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“Tiffany is a true partner to both me and my internal corporate clients on an almost daily basis. I value not only the depth of her expertise in a highly technical and complex area of law, but also her ability to think proactively and propose practical solutions that meet the real-world demands of our Fortune 25 business.”

In-House Attorney, Pharmacy Benefit Management Organization

Overview

Tiffany’s practice touches all aspects of the rapidly changing healthcare delivery system, from medical care providers to hospitals, pharmaceutical manufacturers and insurance plans.

As former in-house counsel to a large pharmacy benefit company, Tiffany knows what it’s like to sit in the client’s chair. She helps clients navigate the complexities of the 340B Drug Pricing Program and counsels them on all aspects of the drug delivery process, including developing specialty pharmacy arrangements, advising on network contracting, risk evaluation and mitigation strategy (REMS) programs, pharmacy benefit management agreements, drug-related data arrangements and drug purchasing arrangements. She also continues to serve as interim in-house counsel for clients in the healthcare industry when needed.

Tiffany ensures clients are up to date on changes in healthcare laws that affect providers and hospitals. She assists with the development and implementation of programs and policies to ensure compliance with healthcare regulatory schemes, including:

  • Medicare and Medicaid
  • Fraud, Waste and Abuse Laws
  • Health Insurance Portability and Accountability Act (HIPAA)

Clients also turn to Tiffany to handle transactions such as physician practice sales and restructuring, as well as complex affiliation arrangements between hospital systems and physician practices to provide efficiency, quality and cost-savings to providers and patients alike.

“Tiffany is a true partner to both me and my internal corporate clients on an almost daily basis. I value not only the depth of her expertise in a highly technical and complex area of law, but also her ability to think proactively and propose practical solutions that meet the real-world demands of our Fortune 25 business.”

In-House Attorney, Pharmacy Benefit Management Organization


Industry

Services

Education

  • J.D., Saint Louis University School of Law
    • with honors
  • B.A., Washington University in St. Louis

Admissions

  • Missouri
  • Kansas

Professional Associations and Memberships

  • Greater Kansas City Society of Healthcare Attorneys, Secretary, 2012-2013, President, 2013-2014

Languages

  • Spanish, conversant
Experience
  • Negotiated pharmacy benefit manager rebate, discount, network pharmacy and client arrangements.
  • Counseled pharmacy and 340B covered entity clients on developing, contracting and implementing 340B arrangements.
  • Advised on 340B compliance, including with respect to third-party administrator and contract pharmacy arrangements and shared savings programs.
  • Drafted pharmacy agreements, discount agreements, pharmacy services agreements and patient assistance program agreements between specialty pharmacies and pharmaceutical manufacturers.
  • Represented health systems in complex affiliation arrangements with community physician groups.
  • Negotiated complex data sharing arrangements with numerous clients within healthcare industry and routinely advised on day-to-day Health Insurance Portability and Accountability Act (HIPAA) and other regulatory data issues.
  • Advised healthcare providers on Medicare, Medicaid and other regulatory, compliance and reimbursement issues.
Thought Leadership
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