In this episode of The Wiley Contracting Chronicles, co-hosts Jordan Ross and Brooke DeLoatch take a deeper dive into program segmentation within pharmacy benefit programs. After outlining the concept in their previous episode, they now explore the contractual implications that follow a health plan’s decision to segment services among multiple PBMs or service providers. Throughout the episode, they stress one essential takeaway: involve legal counsel early and often to lay the groundwork for a smooth and strategic transition to a segmented model.

In this episode of The Wiley Contracting Chronicles, hosts Jordan Ross and Brooke DeLoatch discuss the growing trend of pharmacy benefit segmentation among health plans. They outline three emerging models identified at Wiley: Product Service Disaggregation, Program Segmentation, and Industry Disruption—each offering varying levels of complexity and control. The hosts highlight key considerations for implementing these models, including resource commitment, clear contracting terms, and ensuring service provider capabilities. With careful planning and strategic contract management, health plans can leverage segmentation to foster competition, improve efficiency, and lower drug costs.

In this episode of Wiley’s Health Care Contracting Chronicles, hosts Jordan Ross and Brooke DeLoatch share how Wiley’s innovative PBM contracting process helps health plans achieve better pricing, transparency, and efficiency. They outline the five key stages of the Wiley Competitive Contracting process, explain why early legal involvement is a game-changer, and discuss how this method drives meaningful negotiations. Tune in for actionable insights into mastering PBM contracts in a rapidly evolving marketplace.

Wiley's Health Care Team

Dorthula H. Powell-Woodson; Brooke M. DeLoatch; Jordan Ross; Lukman Azeez; Kathryn Bucher; Kathleen E. Scott; Tatiana Sainati; Kathleen Cooperstein; Rebecca J. Fiebig; Melany Birdsong; Kelly Baugh; Amaru J. Sánchez

In this episode of Wicked Coin, hosts Diana Shaw and Tatiana Sainati delve into the controversies surrounding Victor Yanukovych’s presidency in Ukraine from 2010 to 2014. During his tenure, Ukraine was heavily affected by corruption, with scandals and governance issues leaving a lasting impact on the country. Join Diana and Tatiana as they trace the history of corruption in Ukraine leading up to Yanukovych’s administration and explore how this era of corruption has impacted present-day Ukraine.

In the second installment of this two-part interview, host Kevin Muhlendorf continues the conversation on the complexities of parallel investigations with Brian Young, Director of the Whistleblower Office at the Commodity Futures Trading Commission (CTFC). They discuss the key differences between Dodd-Frank and False Claims Act whistleblower programs, the process and protections for whistleblowers, and the significant financial incentives involved. Tune in for insights into how whistleblowers can impact regulatory actions and the importance of robust compliance programs.

In the first installment of this two-part interview, host Kevin Muhlendorf sits down with Brian Young, Director of the Whistleblower Office at the Commodity Futures Trading Commission (CTFC) to discuss the complexities of parallel civil and criminal investigations. Together they cover the challenges and strategies in coordinating with multiple regulators, both domestic and international, and Brian shares his journey from clerking at the Sixth Circuit to leading major cases at the DOJ's Fraud Section.

On this latest episode of Wicked Coin, join hosts Diana Shaw and Tatiana Sainati as they unravel the intricate web of deceit behind the world's largest sports scandal - the FIFA corruption case. From secret bribes and lavish lifestyles to the shocking involvement of global figures like Vladimir Putin, this episode exposes the dark side of the beautiful game. Discover how a seemingly noble mission to promote soccer turned into a tale of greed and betrayal that highlights the true cost of corruption.

For more on the FIFA scandal, check out the Netflix documentary "FIFA Uncovered", "Red Card: How the U.S. Blew the Whistle on the World's Biggest Sports Scandal" by Ken Bensinger, and "The Sicilian Mafia: The Business of Private Protection" by Diego Gambetta.

In this episode of Wiley’s Health Care Contracting Chronicles, hosts Jordan Ross and Brooke DeLoach introduce the complex world of Pharmacy Benefit Managers (PBMs) and their pivotal role in the healthcare industry. They explore the functions of PBMs as intermediaries between insurers, pharmaceutical companies, and pharmacies, detailing their responsibilities in managing drug benefits and negotiating prices. The discussion also addresses the growing concerns around transparency and regulatory oversight, highlighting recent legislative efforts aimed at reforming PBM practices. Tune in to gain foundational insights into the PBM landscape and what it means for healthcare contracting in the future.

Welcome to the Parallel Proceedings Podcast, hosted by Kevin Muhlendorf, a partner in Wiley’s White Collar & Government Investigations Practice who also leads the firm’s Securities Enforcement and Litigation Team. Kevin, a former federal prosecutor and SEC enforcement attorney, shares insights on current events and hot topics and examines challenges executives and organizations face during parallel criminal and civil investigations.

In the inaugural episode, Kevin delves into the complex world of parallel investigations and prosecutions by the DOJ and SEC. He explains how overlapping civil and criminal proceedings create unique pressures on defendants, and explores strategies for navigating clients through this legal maze. From insider trading to crypto cases, Kevin unpacks real-world scenarios in which lawyers must strike a delicate balance to vigorously defend clients in a civil matter without triggering potential risks in a related criminal prosecution.

Power and corruption … two sides of a Wicked Coin. In this podcast, hosts Tatiana Sainati, co-chair of Wiley’s Global Disputes Practice, and Diana Shaw, a partner in Wiley’s White Collar & Government Investigations Practice tell the stories of the world’s largest, most salacious corruption scandals. Together they explore the myriad ways in which corruption creeps into the hearts and minds of men and women, the consequences of corruption for perpetrators and victims alike, and the red flags that, had they been identified and addressed, might have changed the course of history.

In their debut episode, Tatiana and Diana dive into the infamous "Fat Leonard" scandal that rocked the U.S. Navy. From bribery, to blackmail, to prosecutorial misconduct, they unpack how a massive corruption scheme unfolded due to critical failures in oversight. Join the conversation exploring how to promote transparency, improve accountability, and rebuild trust and credibility at our nation’s highest levels of defense.

For more on the Fat Leonard scandal, check out "Fat Leonard: How One Man Bribed, Bilked, and Seduced the U.S. Navy" by Craig Whitlock and the Fat Leonard podcast on Brazen+.