos, Manager, Chargebacks, Fresenius Kabi USA
Sherice Koonce, Director, Pricing, Dr. Reddy’s Laboratories Jonathan Dunn,
Director, Pricing, Onyx Pharmaceuticals
9:45 Networking and Refreshment Break
10:15 Identify Best Practices for Optimizing GTN Calculations• Manage rebate estimation and the impact on
GTN calculations
• Compare methodologies for calculating gross sales and actual sales deductions
• Examine payer mix and its relevance to optimizing GTN calculations
Lauren Quinn, CPA, Accounting Manager, Arbor Pharmaceuticals, LLC
Tom Evegan, Vice President, Account Management, Contracts and Pricing, Compliance Implementation Services (CIS)
11:00 INTERACTIVE WORKING GROUP Align Contracts and Chargeback
Data Transfer with Trade Counterparts to Maximize Use of Available DataThis interactive session focuses on identifying processes to align contract and chargeback data transfer with trade counterparts to make the most of available data. Attendees discuss pre-conference surveyed topics of importance and then break into working groups to discuss key issues and reconvene for shared learning. Topics to be addressed include:
• Coordinating strategies across contracts, chargebacks and trade divisions through proactive partnerships
REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601
LIVE POLLING
• Combining contract data and trade data to gain a bigger, more complete understanding of the full landscape* contract data for sales information* trade data for wholesaler information
Nate Taninecz, Senior Director, Product Management, Model N
11:45 Networking Luncheon
12:45 CONTRACT AND CHARGEBACK PROCESS PANEL
Examine Industry Best Practices for Contract Operations and Chargeback Processes• Discuss the contract and chargeback process• Assess the impact of a potential HERSA
Mega Rule* impact on 340B operations* creation of a manufacturer portal
for monitoring PHS price* prepare to assess COT assignments
and administration fee refinements• Examine contract rebate
system enhancements• Streamline class of trade, EDI, data
formats and information exchange• Discuss the impact of purchasing at WAC
instead of contract price and how this impacts hospital systems, including credit and rebill at the wholesaler and manufacturer
• Determine eligibility for customer market share rebates, utilization claims and admin fees
Moderator:
Amy VanDeCar, Senior Principal, Cumberland Consulting Group, LLC
Panelists:
Donna White, Senior Director, Contracts and Compliance, Chiesi USA
Stacey Winston, Senior Director, Contracting Solutions, Amerinet, Inc
Kristina G. Stracco, Associate Director, Sales Operations, Alvogen
Chad Snyder, Supervisor, Chargebacks, Cardinal Health
1:30 GPO MEMBERSHIP MAINTENANCE PANEL Navigate Challenges and Complexities of GPO Membership and Class of Trade Maintenance • Discuss best practices for stakeholder
data inconsistency• Address hurdles related to the overwhelming
volume and dirty data input• Evaluate the impact of non-standardized COT
of data on the number of chargebacks* data difficulties* manual operations* price uncertainty* revenue leakage* regulatory compliance
• Consider how membership and class of trade discrepancies are impacting your bottom line* is there an industry best practice for
determining which GPO a hospital should be on?
• Assess issues with systems for companies with both branded and generic products
Moderator:
David Young, Supervisor, Government and Specialty Membership,
Global Financial Solutions, Pfizer Inc
Panelists:
Jennifer Crosswell, Manager, Chargebacks & Rebates, Arbor Pharmaceuticals, LLC
Susanne Leasure, MBA, Director, Membership, Amerinet, Inc
Jeni Dominguez, Senior Director, Contract Administration, McKesson Corp.
2:30 Close of Conference
REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601
“Very well organized, very informative, excellent speakers and very friendly individuals.” – Membership Analyst,
Sanofi
COMMERICAL CONTRACTS & CHARGEBACK MANAGEMENT PC15136
SCAN HERE
CBI 70 Blanchard Road Burlington, MA 018034 WAYS TO REGISTER NOW!
PHONE800-817-8601 339-298-2100 outside the U.S.
WEBSITEwww.cbinet.com/chargebacks
LIVE CHAT www.cbinet.com/chargebacks
Life Sciences
VENUE: Hilton Philadelphia at Penn’s Landing 201 S Columbus Blvd Philadelphia, PA 19106 Phone Reservations: 800.445.8667 Hotel Direct Line: 215.521.6500
ACCOMMODATIONS: To receive CBI’s special discounted hotel rate online or by phone, please go to:
• Online: www.cbinet.com/chargebacks• Phone reservations: 800.445.8667 and mention CBI’s Contracts, Chargebacks and Rebates Conference
Book Now! The Hilton Philadelphia at Penn’s Landing is accepting reservations on a space and rate availability basis. Rooms are limited, so please book early. All travel arrangements subject to availability.
PLEASE NOTE: All hotel reservations for this conference should be booked directly with the hotel. CBI does not use Housing Bureaus and none are authorized to call on our behalf.
REGISTRATION FEE: ADVANTAGE PRICING Standard Conference $1999 $2299
Register by April 17, 2015 and SAVE $300. Fee includes continental breakfast, lunch, wine and cheese reception, refreshments and conference documentation. Please make checks (in U.S. funds drawn on a U.S. bank) payable to: CBI. (No personal checks accepted.) PLEASE NOTE: All advertised discounts are taken from the full, Standard Rate.
TEAM DISCOUNT: For every three paying registrations from your company, you will receive a fourth complimentary* registration to the conference (must register four at same time to qualify). To receive the team discount you must register with our customer service department by calling 339-298-2100.
* Advantage pricing rates do apply when applicable. Offer may not be combined with any other special pricing promotions. Offer may be used at CBI co-located events.
SATISFACTION GUARANTEED: CBI stands behind the quality of its conferences. If you are not satisfied with the quality of the conference, a credit will be awarded towards a comparable CBI conference of your choice. Please contact 800-817-8601 for further information. Advanced preparation for CBI conferences is not required.
SUBSTITUTION AND CANCELLATION: Your registration may be transferred to a member of your organization up to 24 hours in advance of the conference. Cancellations received in writing on or before 14 days prior to the start date of the event will be refunded, less a $399 administrative charge. No refunds will be made after this date; however, the registration fee less the $399 administrative charge can be credited to another CBI conference if you register within 30 days from the date of this conference to an alternative CBI conference scheduled within the next six months. In case of conference cancellation, CBI’s liability is limited to refund of the conference registration fee only. CBI reserves the right to alter this program without prior notice. Please Note: Speakers and agenda are subject to change. In the event of a speaker cancellation, every effort to find a suitable replacement will be made without notice. The opinions of the conference faculty do not necessarily reflect those of the companies they represent or CBI.
REGISTER AT WWW.CBINET.COM/CHARGEBACKS • 800-817-8601
R E G I S T E R BY A P R I L 1 7, 2 0 1 5 A N D S AV E $ 3 0 0 ! CPE Credits Available
Pending Approval11TH ANNUAL
JUNE 22-23, 2015 • HILTON PHILADELPHIA AT PENN’S LANDING • PHILADELPHIA, PA
ANY QUESTIONS OR TO REGISTER CALL Sonia Lima 339-298-2142
or FAX TO MY ATTENTION 781-939-2466email: [email protected]