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Pharmacy Summit 2019

Event Date: 5/29/2019 - 5/30/2019

Event Overview


 

Together, we can improve pharmacy costs and utilization

The pharmacy industry is in a state of flux—evidenced by news related to acquisitions and strategic partnerships between major health insurer and pharmacy benefit managers—along with the entry of Amazon, etc.  Specialty pharmacy costs are rising creating financial pressures for plans and patients who are experiencing higher out of pocket drug costs; the legislative and regulatory environment is becoming much more complex as plans continue to face new and unique operational challenges around the effective management of pharmacy cost and utilization in addition to lack of transparency by their PBM partners.  

During this summit we are convening both Pharmacy and Clinical leaders to explore initiatives Alliance member plans are implementing to address pharmacy cost utilization management, discuss the use of vendors who have been effective in assisting plans to manage key aspects of their business in addition to brainstorming the development of strategic initiatives and/or ventures whereby we can collaborate to build, buy or hire outside resources to provide additional value.    

This meeting will be a mix of educational sessions and networking time, in addition to dedicated time on the agenda to obtain your input as we develop a 3-year strategy for pharmacy (programming, GPO, and strategic initiatives).  Your participation and involvement in this meeting is critical, so we hope you are able to join us! 

 


Event highlights

Visit the agenda tab to see the draft agenda at a glance. The full agenda will be available soon.
 

  • Federal and state regulatory and legislative updates — key issues impacting drug pricing, pharmacy benefit management programs, rebates, 340b, etc 

  • Specialty pharmacy trends — operational and clinical innovations that drive value and reduce costs

  • Plan case studies-potential topics to include:
    • PBM management:  contracting, oversight, auditing
    • Medication adherence initiatives
    • Opioid overuse management: CMS provisions and plan strategies
    • Formulary management opportunities

  • Strengthening your partnerships between pharmacy and clinical care management 

  • Summary of innovations: analyst perspectives regarding opportunities in the pharmacy space

  • Input into the creation of the Alliance Pharmacy Strategy: 2019 and beyond


Who should attend

This meeting is limited to Health Plan Alliance members and invited guests.

Leaders in pharmacy, clinical and financial management in addition to others interested and involved in designing and implementing strategies and innovations that help improve pharmacy costs and utilization.  

Alliance member health system and/or provider groups are also invited attend.

 

Thank you to our event sponsors


Bronze


Sponsor


Vendor

 

 

Thank you to our event sponsors


Bronze


Sponsor


Vendor

 

 

Thank you to our event sponsors


Bronze


Sponsor


Vendor

 

Agenda

A printable, detailed agenda is available under the Documents tab  

AGENDA AT A GLANCE  

Wednesday, May 29, 2019  

12:00 -1:00  Networking Lunch
1:00 - 2:00  Welcome & Introductions 
2:00 – 3:00 Federal & state regulatory updates impacting drug pricing and pharmacy benefit management programs -Sheppard Mullin 
3:00 – 3:15 Networking Break
3:15 – 4:15 Specialty pharmacy management strategies and innovations – Doug Burgoyne
4:15 – 5:15 Case Study: Opioid overuse strategies – Theresa Carpenter, Sentara & Cody Olsen, SelectHealth    
5:30 – 8:00 Happy Hour and Hosted Dinner

Thursday, May 30, 2019
7:30 – 8:00 Breakfast
8:00 – 8:45 Open discussion: PBM contracting strategies 
8:45 – 9:30 Leveraging pharmacy claims analytics to evolve your PBM strategies – Paramount & Pulse8 
9:30 – 9:45 Break
9:45 – 10:30 Case Study:  Management of biosimilars across the enterprise – Louanne Cucino & Chad Valdez, Presbyterian
10:30 -11:15 Case Study:  Implementation of an evidence-based, technology driven approach to oncology    
utilization management – Dr. Damaris Gautier, Scott & White            
11:15 – 12:00 Case Study:  Strengthening your pharmacy and clinical partnerships – Dr. Dody Fisher, Geisinger
12:00  - 12:30 Lunch 
12:30 – 2:30 Creation of the "Alliance Pharmacy Strategy "– exploration of strategic opportunities for 2019 and  
beyond
2:30 – 3:00 Next Steps and Adjourn

 
 
 

 

 

 

Venue

Las Colinas, TX

Health Plan Alliance Headquarters

290 E. John Carpenter Freeway, Bldg 1
Irving, TX 75062


Hotels that offer shuttles to our headquarters

Omni Mandalay Hotel
221 E Las Colinas Blvd
Irving, TX 75039
972.556.0800
Website

Homewood Suites
4300 Wingren Dr
Irving, TX 75039
972.556.0665
Website

Aloft Las Colinas
122 E John Carpenter Fwy
Irving, TX 75062
972.717.6100
Website

Holiday Inn Express & Suites Irving Convention Center
333 W John Carpenter Fwy
Irving, TX 75039
972.910.0302
Website

Need more recommendations send an email to the Alliance. 

 

Attire

Business casual attire is appropriate for the meeting.  Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.


Ground transportation

Uber/Lyft from the Dallas/Ft Worth International airport and Love Field airport is approximately $20-25 one-way.  The hotels above provide a shuttle to the Alliance office at 290 E John Carpenter Fwy, Bldg 1, which is where the meeting will be held.



Dallas weather

View the latest weather forecast.
Documents
5/30/2019

Presentation: Strengthening Your Pharmacy and Clinical Partnerships
Geisingers' ProvenCare model is based on working with clinicians to build buy-in to best practices, which reduces variation in care, then redesigning workflows to incorporate these best practices.

5/30/2019

Presentation: Leveraging Pharmacy Claims Analytics to Evolve your PBM Strategies
Paramount Health Plan shares recent findings from an analysis of their pharmacy claims data using Pulse8 Formul8 pharmacy program management solution.

5/30/2019

Presentation: Financial Transparency and Analytics for Managed Care Organizations
Truveris examines how best to create transparency throughout every stage of your PBM contract life-cycle, as well as align your internal management team to focus on a few key metrics and leverage industry trend analysis.

5/30/2019

Presentation: Management of biosimilars across the enterprise
Presbyterian Health Plan shares an overview of the process utilized with key medical group stakeholders in Gastroenterology & Rheumatology to develop and implement practice guidelines and protocols for the use of biosimilars across the enterprise.

5/30/2019

Presentation: Oncology utilization management
Scott & White Health Plan implemented a successful solution to address the challenge of cost management and benefits review for oncology services, presented at the Pharmacy Summit May 30, 2019.

5/29/2019

Presentation: Opioid overuse strategies
Sentara & SelectHealth share overviews of the programs and strategies they have employed to address both acute and chronic opioid overuse, detoxification programs in addition to prescriber interventions. Presented at the pharmacy summit held in Dallas on May 29 and 30, 2019.

5/29/2019

Presentation: Changing landscape for drug pricing, rebates and coverage requirements
Sheppard Mullin provides an overview of drug pricing, rebates and coverage requirements during the pharmacy summit held in Dallas on May 29 and 30, 2019.

5/29/2019

Presentation: Specialty Pharmacy Management Strategies & Innovations
The cost of specialty pharmacy is a rising concern for patients, providers, and payers. Cooperative Benefits Group reviews specialty trends in both cost and utilization as well as the drivers of specialty Rx growth and innovative approaches to reducing spend.

5/28/2019

Agenda: Pharmacy Summit
Explore how Alliance member health plans are addressing pharmacy cost utilization management, openly discuss which vendors have been effective at managing key aspects of Alliance member health plans' business, and brainstorm opportunities to build, buy or hire outside resources that could provide additional value for all Alliance members.

5/17/2019

Specialty Pharmacy Industry Outlook: What's Next
A comprehensive overview of the Specialty pharmacy market including key trends, public policy, pricing and persceptives from Wall Street.

Attendees

Below is a list of all delegates registered to date for this event

  • Sherman Sanchez
  • ALLIANCE GUEST
  • SVP of Sales and Business Development at Truveris, Inc.
  • Mike Abdo
  • ALLIANCE MEMBER
  • Director of Pharmacy at CommunityCare
  • Elizabeth Brusig
  • ALLIANCE MEMBER
  • Pharmacy Strategic Initiatives Director at Sentara Health Plans (Optima)
  • Eric Cannon
  • ALLIANCE MEMBER
  • Chief Pharmacy Benefits Officer at SelectHealth
  • Theresa Carpenter
  • ALLIANCE MEMBER
  • Clinical Pharmacist at Sentara Health Plans (Optima)
  • Louanne Cunico
  • ALLIANCE MEMBER
  • VP of Pharmacy and Clinical Operations at Presbyterian Health Plan
  • Shane Greene
  • ALLIANCE MEMBER
  • Senior Director of Health Plan Quality Operations at Care N' Care Insurance Company, Inc.
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Operations Officer at HealthTeam Advantage
  • Keith Hunsicker
  • ALLIANCE MEMBER
  • Health Plan Pharmacist - Medical Benefit Drug Management at Geisinger Health Plan
  • John Lim
  • ALLIANCE MEMBER
  • Head of Member Experience Operations at MetroPlusHealth
  • Lindsay Manning
  • ALLIANCE MEMBER
  • Director, Commercial/ASO Pharmacy Services at Baylor Scott & White Health Plan
  • Cody Olsen
  • ALLIANCE MEMBER
  • Pharmacy Operations and Quality Manager at SelectHealth
  • Sonia Puig-Vargas
  • ALLIANCE MEMBER
  • Manager Pharmacy Program at Cook Children's Health Plan
  • Yusuf Rashid
  • ALLIANCE MEMBER
  • Principal Pharmacy Benefits Innovation, Amazon at USI Insurance
  • Brian Smolich
  • ALLIANCE MEMBER
  • Vice President of Quality and Managed Care Operations at Health Alliance Medical Plans
  • Mike Takach
  • ALLIANCE MEMBER
  • Pharmacy Director at Community Health Options
  • Megan Thomas
  • ALLIANCE MEMBER
  • Manager, Pharmacy Admin at Baylor Scott & White Health Plan
  • Khang Tran-Tan
  • ALLIANCE MEMBER
  • Director, Clinical Pharmacy Programs at Cook Children's Health Plan
  • James Troyer
  • ALLIANCE MEMBER
  • Director of Medical Management at Alliant Health Plans
  • Frank Washington
  • ALLIANCE MEMBER
  • Pharmacy Operations Manager at Sentara Health Plans (Optima)
  • Amber Zuber
  • ALLIANCE MEMBER
  • Associate Vice President, Pharmacy & Member Services at Paramount Health Care
  • Alysha Fluno
  • SPEAKER
  • Chief Pharmacy Officer at Truveris, Inc.
  • Ryan Haynes
  • SPEAKER
  • Sr. Clinical Director, Account Management at Truveris, Inc.
Speakers