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Tuesday, July 13, 2010
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7:30 am -
8:30 am
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8:45 am -
9:30 am
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- Discuss the impact of increased generic utilization and drugs coming off patent
- New concept of formularies with multiple generic tiers
- Current challenges that exist in the supply, management and provision of specialty drugs
- Formulary management and solutions in managing specialty drugs covered under the pharmacy versus medical benefit
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Lynn Nishida, RPh
Director, Clinical Pharmacy Services
RegenceRx
 View Biography
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9:30 am -
10:15 am
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- Hear how Beacon Health Strategies has developed clinically based algorithms to identify ineffective or questionable practices
- How to recognize potential cases of uncoordinated care and prescribing when multiple clinicians are treating the same patient
- Checking for possible fraudulent or abusive prescribing patterns
- Describe medication methods of intervening with prescribers or patients to improve the management of psychotropic medications
- Identify financial and clinical negative outcomes that result from a lack of management of psychotropic medications
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Brian Wheelan
Vice President, Strategy and Corporate Development
Beacon Health Strategies, LLC
View Biography
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10:15 am -
10:45 am
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10:45 am -
11:30 am
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- Determine how retail pharmacists can save health care dollars by acting as medication coaches for patients with chronic diseases
- Discuss the clinical pharmacists role in the patient centered medical home
- Learn about the new provisions for grant funding regarding Medication Therapy Management
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Gloria P. Sachdev, PharmD, RPh
Clinical Assistant Professor, School of Pharmacy and Pharmaceutical Sciences Purdue University;
Adjunct Assistant Professor, School of Medicine Indiana University
View Biography
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11:30 am -
12:15 pm
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- Identify the key components to successful value-based benefit initiatives using premium differentials and other incentives
- Look beyond simple rewards to implement meaningful incentives and see the value of using strategic disincentives to impact unhealthy behaviors
- Understand how effective value-based benefit designs impact employee perceptions and their motivation to participate
- Hear from the physician perspective on employer-sponsored benefits and wellness programs
- Learn the latest outcomes from the coalition’s value-based benefits program that replicates the City of Asheville diabetes management model
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Cheryl Larson
Vice President
Midwest Business Group on Health
View Biography
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12:15 pm -
1:15 pm
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1:15 pm -
2:00 pm
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- Address challenges of oncology medication used as off-label drugs
- How do you ethically reject medication to a patient without another choice of treatment?
- Hear results from a pathways study that used claims data to identify patients who were treated differently
- What is the financial impact on the plan, employer and patient of chemotherapy treatment and what is driving these costs?
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Bruce Cutter, MD
Oncologist
Cancer Care North West
View Biography
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2:00 pm -
2:45 pm
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- Gather insight into the PBM industry for understanding terminologies and effective contracting
- Analyze the important provisions for auditing and contracting
- How did the recontracting process go between PBMs and health plans when Average Wholesale Price (AWP) changed? What happens when AWP goes away?
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Brian Anderson
Consultant
Milliman
View Biography
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2:45 pm -
3:15 pm
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3:15 pm -
4:00 pm
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- Discuss how pharmaceutical manufacturers are using coupons to promote prescription drugs
- Determine what effect the coupon programs may be having on your claims cost and formulary
- Can couponing decrease the need to have a preferred formulary status?
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SuAnn Stone, RPh
Director, Pharmacy Services
RegenceRx
View Biography
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4:00 pm -
4:15 pm
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