Topic Description : This session will provide critical insights into navigating payor and Pharmacy Benefit Manager (PBM) contracts for home and alternate site infusion providers. Attendees will gain valuable knowledge on recent updates in Medicare Part D, Medicare Part B, and major medical commercial insurers, and understand the crucial role of PBMs in the contracting process. The session will cover key interaction points with payors, such as provider credentialing, network contracting, and claims submission, preparing providers for successful discussions and negotiations. Attendees will learn strategies to overcome common challenges, including network exclusion, non-payment issues, “prescription trolling,” DIR fees, and J-code billing issues. Additionally, the session will highlight tools and legislation that enhance providers’ negotiation capabilities and explore growth opportunities within the industry, such as infusion suites, prescriber partnerships, the 340B program, and class of trade opportunities. This session is essential for providers looking to optimize reimbursement and expand their services in a competitive healthcare landscape. This topic has been successfully presented in Roundtable format in the past, with “standing room only” attendance.