Pharmacy Innovations for Medicaid, Medicare & Duals Plans features pharmacy leaders from top health plans sharing end-to-end solutions to control costs, adopt new technologies and ensure compliance with rapidly evolving regulations. Find out how your industry colleagues are reducing total cost of care through cross-departmental integration, data analytics, quality improvement, and other transformational programs. Gain strategic insights on delivering affordable, personalized and innovative solutions to providers and for your most vulnerable members.

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

  • Integrating Pharmacy Across Departments and Networks
  • Managing High Costs of Specialty Drugs
  • Reducing Total Cost of Care
  • Addressing Social Determinants of Health & Health Equity
  • Implementing Emerging Payment Models including Value Based Care
  • Expanding Formulary Design to Drive Member Behavior, Improve Outcomes and Control Costs
  • Preparing for CMS Price Transparency Regulation
  • Identifying Fraud, Waste & Abuse

    Data Analytics & New Technology Transformation

  • Capturing and Analyzing Data to Control Costs and Boost Outcomes
  • Expanding Telehealth Locally and Nationally for Complex Care Members
  • Moving from In Office to Home Medication Administration
  • Implementing New Medication Support Technologies
  • Sharing Data Today and Preparing for Interoperability
  • Integrating Technology into Member Homes for Improved Medication Management

  • Drug Pricing and Cost Control

  • Managing Impact of Rising Drug Costs in the Aftermath of the Pandemic
  • Looking ahead: PBMs and Pricing Transparency
  • Strategies for Selecting, Negotiating & Managing PBMs
  • Tightening up Prior Authorizations
  • Managing Costs of Gene Therapy and other Emerging Medication Therapies

  • Boosting Star Ratings and Quality of Care

  • Improving Member Experience, Outcomes & Satisfaction
  • Reducing Readmissions and Improving Transitions of Care
  • Driving Quality from the Pharmacy Department
  • Implementing New Medication Therapy Management & Medication Adherence Best Practices
  • De-prescribing: On-going Medication Use Re-assessments
  • Transitioning to Biosimilars: Effective Provider & Member Collaborations
  • Integrating Behavioral Health & Pharmacy

  • Driving Member & Provider Engagement to Improve Outcomes and Control Costs

  • Communicating with Providers and Pharmacies
  • Working with Collaborative Care Practices with Embedded Pharmacists
  • Encouraging Members to Work with Health Hubs – Community Engagement
  • Implementing Effective Educational Programs

  • Sales, Marketing and Member Retention: The Role and Responsibility of the Pharmacy Department

  • Contributing to OEP and Promoting Pharmacy Benefits Virtually
  • Influencing Broker Perception of Pharmacy Benefits

2021 Preliminary Distinguished Speakers
Fallon Health

David Brumley

Vice President and Medical Director Medical Affairs

Mike Cantrell, RPh, Esq

Sr. Operations Consultant
Kaiser Permanente Northern California

Lynn Deguzman, Pharm.D., BCGP

Regional Clinical Operations Manager
SCAN Health Plan

Matthew Dinh, Pharm.D

Senior Director, Pharmacy Quality Care & Experience

Dana Erf Fortman

Director, Pharmacy Services & Health Equity

David Griffith

Manager Pharmacy Operations
Enhanced Medication Services

Anna Hall

Director of Quality Services
Commonwealth Care Alliance

Derek McFerran

Vice President of Clinical Performance and Affordability
Network Health

Gary Melis

Clinical Pharmacist

Matt Mitchell, Pharm.D., M.B.A., FAMCP

Executive Director, Pharmacy Services

Patrick Mitsch, PharmD

Associate Vice President, Pharmacy
Strategic Health Group

Henry W. Osowski

Managing Partner
SCAN Health Plan

Chris Park, PharmD, APh, BCGP

Pharmacy Care Management Manager
Mosaic Pharmacy Service

Sapna Patel, RPh

Director of Clinical Services
United Health Group

Kelly Reidenbach

Vice President, Strategy & Development
Rx Savings Solutions

Bryan Schuessler

Director of Pharmacy Solutions – Specialty Clinical Strategy

Annie Schuster, PharmD, FAMCP

Sr. Director, Clinical Pharmacy Programs
Walgreen Co.

Renae Smith-Ray, PhD, MA

Manager, Health Analytics Research & Reporting
  • Proven End-to-End Solutions to Control Costs, Adopt New Technologies, and Ensure Compliance with Rapidly Evolving Regulations
  • Proven End-to-End Solutions to Control Costs, Adopt New Technologies, and Ensure Compliance with Rapidly Evolving Regulations
  • Proven End-to-End Solutions to Control Costs, Adopt New Technologies, and Ensure Compliance with Rapidly Evolving Regulations
  • Proven End-to-End Solutions to Control Costs, Adopt New Technologies, and Ensure Compliance with Rapidly Evolving Regulations
Who Should Attend:

Medicare, Medicaid and Duals Health Plans

Senior Management and Medical Directors from:
  • Pharmacy
  • Medical Utilization Management
  • Quality, HEDIS, Stars
  • Population Health
  • Data Analytics/Clinical Informatics
  • Benefit Design
  • Claims
  • Population Health
Also of Interest to:
  • Pharmaceutical & Specialty Pharmaceutical Manufacturers
  • PBMs
  • Prescription Drug Plans
  • Generic and Biosimilar Manufacturers
And companies providing the following product and service solutions:
  • Diagnostic
  • Data Management & Analytics
  • Stars/HEDIS/Quality
  • Durable Medical Equipment
  • Actuarial
  • Member Centric Programs and Support
  • Medication Therapy Management
  • Pharmacogenomics