HCM Marketplace

WEBCAST ON CD

Sponsored by Compliance Training Handbooks

presented on February 28, 2008

Are your prices compliant with CMS standards?

The ongoing legal battle between the government and the National Association of Chain Drug Stores highlights the continuing ambiguities under the Medicaid rebate program, and the significant policy disputes relating to payment for pharmaceuticals on the basis of pricing information reported by manufacturers.

For pharmaceutical manufacturers, pharmaceutical pricing continues to raise significant compliance risks, with intense federal scrutiny over Average Sales Price (ASP), Average Manufacturer Price (AMP) and Best Price (BP) expected to continue following finalization of the rule. With penalties of heavy fines or further regulation, drug manufacturers must ensure their price reporting processes are appropriate under the regulations. In addition, both pharmacies and manufacturers must understand the reimbursement implications of the regulations on their contracting strategies.

ePharmaceuticals helps you identify how best to calculate prices

Listen to ePharmaceuticals' 60-minute Webcast, “AMP, ASP, and Best Price: Calculate correctly and understand contracting implications.”  Healthcare legal experts Joseph Metro (Reed Smith) and David Ralston (Schering-Plough) guide participants through a specific AMP price calculation, highlight current “hot topics” and illustrate potential red flags that may draw government attention. Discussion also focuses on how to proactively monitor and implement CMS guidelines, and create internal policies that will prevent audits.

At the conclusion of this Webcast, participants will be able to:

• Draft price reporting methodologies with clarity and insight for each price type
• Answer internal questions related to recent developments in AMP price reporting
• Recognize 340b-specific concerns that arise with regard to AMP, BP, and ASP
• Recognize the factors involved with calculating AMP, ASP, and BP

AGENDA

• Update on NACDS litigation and legislation: Where do we stand?
• Medicaid calculation hot topics
• Collect customer data to comply with price reporting regulations
• Authorized generics
• Bundling
• Pharmacy benefit managers
•  Reimbursement and contracting implications
• 340b
• Deficit Reduction Act
• ASP
•  Operations
• Coordinating among programs
• CMS FAQs
• Best practices
• Base AMP recount calculations
• Obtaining base AMP data from prior owners
• Impact of NACDS litigations
• Q&A

MEET THE SPEAKERS

Joseph Metro, partner, Reed Smith, Washington, D.C. Metro focuses on reimbursement, regulatory and fraud and abuse issues facing healthcare manufacturers and providers. He frequently provides analysis and counseling on a broad variety of regulatory issues including: the Medicaid drug rebate statute, the Veterans Health Care Act’s drug pricing standards, the federal anti-kickback statute, and other state and federal laws relating to the promotion of prescription drugs and medical devices. 

David Ralston, Senior Legal Director, Schering-Plough. Ralston serves as the main in-house counsel regarding pharmaceutical pricing issues and government reporting obligations resulting from pricing decisions for all sections of Global Pharmaceutical Business and Finance. He serves as main counsel to US Managed Markets regarding implementation of Medicare Modernization Act provisions. His practice includes providing federal and state fraud and abuse counsel to senior management, including advice regarding the structure of relationships with managed care entities, physicians and other pharmaceutical customers.

WHO SHOULD ATTEND THIS WEBCAST?

Pharmaceutical professionals and those working in the retail pharmacy industry, including:

• Legal affairs
• Compliance officers
• Rebate operations
• Contract marketing
• Outside counsel who interact with pharmaceutical clients
• Pharmacies and other healthcare providers who purchase pharmaceuticals

PROGRAM MATERIALS

You will receive an e-mail with detailed system requirements, your log-in information, presentation slides, and other materials that you can print and distribute to all attendees at your location. Purchase a CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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