Conference Agenda

Module # 1
Tuesday, November 9, 2021
10:00 a.m. ET – 12:40 p.m. ET

Welcome & Introduction: How to Maximize Your Virtual Conference Experience

Roz Applebaum,Vice President, Conferences,Strategic Solutions Network

Building the Foundation: Core Success Principals to Boost Effectiveness of the Health Plan Pharmacy Team

Integrating Pharmacy Services is a Win, Win, Win for Members, Providers and Total Cost of Care

This session will focus on ways that pharmacy programs can integrate with medical and behavioral services to deliver value and improved outcomes.  Hear successes, challenges and lessons learned from innovative collaborations and how various services can deliver a win-win- win arrangement.

Annie Schuster,Senior Director, Clinical Pharmacy Program,Cigna


Panel Discussion: The Role of Pharmacy in Boosting Member Engagement & Experience – Clinical & Technology Solutions


Henry W. Osowski,Managing Partner,Strategic Health Group


Mike Cantrell, RPh, Esq,Sr. Operations Consultant,EnlivenHealth™

Gary Melis,Clinical Pharmacist,Network Health


Implementing a Direct Pharmacist Intervention Program to Address Health Equity Disparities

Systemic health, culture and social inequities have put many people from racial, cultural and ethnic minority groups at increased risk for poor health outcomes, particularly from COVID-19.  Recognizing the realities of systemic health disparities, pharmacies can be part of the solution to increase accessible affordable health services and support health education in underserved communities.  You will learn how Walgreens is creating pharmacy and health care solutions that address management of chronic conditions that fit all of our customers, when, where and how they need us most.

Dana Erf Fortman,Director, Pharmacy & Retail Operations,Walgreen Co.

Renae Smith-Ray, PhD, MA,Manager, Health Analytics Research & Reporting,Walgreen Co.


Networking Break


Panel Discussion: SDOH, Health Equity & Medication Adherence


David Griffith,Manager Pharmacy Operations,Geisinger


Matt Dinh, Senior Director of Pharmacy Quality Care & Experience,SCAN Health Plan

Anna Hall, PHARMD, BCACP,Director Of Quality Services ,Enhanced Medication Services


Value-Based Pharmacy Services: Identifying High-Need Populations and Delivering Clinical Pharmacy Care to Drive Outcomes

Join Sapna Patel, Director of Clinical Services at Mosaic Pharmacy Service, as she discusses how the combination of population health analytics and high-value pharmacy services can enable value-based care that reduces medical utilization, improves pharmacy quality, and member experience. Topics include:

  • The approach to selecting high-need members for enrollment into value-based pharmacy care management programs
  • How a clinically intensive care model can create engagement touchpoints to improve medication use
  • The outcomes: How this approach can reduce unplanned care and improve pharmacy quality while delivering a valuable member experience

Sapna Patel, RPh,Director of Clinical Services,Mosaic Pharmacy Service


Enhancing the Role of Community Pharmacists

UnitedHealthcare Community Plan of Ohio in partnership with the Ohio Pharmacy Association began a pilot program giving Pharmacists additional reimbursement for member counseling and additional services. Details of the pilot program, along with member stories, and implementation will be shared during this session.

Kelly Reidenbach,Vice President, Strategy and Development, UnitedHealthcare Community & State


Virtual Lunch Break in the Exhibit Hall

Module # 2
Tuesday, November 9, 2021
2 p.m. ET – 5:10 p.m. ET
Drug Pricing and Cost Control

Deprescribing Case Study: 1 Year After Diabetes Deprescribing -- Our Journey

There's a recent global trend for addressing polypharmacy and overprescribing. As clinicians engage in deprescribing, they may find these conversations tough to have with providers, patients, and caregivers. "Why rock the boat?" "Why are you taking away my medications?" "I didn't prescribe that; I won't touch it". We addressed this concern by applying the latest behavioral science to deprescribing.

Lynn Deguzman, Pharm.D., BCGP, Regional Clinical Operations Manager, Kaiser Permanente Northern California


Panel Discussion: Strategies for Managing High Costs of Specialty Drugs


Henry W. Osowski,Managing Partner,Strategic Health Group


Matt Mitchell, Pharm.D., M.B.A., FAMCP,Executive Director, Pharmacy Services,SelectHealth

Bryan Schuessler,Director of Pharmacy Solutions – Specialty Clinical Strategy, Rx Savings Solutions


Selecting, Negotiating & Managing PBMs

  • Size, pricing strategy, customer service, rebates, transparency

Derek McFerran,Vice President of Clinical Performance and Affordability,Commonwealth Care Alliance


Networking Break


Case Study: How a Health Plan Implemented a Continually Evolving Strategy Using Biosimilars to Control Costs in a Rapidly Changing Environment

Several biosimilar medications in a variety of therapeutic classes have become available recently with more on the horizon.  This presentation will discuss the current landscape, key pipeline therapeutics, and how a health plan implemented a continually evolving strategy using biosimilars to control costs in a rapidly changing environment.

David Brumley,Vice President and Medical Director Medical Affairs,Fallon Health

Boosting Star Ratings, Quality of Care & Outcomes

Driving Quality from the Pharmacy Department

  • Medication reconciliation
    • COVID discharges

Patrick Mitsch, PharmD,Associate Vice President, Pharmacy,UCare


How a Successful MTM Program Boosts Star Ratings & Outcomes

  • Address specific Star measure concerns through internal calling
  • Understand your plan formulary to save costs for both member and plan during the MTM call
  • Encourage member engagement by providing your pharmacy number to the MTM member for future questions related to pharmacy benefits
  • Ways to keep promoting MTM calls to members

Gary Melis,Clinical Pharmacist,Network Health


Medication Adherence: Interactive Voice Response (IVR) Barrier Follow Up and Driving Members to Mail Order

Insights into Geisinger’s initiatives to follow up and close member adherence barriers identified through IVR and utilizing the mail order initiative to increase member adherence.

David Griffith,Manager Pharmacy Operations,Geisinger


Implementation of a Health Plan Driven Pharmacist Transitions of Care Service

It is well documented that transitions between health care settings increase the risk of medication-related adverse events. Health plan pharmacists have not traditionally been at the forefront of providing direct patient care however, there may be an opportunity to expand their clinical footprint in this space.  This session will discuss:

  • A novel approach to an established model of care
  • Early findings from our program launch
  • Lessons learned
  • Where do we go from here?

Chris Park, PharmD, APh, BCGP, Pharmacy Care Management Manager, SCAN Health Plan


Close of Conference