Employer Strategies for Tackling Obesity
(audio recording included)
Sean Sullivan, JD, Co-founder, President & CEO, Institute for Health and Productivity Management
Obesity is a growing specter that could haunt the U.S. workforce for decades if employers and other health care purchasers ignore the issue. Analyze the costs of obesity and the impact on the utilization of medical services and prescription drugs. Explore ways to mitigate the increase in obesity rates with health management and drug benefit plan design approaches.
The Disease Management Imperative: Collaborating to Improve Patient Outcomes
(audio recording included)
Brenda Motheral, MBA, PhD, President, CareScientific
The challenges of documenting patient outcomes and quantifying the return on investment of disease management programs are legendary. An assessment of disease management points to the need for increased collaboration among purchasers, pharmacy benefit managers and disease management vendors to measurably improve patient outcomes. Discuss strategies for working toward sustained improvements in the health of your workforce.
The Importance of Legal Compliance for Wellness Incentive Plans
(audio recording included)
Amy M. Gordon, JD, Partner, McDermott Will & Emery LLP
Health plans, employers and associations are all interested in using rewards and or penalties to keep their members healthy. Implementation of wellness programs designed to reduce medical and drug costs and increase the health of participants calls for effective legal compliance strategies. Review the importance of compliance with HIPAA privacy, HIPAA non discrimination, Americans with Disabilities Act and Internal Revenue Code. Assess case study examples of approaches that work with outside vendors and through work-site facilities. Best practices to increase program participation also will be presented.
Critical Aspects of PBM Contracting
(audio recording included)
Samantha Brown, JD, The Phoenix Law Group
Laurel I. Wala, JD, The Phoenix Law Group
Contracting for pharmacy benefit management (PBM) services is a complex process with huge budget implications. Identify the terms and definitions essential for a contract that will serve as a road map for designing and administering a drug benefit program. List the critical aspects of contracting with PBMs including financial and performance guarantees, maximum allowable cost lists for generic drugs, and audit provisions. Present strategies for purchasers to use when working with pharmacy benefit managers to develop and execute effective contracts.
