News & Insights

Webinar

Challenging Payers’ New Specialty Pharmacy Policies That Reduce Payment to Hospitals


King & Spalding is forming a coalition of providers to challenge health plans’ “white bagging” policies.  UnitedHealthcare, Anthem Blue Cross and Cigna are implementing policies that in effect prohibit hospitals from directly sourcing and supplying certain drugs as they have historically done under their agreements with these payers. Where these policies apply, hospitals cannot receive payment unless they purchase from the payer’s preferred pharmacy (often a wholly owned subsidiary of the payer). We will also discuss UnitedHealthcare's new policy effective 1/1/2021 that requires providers to submit manufacturer copay coupon reimbursement information to UnitedHealthcare.

On Tuesday, November 10, 2020, at Noon Eastern, we will be hosting a 45-minute invitation-only roundtable Webinar to discuss hospitals’ options for challenging these new policies.

We will discuss contract-based arguments, as well as quality and patient-safety based issues that these policies raise. We will also discuss options for addressing these policies through litigation using a coalition approach. King & Spalding presenters will include several managed care litigators who have successfully challenged health plan policies through litigation, including Jim Boswell, Daron Tooch and Jennifer Lewin.

If you have questions concerning this roundtable webinar, email lifesciences-healthcare@kslaw.com.

CLE

King & Spalding is an accredited provider of CLE credit in California, Georgia, Illinois, New York and Texas. We can issue reciprocal credit for attorneys licensed in Connecticut, Florida, and New Jersey. We will apply for credit in Colorado, North Carolina and Virginia (subject to MCLE Board approval). For jurisdictions not listed, attendees are provided with a Universal Certificate of Attendance. New York licensed attorneys: Transitional/Appropriate for newly-admitted and experienced attorneys. Financial aid is available for qualifying lawyers. For CLE-related questions, please contact Gisel Arias, garias@kslaw.com. King & Spalding, 1180 Peachtree Street NE, Atlanta, GA 30309. CA Provider #10947.

Event Details

Date: November 10, 2020

Time: 12:00 pm (ET)

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Please register soon. You do not have to be a client to attend, and there is no charge.