Solutions in Drug Plan Managment


2014 Agenda

benefits logoPharmacy Practice+ Delegates who attend the full event will receive 3 CE Credits!


October 22, 2014 (8:00 a.m. – 12:00 p.m.) International Centre, 6900 Airport Rd, Mississauga, ON

8:00-8:30 a.m. - Breakfast and Registration


8:30-8:40 a.m. - Opening Remarks


8:40-9:10 a.m. - Winds of Change: Encouraging Collaborative Partnerships between Private Payers and Pharmacy

Pharmacies have long been uniquely positioned to help private benefits-plan providers both manage costs and improve employees’ health(, but) however it's time to take these partnerships to the next level. Learn why it’s in everyone’s interest to move this agenda forward.

Speakers:
Peter Zawadzki, Pharmacy/Private Payer Consultant
Bessie Wang, Private Payer/HR Consultant


9:10-10:25 a.m. - Panel Discussion: Evolution of Preferred Provider Networks (PPNs)

Carriers and pharmacies are looking at PPNs in a new light, compelled in part by the reality of higher-cost specialty pharmaceuticals--as well as the simple recognition that pharmacists are the first point of contact for pharmaceutical claims, and highly involved in adjudication issues. How do we evolve the dispensing of a prescription into a relationship that includes education and improved accountability among plan members? How do we accurately measure savings? For both traditional chronic medications and new specialty drugs, what data can be captured to better understand utilization and adherence behaviours, by disease state? How do we encourage uptake by communicating a network’s value to health, rather than simply communicating the cost disincentives for non-participation? What tools can execute and measure outcomes at the pharmacy level, and incentivize pharmacists to enroll members in services such as disease management programs?

Panelists:
Alan Kyte, principal, pharmacy specialist, health and benefits, Mercer
Leanne MacFarlane, Senior Director, Business Development, MHCSI
Dimitris Polygenis, VP and General Manager, Pharmaceutical Solutions, McKesson Canada
Mark Rolnick, AVP, product development, group benefits, Sun Life Financial
TBA, Shoppers Drug Mart


10:25-10:45 a.m. - Networking Break


10:45-11:15 a.m. - New Alliances for a New Foundation

Senior executives among insurance carriers, community pharmacies and industry associations--the Canadian Life & Health Insurance Association, the Canadian Association of Chain Drug Stores, the Canadian Pharmacists Association and Health Industry Electronic Commerce Association--have come together to establish the Pharmacy & Health Insurance Steering Committee (PHISC). Find out more about their opening strategies and how you can get involved.

Speakers:
Dr. Dorian Lo, executive vice-president, pharmacy and healthcare, Shoppers Drug Mart
Gary Coles, senior vice-president, administration, Industrial Alliance
(Co-chairs of the Pharmacy and Health Insurance Steering Coalition (PHISC)


11:15 a.m. - 12:00 p.m. - Panel Discussion: What Does a Pharmacist Benefit Look Like?

Our experts share their experiences and recommended steps to incorporate pharmacists’ professional services into employee benefits. As well, what are the logistics? From health spending accounts to contracts and billing codes, we’ll discuss how to bring pharmacists’ services into the adjudication process and how to measure outcomes. Among the pharmacist benefits to be addressed: Pharmacists’ prescribing services (e.g., therapeutic substitutions, prescription adaptations); Medication reviews for employees taking multiple chronic medications; Disease management and adherence support services for top disease states (e.g., cardiovascular disease, diabetes, mental illness); and Case management support for highest-cost claimants, including those requiring specialty pharmaceuticals.

Panelists:
Jennifer Carson, CEO, Alberta School Employee Benefit Plan
Janet McCutchon, owner, Woit’s Pharmacy, Thunder Bay (nominated by the OPA)


12:00 p.m. - Closing Remarks

mckesson

mhcsi

opa

shoppersdrugmart

sunlife

 

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