Employee Fiduciary Lawsuits & Transparency in Health Plan Contracting
Special Two Hour Roundtable!
March 14, 2024 • 12 PM - 2:00 PM (CT)

This action-packed roundtable will cover the most important topics for employers today!

Navigating Employee Fiduciary Lawsuits

Jonathan Levitt, Esq, Founding Partner, Frier Levitt, will discuss the recent class action lawsuit, which may establish a new standard of employer fiduciary responsibility and could help to transform the marketplace. This case underscores a critical vulnerability for employers – to competently manage medical and pharmacy benefits, while requiring greater transparency and accountability – to ensure all direct or indirect compensation with intermediaries is reasonable and justifiable. Jonathan will provide action steps employers must take to avoid a costly breach of fiduciary duty and comply with the CAA and ERISA.

Transparency in Health Plan Contracting

Marilyn Bartlett, Sr, Policy Fellow, Center for Health Systems Costs and National Academy for State Health Policy will discuss the transparency challenges employers experience when contracting with carriers, TPAs and PBMs. While these intermediaries continue to employ tactics that increase their revenue, they often leave employers on the hook as fiduciaries. Marilyn will share scenarios and insights on various topics, including gag clauses, claims payments, medical Rx rebates, 340B, overpayments/ reconciliations/ recoveries, what’s considered “proprietary, confidential and reasonable,” and what employers can do about it.

Upcoming Employer Member Roundtables:

• June 13th - Beyond Hospital Transparency: What You Need to Know about State and Federal Legislation
• July 11th - Beyond Hospital Transparency: Getting the Facts Straight (previously scheduled for April 11.