Recording and written materials of AIS's Webinar on April 1, 2010

How to Guarantee PBM Transparency, Reduce Rx Costs and Maximize Pharmacy Benefits

Skyrocketing prescription drug prices have led Congress and major players in the health care industry to take notice of certain PBM practices that can end up costing health plans and large employers millions of dollars. Hidden costs are making prescription drug benefits extremely expensive for many plans and employers. Find out what steps plans and employers are taking to make sure their PBM contracts contain adequate protections and are truly transparent, which enables them to achieve the lowest feasible drug spend.

Sponsored by Atlantic Information Services, Inc., publisher of Drug Benefit News, Specialty Pharmacy News and Health Plan Week.

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Order Now (Secure Site) All formats come with written materials CD ($329) Pub code: C0P09T On-Demand Recording ($329) Pub code: C0P09F

Many health plans and large employers are failing to include provisions in their PBM contracts that ensure they receive every dollar due to them. To avoid this, payers must take advantage of their leverage during the request-for-proposal (RFP) process to extract strong contract terms with “real” pass-through pricing and enforceable financial and performance guarantees. And it is critical that plans and employers ask questions during their PBM audits that will ensure they have prescription plans that are most beneficial to their bottom lines.

Two experienced PBM consultants and an executive from the PBM industry engage in a lively discussion of new transparency initiatives, PBM contracts and the crucial strategies Rx payers should employ to save millions of dollars. You’ll get insider perspectives on key questions such as:

 

 

Speakers

SUSAN HAYES is principal of Pharmacy Outcomes Specialists (POS). She has more than 30 years experience in the health care consulting and management industry. As a founder of POS, Susan is responsible for the strategic direction of the firm and specific sales, proposal, product pricing and development.  Susan is a lead project manager for the firm’s clients, which include Health Plus of Michigan, Connecticut Coalition of Taft Hartley Health Plans and Orange County Public Schools. In her many years in the pharmacy benefits industry, Susan has developed a broad understanding of the marketplace, services offered by pharmacy benefit managers and pricing terms that are currently available in the industry. Prior to POS, Susan was vice president of marketing for both Systemed Pharmacy, Inc. and Walgreens Healthcare Plus. She has published several articles in Business Insurance and Employee Benefit News. Susan is a co-producer of the Pharmacy Benefits Academy and is part of their distinguished faculty. Susan has a B.S. in criminal justice from Northeastern Illinois University. She is a registered pharmacy technician in the state of Illinois.

KEVIN NAGLE is president and CEO of Envision Pharmaceutical Services, Inc. Kevin has held managed care and contracting operations management positions for over thirteen years in the pharmaceutical industry. In 1994, he joined Foundation Health Systems and co-founded its affiliate, Integrated Pharmaceutical Services (IPS), which by 1998 became the nation’s sixth largest PBM company. He has served in several senior level positions, including vice president of sales, marketing, and business development, as well as vice president of trade relations and account management. Kevin left IPS in 1999 and co-founded HMN Health Services, Inc., a privately held PBM, as the executive vice president. In July, 2000 HMN was acquired by AdvancePCS, where Kevin continued to operate in the same capacity until December 2001 when he co-founded Envision Pharmaceutical Services. Kevin’s graduate degrees include an M.A. in business and public administration from the University of Southern California and an executive management certificate in medical marketing from UCLA’s Anderson Graduate School of Business.

F. RANDY VOGENBERG, PhD, RPh, is Principal, Institute for Integrated Healthcare (IIH) and former National Practice Leader with Aon Consulting. He is a nationally recognized thought leader in value-based health and benefit design. His specific area of expertise is strategic benefit planning and pharmacy benefit design consulting. He has been retained by numerous clients to offer expertise and support efforts in economic assessment of programs, alignment for improved health outcomes and the promotion of company-sponsored value-based benefit design initiatives that support their efforts to craft employer-based health care benefit initiatives. In addition to his pharmaceutical experience, Randy’s professional consulting experience includes Fortune 500 employee benefit consultation, risk management, and hospital and community health care research. Randy is the co-author of “Managing Pharmacy Benefits” published by the International Foundation of Employee Benefit Plans, and a frequent contributor to publications on health policy or benefit design. He brings his unique expertise in strategic benefit consulting and pharmacy benefit design to support the mission of IIH to provide strategic consultancy and support services to clients in their efforts to create business alliances with employers, employer vendors, and support employers’ efforts to build effective value-based health plans along with specific benefit design programs.

Moderator: Renee Frojo, editor of AIS’s Drug Benefit News and assistant editor of Specialty Pharmacy News.

 

Designed Especially For

Pharmacy, clinical services and medical directors; strategic planners; product development, contracting and marketing executives; and financial and operations executives at

 

 

Shipping Information

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*The On-Demand recordings will be available within 2-3 days of the conference and the CDs will be available within 2 weeks.

 

Written Materials

Listeners will also receive practical written information to supplement information covered by the Webinar speakers.

 

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