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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
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 HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Pharmacy at CommunityCare
  • Sarah Anzick
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Alison Ausman
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Project Coordinator at SelectHealth
  • Cody Ball
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Coordinatory at SelectHealth
  • Damien Banks
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Rating Manager at Health Alliance Medical Plans
  • Trent Began
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Finance at Samaritan Health Plans
  • Kristen Bender
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Government Programs, Pharmacy Operations at Geisinger Health Plan
  • Craig Bogner
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Pharmacist at Paramount Health Care
  • Carly Bressler-Archambeau
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Contract Administrator at Sentara Health Plans (Optima)
  • Jenifir Bruno
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at FirstCarolinaCare Insurance Company
  • John Chaddick
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President Pharmacy at Scott & White Health Plan
  • David Cheney
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Industry Relations Manager at SelectHealth
  • Cassie Delaney
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Product Development and Governance at Health First Health Plans
  • Christina Domingo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Technician, CPhT at Aspire Health Plan
  • Mike Eaton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Part D Manager at SelectHealth
  • Jeremy Fejfar
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Pharmacy Director at Quartz Health Solutions
  • Dorothy Fisher
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at Geisinger Health Plan
  • Melissa Fox
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Clinical Pharmacy Management at AvMed
  • Damaris Gautier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director - Office of the CMO at Scott & White Health Plan
  • Kristin Giddings
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Product Development Coordinator at Samaritan Health Plans
  • Miles Glew
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Payor Programs Contract Specialist at Community Health Plan of Washington
  • Brenda Hart
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Specialty Pharmacy at Neighborhood Health Plan of Rhode Island
  • Tricia Heitzman
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacist at Geisinger Health Plan
  • Brendan Hodges
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • President at HealthTeam Advantage
  • Kaleb Holt
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Advantage Program Manager at SelectHealth
  • Brian Ingman
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Admin Coordinator at Paramount Health Care
  • Kimberly Jorgensen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Operational Consultant at SelectHealth
  • Melissa Kinzel
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Product Development Coordinator at Health First Health Plans
  • Christine Lukow
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Pharmacy Services at FirstCarolinaCare Insurance Company
  • Tamara Migut
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Managed Care Pharmacist at Health Alliance Medical Plans
  • Matt Mitchell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Pharmacy Services at SelectHealth
  • Daniel Morrissey
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Assistant Coordinator at Paramount Health Care
  • Cody Olsen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Services Manager at SelectHealth
  • Tami Otomo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Pharmacist at Santa Clara Family Health Plan
  • Michael Pasciuto
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Benefits Applications Specialist at AvMed
  • Antonio Petitta
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Pharmacy Care Management at Health Alliance Plan (HAP)
  • Dana Pham
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Account Management Coordinator at Samaritan Health Plans
  • Jean Rao
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacist at Chinese Community Health Plan
  • Yusuf Rashid
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President Pharmacy and Vendor Relations Management at Community Health Plan of Washington
  • Theodore Regalia
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Pharmacy Services at Network Health Plan
  • Melissa Rusk
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Claims and BPO Operations at SummaCare
  • David Sand
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Medical Officer at Care N' Care Insurance Company, Inc.
  • Brian Smolich
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Managed Care Pharmacist at Health Alliance Medical Plans
  • Michael Snow
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Pharmacist at Sentara Health Plans (Optima)
  • Todd Sponenberg
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacist at Geisinger Health Plan
  • Tanea Straub
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Supervisor of Pharmacy Programs at Samaritan Health Plans
  • Sharon Taylor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Health Services at FirstCarolinaCare Insurance Company
  • Elaine Taylor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Consultant at Indiana University Health Plans
  • Keaira Terry
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Benefits specialist at Health First Health Plans
  • Tammy Thomas
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Benefits Specialist at AvMed
  • Andy Wheaton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Pharmacist at Network Health Plan
  • Christopher Zapart
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Investigator at Geisinger Health Plan
  • Mike Adelberg
  • SPEAKER
  • Principal and Healthcare Strategy Practice Leader at FaegreBD Consulting
Speakers