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Day Two - CST/CDT (Central Daylight, GMT-5)
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Day Two - CST/CDT (Central Daylight, GMT-5)
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Free / Premium
Showing 1 of 1 Streams
General Session
8:00am - 8:30am
Continental Breakfast and Networking
8:30am - 8:45amFree
Conference Chair's Review of Day Two
- LeAnn Boyd, PharmD - CEO and Founder, Liviniti (formerly Southern Scripts)
8:45am - 9:45amFree
What Really is the Role of Insurance Coverage?
- Review Medicare D impact and direct drug pricing negotiations with manufacturers and timing
- Gain insights into the role of PBMs in the healthcare system and their impact on insurance coverage and patient access to medications
- Deep dive of Medicare part D and Medicaid
- Elimination of rebate cap in Medicaid
- The impact of the Inflation Reduction Act and Medicare price negotiation
- What purchasing power does Medicare have? Will Medicare be able to negotiate drug prices?
- Drug Price Transparency in Medicaid Act
- Closing 2023 with the ending of the Covid Emergency Act, which comes with the loss of insurance coverage.
- Ronald Weston, MBA - Regional Director of Business and Community Development, AIDS Healthcare Foundation
9:45am - 10:30amFree
Vertical Integration - The Consolidation of PBMs and Impact of Offshore Rebate Aggregation Entites
- Analysis of the severity of vertical integration and its impact on U.S. healthcare
- What does vertical integration mean for drug prices?
- What does vertical integration mean for independent pharmacies?
- Josh Golden - Senior Vice President of Strategy, CapitalRx
- Greg Baker - CEO, AffirmedRx
10:30am - 11:15am
Networking Refreshment Break
11:15am - 12:00pmFree
Measuring Value-Based Care and Value-Based Contracting
- The emergence of value-based contracting
- Measuring and assessing “value” as defined by patients, HCPs, manufacturers, PBMs, and health systems
- Discuss the factors that are influencing the implementation of value-based contracts and how to modify and adhere to such agreements
- Address the PBM disruption toward patient effectiveness and outcomes
- Scott Kornhauser - Executive Vice President, KlearTrust
12:00pm - 12:45pmFree
Ideal Elements of a PBM Contract to Provide Transparency
- Overview of contract definitions; digesting the terms and language
- Discuss pricing and contracting approaches, particularly around independent contracts
- Navigating the complexity of PBM agreements such as GPO contracting
- Review of how contracting strategies should employ full transparency from a PBM
- Alan Pannier - Senior Vice President, Product Strategy, SmithRx
- Randolph Sergent - Vice President and Deputy General Counsel, CareFirst
12:45pm - 1:45pm
Networking Lunch in the Exhibit Hall
1:45pm - 2:30pm
Market Perspectives from Change Catalysts
Understand critical themes and perspectives of key Change Catalysts and their role in the evolution of the PBM marketplace.
Discuss how this evolution may bolster PBM-Payer partnerships, supports transparency, improves contract management, and increases collaboration.
- LeAnn Boyd, PharmD - CEO and Founder, Liviniti (formerly Southern Scripts)
- Cheryl Larson - President & CEO, MidWest Business Group on Health
- Joseph Shields - Managing Director, Transparency Rx
2:30pm - 3:15pm
Addressing Utilization as a Cost Driver
- Explore pharmacy utilization as a cost driver in pharmacy spend.
- Discuss how to identify and measure the strength behind a PBM’s utilization management strategy.
- Consider how to incorporate innovative and proven utilization programs in PBM purchasing and contracting decisions.
- LeAnn Boyd, PharmD - CEO and Founder, Liviniti (formerly Southern Scripts)
3:15pm - 3:20pm
Final Remarks and Close of Conference
- Matthew Gibbs, Pharm.D., Independent Consultant
- LeAnn Boyd, PharmD - CEO and Founder, Liviniti (formerly Southern Scripts)
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