Antitrust Virtual Conference in Healthcare - FEBRUARY 10-12, 2021 - American Bar Association
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Antitrust in Healthcare Virtual Conference CO-SPONSORED BY THE ABA ANTITRUST LAW SECTION AND THE ABA HEALTH LAW SECTION FEBRUARY 10–12, 2021 Additional Co-Sponsor: Science & Technology Law Section
Antitrust in Healthcare Virtual Conference February 10-12, 2021 Join your colleagues for the Antitrust in Healthcare Virtual Conference, February 10-12, 2021. The Antitrust in Healthcare Conference continues a rich tradition with this jointly sponsored program from the Antitrust Law and Health Law Sections. Healthcare providers, insurers, and pharmaceutical and medical device manufacturers continue to be in the antitrust spotlight. Recently, federal and state enforcers have filed multiple suits challenging the mergers and business conduct of a wide variety of healthcare entities and their executives. These actions and private antitrust litigation have targeted contracts, pricing, mergers, protection of data and other potentially anticompetitive activities. Our expert faculty of leading government attorneys, private counsel representing both plaintiffs and defendants, international enforcers, and economists will provide practical advice, insights, and policy recommendations. Please join us to receive the most timely and significant information on key antitrust issues affecting the healthcare industry. The Antitrust in Healthcare Virtual Conference will be held on the Convene virtual conference platform and the sessions will be recorded. You’ll receive an email from HLSevents@americanbar.org, which will provide you with a unique link to access the platform. Please note: CLE credit is not available for recorded programs of this conference. CLE credit is available only by attending the live presentations. This year, we’re also proud to use Crowd Compass as the event app for the Antitrust in Healthcare Virtual Conference! Crowd Compass places conference information at your fingertips! After you register, stay tuned for an email from HLSevents@americanbar.org with more details. CONTENTS 2 Planning Committee 3 Schedule At-a-Glance 4 Conference Agenda 10 Faculty 12 Conference/CLE Information 13 Registration 14 Coming Events 1
2020-2021 American Bar Association 2020-2021 American Bar Association Antitrust Law Section Chair Health Law Section Chair Gary P. Zanfagna, Hal Katz, Morris Plains, NJ Husch Blackwell, Austin, TX Antitrust in Healthcare Virtual Conference Planning Committee Co-Chairs: Christi Braun, Peter Mucchetti, Vanderbilt University Medical Center, Nashville, TN Clifford Chance, Washington, DC • Dale Grimes, Bass, Berry & Sims PLC, Nashville, TN • Emily Lentz, Cahill, Gordon & Reindel LLP, New York, NY • Lauren Rackow, Cahill, Gordon & Reindel LLP, New York, NY Health Law Section Staff Antitrust Law Planning Staff Simeon Carson, Section Director Joanne Travis, Section Director Carol Simmons, Associate Director Margaret Stafford, Meetings Director Daryl C. Taylor, CMP, Senior Meeting Planner Mary Ernst, Program Assistant Jason Billups, Program Specialist Guysheena Gibson, Program Specialist Paige Rodenberg, Meeting Assistant Alexander Hawley, Program Specialist Sara Calvillo, Administrative Assistant Maxim Sklodowski, Program Assistant Andrea Whittington, Program Specialist 2
Schedule At-a Glance Wednesday, February 10, 2021 – Day 1 9:00 – 9:10 am CST Welcome 9:15 – 10:15 am CST European Enforcers Roundtable (Non-CLE) 10:30 – 11:30 am CST Going Viral: Burning Healthcare and Pharmaceuticals Issues 11:45 am – 12:45 pm CST Healthcare Merger Recap: Managing Multiple Regulatory Reviews 1:00 – 2:00 pm CST Antitrust Legislation: New Powers for State and Federal Enforcers 2:15 – 3:15 pm CST Nibbles and Chatter (Non-CLE) Thursday, February 11, 2021 – Day 2 9:00 – 9:30 am CST Discussion with the U.S. Department of Justice (Non-CLE) 9:45 – 10:45 am CST Let’s Get an Understanding: Criminal Antitrust Enforcement in the Provider Space 11:00 am – 12:00 pm CST Anti-Steering and Anti-Tiering Provisions in Healthcare Contracts 12:15 – 1:15 pm CST Difficult Deals and Tough Situations: Lessons Learned from Anthem-Cigna 1:30 – 2:30 pm CST Now Trending: Vertical Healthcare Deals Friday, February 12, 2021 – Day 3 9:00 – 9:30 am CST Discussion with the Federal Trade Commission (Non-CLE) 9:45 – 10:45 am CST What’s New in Reverse Payment Litigation 11:00 am – 12:00 pm CST Just What the Doctor Ordered? FTC Treatment of Medical Device Mergers 12:15 – 1:15 pm CST Does the Innovation End Justify the Exclusionary Means? 1:30 – 2:30 pm CST Big Data Comes to a Healthcare Market Near You 3
CONFERENCE AGENDA Wednesday, February 10 – Day 1 9:00 – 9:10 am CST Welcome • Christi Braun, Vanderbilt University • Peter Mucchetti, Clifford Chance, Medical Center, Nashville, TN Washington, DC 9:15 – 10:15 am CST European Enforcers Roundtable (Non-CLE) Join us for an update on significant developments impacting healthcare from across the pond. Topics will include the latest updates in pharmaceuticals, data, and changes due to COVID-19. Moderator: • E. Bill Batchelor, Skadden Arps Slate Meagher & Flom LLP, Brussels, BE Speakers: • Paul Csiszar, Director of Basic Industries, Manufacturing and Agriculture, DG Comp, European Commission, Brussels, BE • Ann Pope, Senior Director, Competition and Markets Authority, London, UK • Martijn Snoep, Chairman of the Board, The Netherlands Authority for Consumers and Markets (ACM), The Hague, NL 10:30 – 11:30 am CST Going Viral: Burning Healthcare and Pharmaceuticals Issues Recent enforcement actions involving federal and state governments and updated position or guidance documents, including the recently issued DOJ/FTC Vertical Merger Guidelines and DOJ's Merger Remedies Manual, will greatly affect healthcare merger enforcement and remedies. Our experts will explore DOJ, FTC, and State Attorneys General enforcement actions involving healthcare providers, payers, pharmaceutical manufacturers, and biotech firms, including the DOJ's challenge to Geisinger's partial acquisition of Evangelical Community Hospital; the FTC suit against the Jefferson/Einstein merger; and other activities to prepare attendees going forward. Moderator: • David Maas, Davis Wright Tremaine LLP, Seattle, WA Speakers: • Sarah Oxenham Allen, Chair, NAAG Antitrust Taskforce; Senior Assistant Attorney General and Antitrust Unit Manager, Office of the Attorney General, Richmond, VA • Thomas Greaney, UC Hastings College of the Law, San Francisco, CA • Megan Jones, Hausfeld, San Francisco, CA 4
Wednesday, February 10 (continued) 11:45 am – 12:45 pm CST Healthcare Merger Recap: Managing Multiple Regulatory Reviews Many healthcare transactions involve not only review by the FTC or DOJ Antitrust Division, but also clearance by state attorneys general, insurance departments and other healthcare regulatory bodies. The issues addressed by many of these state-based regulators extend beyond the competitive impact of transactions, which requires coordination of multiple sets of stakeholders. Our panelists will discuss the complex interaction of multiple types of regulatory review in transactions that raise potential competition concerns, and ideas for managing the “who goes first” problem. Moderator: • Lisl J. Dunlop, Axinn Veltrop & Harkrider LLP, New York, NY Speakers: • Victor J. Domen Jr., Norton Rose Fulbright US LLP, Washington, DC • Jesus Alvarado-Rivera, U.S. Department of Justice, Antitrust Division, Washington, DC 1:00 – 2:00 pm CST Antitrust Legislation: New Powers for State and Federal Enforcers State and federal lawmakers are aggressively pursuing new legislation that would expand the ability of enforcers to block mergers and challenge anticompetitive conduct, with multiple states leading or enacting such measures. This session will cover updates on the latest antitrust bills pending before Congress and state legislatures. Moderator: • Adam J. Biegel, Alston & Bird LLP, Washington, DC Speakers: • Amanda G. Lewis, Counsel on Detail, Federal Trade Commission to the United States House of Representatives, Washington, DC • Lumi Nodit, Assistant Attorney General, Washington Attorney General's Office, Antitrust Division, Seattle, WA • D. Daniel Sokol, University of Florida, Levin College of Law, Gainesville, FL 2:15 – 3:15 pm CST Nibbles and Chatter (Non-CLE) Join our virtual networking event for a wonderful opportunity to continue to the conversation and make connections with registered attendees of diverse backgrounds. 5
Thursday, February 11 – Day 2 9:00 – 9:30 am CST Discussion with the U.S. Department of Justice (Non-CLE) Moderator: • Christi Braun, Vanderbilt University Medical Center, Nashville, TN Speaker: • Eric Welsh, Chief, Healthcare and Consumer Products Section, Antitrust Division U.S. Department of Justice, Washington, DC 9:45 – 10:45 am CST Let’s Get an Understanding: Criminal Antitrust Enforcement in the Provider Space In April, the Deferred Prosecution Agreement in United States v. Florida Cancer Specialists resolved the first criminal enforcement action against a health care provider in nearly 30 years. What should physician practices, health systems, and other clinicians understand about criminal antitrust enforcement, now that it’s clear there isn’t a policy of exceptionalism for health care? Our experts will provide strategies in managing risk through antitrust compliance programs, and other self-reporting mechanisms to resolve conduct issues, options for avoiding exclusion from public payor programs through deferred prosecution agreements, and other basics of criminal antitrust enforcement. Moderator: • H. Holden Brooks, Foley & Lardner LLP, Milwaukee, WI Speakers: • Jim Fredricks, Chief, Washington Criminal II Section, U.S. Department of Justice, Antitrust Division, Washington, DC • Casey E. Lucier, McGuire Woods, Richmond, VA • Lisa M. Phelan, Morrison & Foerster LLP, Washington, DC 11:00 am – 12:00 pm CST Anti-Steering and Anti-Tiering Provisions in Healthcare Contracts Anti-steering and anti-tiering clauses in healthcare contracts between hospitals and insurers are receiving greater scrutiny from the DOJ. This session will analyze the pro-competitive reasons for why hospitals and insurers negotiate such contracts, as well as how these arrangements can allow a dominant hospital to limit the growth of a competitive provider market. Moderator: • Mark Horoschak, Bradley, Charlotte, NC 6
Thursday, February 11 (continued) Speakers: • Lona Fowdur, Economists Incorporated, Washington, DC • Catherine Reilly, U.S. Department of Justice, Washington, DC • Lucas R. Smith, Bass Berry & Sims PLC, Nashville, TN 12:15 – 1:15 pm CST Difficult Deals and Tough Situations: Lessons Learned from Anthem-Cigna The aftermath of the failed Anthem-Cigna transaction led to the discovery of best practices and recognition of key problem areas for counsel to reference while managing long, complex merger reviews. Our presenters will examine the lessons from these considerations, including developing a sound antitrust risk assessment and agency strategy; negotiating appropriate provisions in the purchase agreement; engaging with joint defense counsel; managing concurrent FTC/DOJ and State AG antitrust reviews; and advising clients on integration planning and information exchange during a lengthy pre-closing period. Moderator: • Alexis V. DeBernardis, Crowell & Moring LLP, Washington, DC Speakers: • Jan Rybnicek, Freshfields, Washington, DC • Margaret A. Ward, Jones Day, San Francisco, CA 1:30 – 2:30 pm CST Now Trending: Vertical Healthcare Deals The ongoing trend of healthcare company amalgamations that offer diverse and complementary services spans the last several years. The recently released DOJ/FTC Vertical Merger Guidelines is welcomed by corporations and counsel as providing more transparency about the agencies’ analytical decision making process in such transactions. Our panel of private sector and government lawyers will consider the antitrust implications of vertical healthcare deals, how helpful the guidelines will be in practice, and the extent to which the guidelines may facilitate vertical transactions going forward. Moderator: • January Kim, Linklaters LLP, Washington, DC Speakers: • William E. Berlin, Hall, Render, Killian, Heath & Lyman, P.C., Washington, DC • Nandu Machiraju, Federal Trade Commission, Washington, DC • Jesse Solomon, Davis Polk & Wardwell LLP, New York, NY 7
Friday, February 12 – Day 3 9:00 – 9:30 am CST Discussion with the Federal Trade Commission (Non-CLE) Moderator: • Peter Mucchetti, Clifford Chance, Washington, DC Speaker: • Mark Seidman, Assistant Director for Mergers IV Division, Bureau of Competition Federal Trade Commission, Washington, DC 9:45 – 10:45 am CST What’s New in Reverse Payment Litigation The seminal Supreme Court decision FTC v. Actavis has prompted expansive litigation, including several new cases filed in the last year, while other actions have resulted in settlements totaling hundreds of millions of dollars. This session will examine how courts and parties continue to grapple with unresolved issues, including how to define an unlawful “payment”, the strength of underlying patent litigation, and whether acceleration clauses may be unlawful. Moderator: • Brendan Coffman, Wilson Sonsini Goodrich & Rosati, Washington, DC Speakers: • Eric Grannon, White & Case LLP, Washington, DC • Robin A. Van Der Meulen, Labaton Sucharow LLP, New York, NY 11:00 am – 12:00 pm CST Just What the Doctor Ordered? FTC Treatment of Medical Device Mergers The Federal Trade Commission scrutinized multiple recent high-profile mergers of medical device companies. Major transactions – including GE/Danaher, Ossur Americas Holdings/College Park Industries, Boston Scientific/BTG, and Fresenius Medical Care/NxStage Medical – all have undergone lengthy reviews. Our panelists will discuss the number of competitors needed to prevent a lessening of competition, the importance of potential competition, vertical aspects of mergers, and other key competitive issues in the medical device industry. Moderator: • Michael Van Arsdall, Clifford Chance LLP, Washington, DC 8
Friday, February 12 (continued) Speakers: • Stacy E. Frazier, Executive Counsel, Competition Law and Policy, General Electric, Washington, DC • Steve Mohr, Acting Deputy Assistant Director, Mergers I, Federal Trade Commission, Washington, DC 12:15 – 1:15 pm CST Does the Innovation End Justify the Exclusionary Means? Patent and antitrust law recognize that some exclusion of competitors can benefit innovation. But which is the better driver of innovation: competition or a period of limited exclusion? What does the latest empirical work show, especially in sectors characterized by both innovation and dominance, such as pharmaceuticals and medical devices? How should courts weigh innovation defenses to exclusionary conduct? Our presenters will highlight the practices of delaying or foreclosing competition and the possible responses to these actions. Moderator: • Craig G. Falls, Dechert LLP, Washington, DC Speakers: • Eileen Cole, White & Case LLP, Washington, DC • Richard Gilbert, University of California at Berkeley, Berkeley, CA 1:30 – 2:30 pm CST Big Data Comes to a Healthcare Market Near You Big data in healthcare is rapidly evolving. Data on patients’ lifestyles and choices can be collected from electronic medical records, wearables, social media, and supermarket data. What does it mean for antitrust law? Where is the balance between data as a tool to enhance patient outcomes or as an instrument that may suppress competition? Our subject matter experts will delve into the benefits of big data, including improving patient care and reduction of duplicative testing and costs, as well as explore the potential dangers involving providers steering patients, and collusion. Moderator: • Maria Salgado, Cornerstone Research, San Francisco, CA Speakers: • Lucia Savage, Omada Health, San Francisco, CA • Dan Gilman, Federal Trade Commission, Washington, DC 9
FACULTY Sarah Oxenham Allen Paul Csiszar Chair, NAAG Antitrust Taskforce; Senior Director of Basic Industries, Manufacturing and Assistant Attorney General and Antitrust Unit Agriculture, DG Comp Manager European Commission Office of the Attorney General Brussels, BE Richmond, VA Alexis V. DeBernardis Jesus Alvarado-Rivera Crowell & Moring LLP U.S. Department of Justice Washington, DC Antitrust Division Washington, DC Victor J. Domen Jr. Norton Rose Fulbright US LLP E. Bill Batchelor Washington, DC Skadden Arps Slate Meagher & Flom LLP Brussels, BE Lisl J. Dunlop Axinn Veltrop & Harkrider LLP William E. Berlin New York, NY Hall, Render, Killian, Heath & Lyman, P.C. Washington, DC Craig G. Falls Dechert LLP Adam J. Biegel Washington, DC Alston & Bird LLP Washington, DC Lona Fowdur Economists Incorporated Christi Braun Washington, DC Vanderbilt University Medical Center Nashville, TN Stacy E. Frazier Executive Counsel, Competition Law and Policy H. Holden Brooks General Electric Foley & Lardner LLP Washington, DC Milwaukee, WI Jim Fredricks Brendan Coffman Chief, Washington Criminal II Section Wilson Sonsini Goodrich & Rosati U.S. Department of Justice, Antitrust Division Washington, DC Washington, DC Eileen Cole Richard Gilbert White & Case LLP University of California at Berkeley Washington, DC Berkeley, CA 10
FACULTY (continued) Dan Gilman Steve Mohr Federal Trade Commission Acting Deputy Assistant Director Washington, DC Mergers I Federal Trade Commission Eric Grannon Washington, DC White & Case LLP Washington, DC Peter Mucchetti Clifford Chance Thomas Greaney Washington, DC UC Hastings College of the Law San Francisco, CA Lumi Nodit Assistant Attorney General, Washington Mark Horoschak Attorney General's Office, Antitrust Division, Bradley Seattle, WA Charlotte, NC Lisa M. Phelan Megan Jones Morrison & Foerster LLP Hausfeld Washington, DC San Francisco, CA Ann Pope January Kim Senior Director, Competition and Markets Linklaters LLP Authority Washington, DC London, UK Amanda G. Lewis Catherine Reilly Counsel on Detail, Federal Trade Commission U.S. Department of Justice United States House of Representatives Washington, DC Washington, DC Jan Rybnicek Casey E. Lucier Freshfields McGuire Woods Washington, DC Richmond, VA Maria Salgado David Maas Cornerstone Research Davis Wright Tremaine LLP San Francisco, CA Seattle, WA Lucia Savage Nandu Machiraju Chief Privacy & Regulatory Officer Federal Trade Commission Omada Health Washington, DC San Francisco, CA 11
FACULTY (continued) Mark Seidman Jesse Solomon Assistant Director for Mergers IV Division Davis Polk & Wardwell LLP Bureau of Competition New York, NY Federal Trade Commission Washington, DC Michael Van Arsdall Clifford Chance LLP Lucas R. Smith Washington, DC Bass Berry & Sims PLC Nashville, TN Robin A. Van Der Meulen Labaton Sucharow LLP Martijn Snoep New York, NY Chairman of the Board The Netherlands Authority for Consumers and Margaret A. Ward Markets (ACM) Jones Day The Hague, NL San Francisco, CA D. Daniel Sokol Eric Welsh University of Florida Chief, Healthcare and Consumer Products Levin College of Law Section, Antitrust Division Gainesville, FL U.S. Department of Justice Washington, DC 12
CONFERENCE INFORMATION Online registration: ambar.org/AT2021 Hashtag: #AT2021 Cancellation Policy A refund will be issued upon written cancellation received no later than January 29, 2021, minus a $75 handling charge for each registration. Cancellations received after this date cannot be refunded but substitutions are encouraged. The ABA reserves the right to cancel any program and assumes no responsibility for personal expenses. CLE Credit The ABA will seek 11.0 hours of CLE credit in 60-minute states, and 13.20 hours of CLE credit in 50- minute states for this program. Credit hours are estimated and are subject to each state’s approval and credit rounding rules. Please visit the program website at ambar.org/AT2021 for program CLE details or visit www.americanbar.org/mcle for general information on CLE at the ABA. Antitrust, Health Law, and Science & Technology Law Section Membership As an added bonus, the member’s tuition rate will be available to registrants who become new members of the ABA’s Antitrust, Health Law, or Science & Technology Law Sections. Membership dues are not deductible as charitable contributions for federal income tax purposes, but such dues may be deductible as a business expense. American Bar Association membership is required to become a member of the Antitrust, Health Law, and/or Science & Technology Law Sections. Tax Deduction for Educational Expenses An income tax deduction may be allowed for educational expenses undertaken to maintain or improve professional skills. This includes registration fees, travel, meals, and lodging expenses. (See Treas. Reg. 1.162-5) (Coughlin vs. Commissioners, 203 F. 2d 307). Services for Persons with Disabilities If special arrangements are required for an individual with a disability to attend this program, please contact the Health Law Section staff at (312) 988-5146 or HLSevents@americanbar.org. 13
Registration Information Online only: ambar.org/AT2021 REGISTRATION FEES Full Conference Price: Antitrust Member, Health Law Member or SciTech Member $199 In-House Counsel/Solo Practitioner $95 Government/Academic (must be full time) $95 Law Student $45 ABA Member - Non-Antitrust, Health Law Section or SciTech $299 Member General Attendee $450 Please contact the Health Law Section at (312) 988-5176, or email HLSevents@americanbar.org, with any questions about the registration process. 14
Antitrust Law Section UPCOMING EVENTS Antitrust Virtual Spring Meeting March 23-26, 2021 ambar.org/atspring Antitrust Masters Course May 20-22, 2021 Philadelphia, PA Global Private Litigation Conference June 14, 2021 Copenhagen Consumer Protection Conference July 2021 Colorado ambar.org/atconsumer ABA Annual Meeting August 4-10, 2021 Please contact Maxim.Sklodowski@americanbar.org for more information or ambar.org/atevents for Antitrust conference information. Health Law Section UPCOMING EVENTS 22nd Annual Conference on Emerging Issues in Healthcare Law March 8-12, 2021 ABA Annual Meeting August 4-10, 2021 Physicians Legal Issues: Healthcare Delivery & Innovation Conference September 23-25, 2021 Washington Health Law Summit December 6-7, 2021 Please contact the Health Law Section at (312) 988-5176, or email HLSevents@americanbar.org, for more information. 15
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