Speakers: Andrew L. Oringer, Ropes & Gray LLP; Harvey D. Cotton, Ropes & Gray LLP; Lyle S. Swallow, Blue Shield of California (retired)

1:00 PM - 2:30 PM ET The faculty for this program will address the Patient Protection and Affordable Care Act (PPACA) mandate that health plan coverage include first-dollar coverage for...

Speakers: Paul J. Barringer, United Healthcare Government Programs Compliance

Federal law and the Centers for Medicare and Medicaid Services (CMS) contracts impose a number of requirements relative to the delegation of functions to downstream entities or partners for Medicare Advantage (MA) organizations and Part D plan sponsors. Learn more from our expert speaker, who is Vice President and Contract Compliance Officer for United Healthcare Government Programs.

A related article from Bloomberg BNA's Health Care Program Compliance Guide will be available to attendees.

Speakers: Ken Yale, Clinical Solutions for ActiveHealth Management; Brian Parker, Aetna

Health care reform ultimately aims to build a more sustainable health care system by driving innovation that leads to better quality of care, better patient experience, and lower costs. Patient-Centered Medical Homes (PCMH) are one particular care delivery model the industry has seized on as a key tool to help drive change. PCMH model pilots administered by the Centers for Medicare and Medicaid Services and private insurers have already proven to positively impact quality and cost of care. Much has been learned in the past decade about how best to establish these innovative care delivery platforms, and much is still being learned as they evolve and the initial successes wear off.

As organizations across the nation explore different ways to incorporate PCMH models into their strategy, the concept is being tested in a variety of settings and structures with the same shared goal of coordinating better and less costly care. The faculty for this program will address which elements are essential to any PCMH model and how this model is being used to meet health critical care reform objectives.

Speakers: Robert L. Roth, Hooper, Lundy & Bookman, P.C.; Mark E. Reagan, Hooper, Lundy & Bookman, P.C.; Marsha Simon, Ph.D., Simon & Co., LLC

The reorganization of the Centers for Medicare and Medicaid Services (CMS) focuses specifically on those enrolled both in Medicare and Medicaid, commonly called the "dually-eligible." According to CMS, the goal of the Medicare-Medicaid Coordination Office "is to make sure Medicare-Medicaid enrollees have full access to seamless, high quality health care and to make the system as cost-effective as possible."

Attend this program to (i) gain an understanding of the legal authorities that apply to CMS and the states with regard to addressing the dually-eligible; (ii) learn about particular actions taken by CMS and various states; and (iii) understand the potential impact on different provider types, including hospitals, long-term care facilities, home health agencies, physicians, and DME companies.

Speakers: Stewart Baker, Steptoe & Johnson LLP; Stephen Heifetz, Steptoe & Johnson LLP

The Committee on Foreign Investment in the United States (CFIUS), an inter-agency committee that reviews business transactions in which the control of a United States business could be assumed by a foreign entity, has been the subject of several reforms and improvements since its inception. The agency reviews such transactions to determine their potential effects on the national security of the United States.

Our faculty will discuss how CFIUS has evolved, CFIUS practices that are unwritten and opaque, and traps for the unwary. CFIUS's foreign investment review process often is described as a "black box" – attending this program will provide an opportunity to hear from insiders who can illuminate that box for you.

Speakers: Drew Hirshfeld, USPTO; Hans Sauer, Ph.D., Biotechnology Industry Organization; Lisa M. Hemmendinger , Ph.D., Banner & Witcoff, Ltd.; Paul M. Rivard, Banner & Witcoff, Ltd.

This presentation will provide analysis and insight on the U.S. Supreme Court’s recent ruling in Mayo v. Prometheus involving patent eligibility of methods in the area of personalized medicine. Mayo provoked more than 40 amicus briefs from organizations and companies including BIO, AIPLA, IPO, ACLU, Hewlett Packard, Verizon, Roche and Nine Law Professors.

From this program, you will learn about the decision and its implications through reasoned analysis and thoughtful insights from a panel of experts from the biotech industry, private practice, and the U.S. Patent and Trademark Office. The faculty will provide key insight on evaluating your patent portfolio in light of this ruling, as well as a discussion of effective strategies for protecting intellectual property going forward.

Speakers: Matthew P. Amodeo, Drinker Biddle & Reath LLP; Julie Scott Allen, Drinker Biddle & Reath LLP

Accountable Care Organizations (ACOs) are but one of many emerging health care delivery models being driven by significant changes and reforms in the delivery of health care. Many provider organizations are unsure about their ability, and sometimes their desire, to form an ACO. This program will explore the fundamental changes shaping the health care market today, and strategies and opportunities for providers to participate in various value-based payment delivery options best suited to their organization.

Speakers: Terry M. Connerton, Metz Lewis Brodman Must O’Keefe LLC; Tess J. Ferrera, Miller & Chevalier

This program will provide details to service providers and plan fiduciaries on how to comply with the final rules under ERISA § 408(b)(2). You will learn which covered service providers must make disclosures, to whom such disclosures will be made, the information that must be provided to plan fiduciaries, what plan fiduciaries need to do with the information to assure that reasonable compensation is being paid, the available exemption to the plan fiduciary in the event the plan fiduciary does not receive the required disclosures, and an action plan for service providers and plan fiduciaries to follow to comply with the regulations by July 1, 2012.

Speakers: Julie Brill, Federal Trade Commission; Jim Halpert, DLA Piper; D. Reed Freeman, Morrison & Foerster, LLP

Learn about the FTC’s Final Privacy Report, "Protecting Consumer Privacy in an Era of Rapid Change: Recommendations For Businesses and Policymakers” from an esteemed faculty including an FTC commissioner. The report recommends that Congress consider enacting privacy, data security and data breach notification, and data broker legislation. It also identifies best practices for businesses to give consumers more control over the use and collection of their personal information, and safeguard their privacy.

Speakers: Jody R. Westby, CEO, Global Cyber Risk and Adjunct Distinguished Fellow, Carnegie Mellon CyLab

Get your arms around digital governance in this program, which will cover the results of the Carnegie Mellon CyLab 2012 Governance Report on how boards and senior executives are governing the privacy and security of their digital assets. This is the first global survey on this topic, and comparisons in results for regions around the world will be discussed. Key findings will be discussed, noting areas where governance is weak and, in comparison with the CyLab 2008 and 2010 reports (U.S. only), where improvements are evident. The fluid nature of legal frameworks around the globe for privacy and security creates special challenges for all organizations, and their counsel needs to understand essential governance responsibilities and know where attention is commonly lacking.