Pharmacy Benefit Management Institute (PBMI) helps industry professionals manage pharmacy benefit programs through research-based drug benefit education.

8:30 am to 9:30 am
Aligning Drug Benefit Management Strategies and Objectives With Your Organization’s Health Care Strategy
Dave Borden, Principal, Pharmaceutical Strategies Group
ACPE UAN 221-999-10-004-L04-P 1.0 Knowledge-Based contact hours

Does your drug benefit help or hurt your organization’s health care strategy? A sound strategy calls for effective plan design of both the medical and drug benefit. Review a process-driven approach and real-world examples of aligning drug benefit goals with strategies that optimize employee health and wellness

Learning Objectives:

9:30 am to 10:30 am
PBMI Rx Benefit Innovation Awards Ceremony and Sponsor Recognition

10:30 am to 11:00 am
Break – Educational Forum Café

11:00 am to Noon
Caterpillar’s Comprehensive Approach to Drug Benefit Management
Todd Bisping, MBA, Pharmacy Benefit and Information Manager, Caterpillar, Inc.
ACPE UAN 221-999-10-005-L04-P 1.0 Knowledge-Based contact hours

Caterpillar, Inc.’s drug benefit program made headlines in 2008when it began piloting direct contracting for prescription drugs. This is just one element of a comprehensive approach to a drug benefit program designed to optimize the health and wellness of the Caterpillar population.

Learning Objectives:

Detail Caterpillar’s approach to drug benefit management.
Present examples of the clinical and economic return on a comprehensive approach to drug benefit plan design.

Noon
PBMI Rx Benefit Innovation Awards Luncheon

12:45 pm to 1:15 pm
Exhibits Open – Educational Forum Café

1:15 pm to 2:15 pm
Breakout Sessions
Choose from one of three tracks: HR Perspectives, Industry Trends, Managed Care Perspectives

HR Perspectives
Managing Drug Trend for the Public Employee Benefits Alliance
Susan Smith, Executive Director, TML Intergovernmental Employee Benefits Pool, Public Employee Benefits Alliance

A high-performing drug plan requires oversight in all areas from plan design through beneficiary communication. Identify ways the Public Employee Benefits Alliance, a group purchasing organization for employee benefits for 20,000 lives working for political subdivisions in the State of Texas, is using its drug benefit plan design to drive patient adherence to control costs and improve health and wellness.

Learning Objectives:

Discuss plan design approaches to improve health and wellness of covered populations.
Articulate strategies effective in reducing costs and optimizing drug mix.
Review clinical and economic outcomes associated with changes in plan design and drug mix.

Industry Trends
Deploying Technology to Align Pharmacy and Medical Benefit Plan Designs
Wayne Armstrong, Senior Vice President, Argus Health Solutions
Thomas Doerr, MD, Chairman of the Clinical Strategy Committee, Essence Healthcare

The e-state of the U.S. health care industry is fragmented at best. Deploying information technology and tools effectively should align pharmacy and medical benefit plan designs at the patient level to support care delivery. Review marketplace example of technology deployed effectively for to support the practice of evidence-based heath management.

Learning Objectives:

Describe fragmentation of current information technology used in U.S. health care industry.
Identify optimal technology infrastructure to align pharmacy and medical benefit plan designs.
Share marketplace example(s) of technology deployed effectively for to support the practice of evidence-based heath management.

Managed Care Pharmacy Perspectives
Managing HIV/AIDS Drug Therapies Provides Lessons for Improving Outcomes in Other Diseases
Colleen Higgs, PharmD, President, Ramsell Pharmacy Solutions
ACPE UAN 221-999-10-006-L02-P 1.0 Knowledge-Based contact hours

The advent of highly effective antiretroviral drugs has changed the face of human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) from essentially a death sentence to a chronic condition that is managed successfully and for long periods of time–in ambulatory care settings. The use of medication therapy management in HIV/AIDS offers strategies for improving outcomes through treatment optimization and improved adherence in other patient populations. Assess how successes in treating HIV/AIDS in a data-rich environment can be applied to other chronic diseases.

Learning Objectives:

Describe clinical markers and outcomes measures for treating HIV/AIDS with highly effective antiretroviral drug therapies.
Compare and contrast value of medication therapy management (MTM) for HIV/AIDS and other chronic diseases.
Assess how successes in treating HIV/AIDS in a data-rich environment can be applied to other chronic diseases.

2:15 pm to 2:25 pm
Break – Outside Meeting Rooms

2:25 pm to 3:25 pm
Breakout Sessions (choose one of three)

HR Perspectives
Controlling Drug Trend with a Value-based Health Care Culture
Bob Goodman, Health Benefits Manager, Manatee County Government
Kim Stroud, Director of Health & Lifestyle Management, Manatee Center for Health & Lifestyle Management

The government of Manatee County, Fla. began sharing implementing a value-based health care culture in 2006. The resulting effective management of the rate of growth of drug and health care expenses continues, even with the recent economic downturn. Manatee County has maintained its compliance and utilization goals while adding behavioral health to its program.

Learning Objectives:

Describe the implementation of a value-based health care culture.
Identify compliance and utilization goals critical to controlling expenditures.
Quantify the economic impact of managing drug and health care expenses.

Industry Trends
Integrating Value-based Design and Disease Management with Employee Rewards to Improve Medication Adherence
Michael G. Cartier, PharmD, Executive Vice President, Envision Pharmaceutical Services
Missy Jarrott, Director of Human Resources,Chatham Steel Corporation

The presentation will describe an innovative benefit design offered by Chatham Steel Corp., a mid-size self-funded employer with multiple locations in the Southeast. The program combines value-based benefit design with an active-passive chronic disease management election, coupled with a medication adherence program with employee rewards based on compliance with chronic medication regimens.

Learning Objectives:

Develop and implement a drug benefit design that includes value-based benefits, disease management, medication adherence and employee rewards.
Educate and reinforce employee medication adherence through progress reports and supplemental materials.
Create an economic incentive for employees for achieving targeted medication adherence levels.

Managed Care Pharmacy Perspectives
Changes in the Practice of Managed Care Pharmacy
Sheryl J. Bronkesh, MBA, President, The HSM Group, Ltd.
Cynthia Pigg, RPh, MHA, Executive Director & CEO, Foundation for Managed Care Pharmacy
ACPE UAN 221-999-10-007-L04-P 1.0 Knowledge-Based contact hours

The Foundation of Managed Care Pharmacy has conducted its fourth annual Emerging Trends Survey to explore the changing role of pharmacists in value-based benefits, specialty pharmacy, pay four performance, disease management, electronic health information technology, consumer-driven health care, and formulary design. Review research findings to assess the implications of pharmacy practice changes on drug benefit design and administration.

Learning Objectives:

Present findings from fourth annual Foundation of Managed Care Pharmacy Emerging Trends Survey.
Describe evolving perspectives on specialty pharmacy and value-based benefit design.
Assess implications of research findings on the design and administration of drug benefit programs in commercially insured populations.

3:25 pm to 3:45 pm
Break – Educational Forum Café

3:45 pm to 4:45 pm
Breakout Sessions (choose one of three)

HR Perspectives
Educating Employees and Retirees on OTC Drug Alternatives
Lynn Zonakis, BA, BSN, COHN-S/CM, Managing Director – Health Strategy & Resources, Delta Air Lines

Over-the-counter (OTC) drugs present a unique opportunity to provide value to both employers and employees. Delta Air Lines successfully leveraged the availability of OTC drugs for its 210,000 employees, retirees, and dependents through the use of plan design and effective communications. Review the economic benefit to both employers and covered plan members.

Learning Objectives:

Industry Trends
Evidence-based Approaches for Managing Oncology Drugs
Jeffrey Scott, MD, President and Medical Director, P4 Healthcare
Winston Wong, PharmD, Associate Vice President, Pharmacy Management,CareFirst BlueCross BlueShield

Oncology medications present benefit management challenges because of complex patient care needs that criss-cross the medical and pharmacy arenas. Effective clinical management based on medical evidence can maximize patient support and minimize medication waste. Review CareFirst BlueCross BlueShield’s approach for managing oncology treatment for its members.

Learning Objectives:

Managed Care Pharmacy Perspectives
Implementation of a Pain Medication Management Program
Douglas G. Younker, Director of Human Resources, ICON Health & Fitness
Brad R. Kupfer, Senior Vice President, Moreton & Company
ACPE UAN 221-999-10-008-L04-P 1.0 Knowledge-Based contact hours

Successfully managing pain medications can be challenging. ICON Health & Fitness, a manufacturer of home fitness equipment, improved patient outcomes and reduced drug benefit costs by implementing a clinically driven approach and robust education for prescribers and members.