Theresa C. Carnegie, a Member of the Health Law Practice of Mintz, Cohn, Ferris, Glovsky and Popeo, P.C., and Ellyn L. Sternfield, Of Counsel in the firm’s Health Law Practice, will both present at the 3rd Annual Pharmacy Benefit Oversight and Compliance Congress. The conference will take place November 12 and 13 in Chicago, Illinois.
Ms. Carnegie and Ms. Sternfield’s presentation is entitled, “PBMs 2014 — How the PBM World Continues to Evolve.”
The 2014 Pharmacy Benefit Oversight and Compliance Congress unites pharmacy benefit managers and health plans to carefully analyze the regulatory landscape, discuss best practices for compliance and operational excellence, share methods for auditing and monitoring and explore strategies for successful stakeholder oversight.
Ms. Carnegie counsels health care clients on a variety of transactional, regulatory, and fraud and abuse matters. She focuses much of her practice on counseling health plans, pharmacy benefit managers, pharmacies, device manufacturers, and distributors on regulatory and compliance matters. Her practice extends to counseling on drug pricing and reimbursement issues, Medicare Advantage and Medicare Part D compliance, and the regulatory requirements under the Affordable Care Act and state health insurance exchanges. Ms. Carnegie has extensive experience drafting, negotiating, and structuring PBM agreements, retail, mail and specialty pharmacy agreements, GPO agreements, and pharmaceutical purchase, distribution, and rebate agreements.
Ms. Sternfield has more than 30 years of legal experience, with an extensive background in the field of government health care enforcement. Her experience enables her to provide valuable insight to clients facing potential state or federal investigations, or who have general compliance concerns. Ms. Sternfield currently represents a variety of health care product and service providers in federal and state administrative, civil, and criminal matters around the country. She conducts internal reviews and investigations for clients concerned about potential compliance issues. Ms. Sternfield advises clients on proposed or existing health care business arrangements, especially those involving Medicaid, Medicare, and the 340B Drug Pricing Program. She drafts compliance plans to help insulate clients from future whistleblower claims or enforcement efforts. Ms. Sternfield helps negotiate resolutions of matters brought under federal or state false claims acts.
Attorneys in Mintz Health Law Practice, many of whom have held senior government positions or served as in-house counsel, represent for-profit and non-profit, domestic and international companies in connection with a wide variety of business and legal transactions, challenges and issues that they confront both on a daily basis and in bet-the-company matters. Clients span the full spectrum of the industry, including hospital systems, managed care organizations, laboratories, long-term care providers, durable medical equipment suppliers, behavioral health companies, pharmaceutical and medical device manufacturers, retail pharmacies and pharmacy benefit managers.