MA Drug Flexibility, with a Part B Step Therapy focus
Event Date: 1/16/2019
Event Overview
Wednesday, January 16, 2019
1:00 PM CT – 2:30 PM CT (00 minutes)
This event is hosted on our ReadyTalk platform
Join your Alliance peers for this webinar presentation on the new drug benefit flexibilities made available to Medicare Advantage and Part D plans, with a particular focus Part B Drug Step Therapy and Medicare Part D Indication Based Formularies. The presentation and discussion will be led by Mike Adelberg, Principal and Healthcare Strategy Practice Leader at Faegre Baker Daniels and Jay Warmuth, Partner, at Faegre Baker Daniels. The webinar will:
- Provide an overview of new and potential flexibilities in delivering drug benefits to Medicare beneficiaries
- Discuss the new opportunity to apply step therapy to Part B drugs, including proposed tweaks to the original CMS guidance
- Discuss the coming opportunity to offer indication-based formularies for Part D drugs
- Consider the broader implications for Medicare Advantage, Part D plans and PBMs
Audience
Health Plan leaders in the Medicare Advantage market. In addition, pharmacy directors and stakeholders across managed care markets will find this event informative as it profiles new pharmacy benefit flexibilities which may soon be permitted in other markets and government programs.
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Documents
Presentation: MA drug flexibility, with a Part B step therapy focus
Faegre Baker Daniels's Mike Adelberg and Jay Warmuth lead a presentation and discussion about new drug utilization management flexibilities for MA plans and policy considerations.
Attendees
Below is a list of all delegates registered to date for this event
- Marc Hudak
- ALLIANCE GUEST
- President at CarePartners of Connecticut
- Miriam Sullivan
- ALLIANCE GUEST
- VP, Pharmacy & Medical Mgmt at CarePartners of Connecticut
- Mike Abdo
- ALLIANCE MEMBER
- Director of Pharmacy at CommunityCare
- Sarah Anzick
- ALLIANCE MEMBER
- Manager, Quality Improvement at Sentara Health Plans (Optima)
- Trent Began
- ALLIANCE MEMBER
- AVP Finance at Samaritan Health Plans
- Kristen Bender
- ALLIANCE MEMBER
- Manager of Government Programs, Pharmacy Operations at Geisinger Health Plan
- Carly Bressler-Archambeau
- ALLIANCE MEMBER
- Director, Medicare Stars Program at Sentara Health Plans (Optima)
- David Cheney
- ALLIANCE MEMBER
- Pharmacy Industry Relations Manager at SelectHealth
- Mike Eaton
- ALLIANCE MEMBER
- Director of Pharmacy Government Programs at SelectHealth
- Jeremy Fejfar
- ALLIANCE MEMBER
- Pharmacy Director Government Programs at Quartz Health Solutions
- Miles Glew
- ALLIANCE MEMBER
- FWA Program Manager at Community Health Plan of Washington
- Brenda Hart
- ALLIANCE MEMBER
- Clinical Programs Pharmacist at Neighborhood Health Plan of Rhode Island
- Tricia Heitzman
- ALLIANCE MEMBER
- Pharmacist at Geisinger Health Plan
- Brendan Hodges
- ALLIANCE MEMBER
- President/CEO at HealthTeam Advantage
- Kaleb Holt
- ALLIANCE MEMBER
- Director of Medicare Programs at SelectHealth
- Kimberly Jorgensen
- ALLIANCE MEMBER
- Medicare Operational Consultant at SelectHealth
- Christine Lukow
- ALLIANCE MEMBER
- Manager of Pharmacy Services at FirstCarolinaCare Insurance Company
- Tamara Migut
- ALLIANCE MEMBER
- Director of Quality Management at Health Alliance Medical Plans
- Matt Mitchell
- ALLIANCE MEMBER
- Director, Pharmacy Services at SelectHealth
- Cody Olsen
- ALLIANCE MEMBER
- Pharmacy Operations and Quality Manager at SelectHealth
- Tami Otomo
- ALLIANCE MEMBER
- Clinical Pharmacist at Santa Clara Family Health Plan
- Michael Pasciuto
- ALLIANCE MEMBER
- Research Specialist at AvMed
- Yusuf Rashid
- ALLIANCE MEMBER
- Principal Pharmacy Benefits Innovation, Amazon at USI Insurance
- Ted Regalia
- ALLIANCE MEMBER
- VP Pharmacy Benefits at Network Health
- Melissa Rusk
- ALLIANCE MEMBER
- Vice President Operations at SummaCare
- Brian Smolich
- ALLIANCE MEMBER
- Vice President of Quality and Managed Care Operations at Health Alliance Medical Plans
- Michael Snow
- ALLIANCE MEMBER
- Clinical Pharmacist at Sentara Health Plans (Optima)
- Todd Sponenberg
- ALLIANCE MEMBER
- Pharmacist at Geisinger Health Plan
- Sharon Taylor
- ALLIANCE MEMBER
- Director of Health Services at FirstCarolinaCare Insurance Company
- Elaine Taylor
- ALLIANCE MEMBER
- Compliance Consultant at IU Health Plans
- Tammy Thomas
- ALLIANCE MEMBER
- Benefits Specialist at AvMed
- Andy Wheaton
- ALLIANCE MEMBER
- Manager-Pharmacy Benefits at Network Health
- Christopher Zapart
- ALLIANCE MEMBER
- Investigator at Geisinger Health Plan
- Mike Adelberg
- SPEAKER
- Executive Director at National Association of Dental Plans
- Jay Warmuth
- SPEAKER
- Partner at Faegre Drinker Biddle & Reath LLP
Speakers
- Mike Adelberg
Executive Director at National Association of Dental Plans
click here for full people profile
- Jay Warmuth
Partner at Faegre Drinker Biddle & Reath LLP
click here for full people profile