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Mon, Oct 16
Tue, Oct 17
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Monday, October 16, 2023
1:00 PM – 5:30 PM
East Coast USA Time
(1) Understanding the Fundamentals of IRA and its Impact
1:00 PM – 5:30 PM
East Coast USA Time
(Preconference) Understanding the Fundamentals of IRA and its Impact
Location: Crystal H
Faculty:
Erin E. Hertzog, JD MPH
– Foley Hoag LLP
Faculty:
Jennifer L. Mathieu, MA
– AMCP
Faculty:
Joey Mattingly, PharmD, MBA, PhD
– University of Utah College of Pharmacy
Faculty:
Lauren Neves, J.D.
– PhRMA
Faculty:
Philip Sclafani
– PwC
Faculty:
Kimberly Tsai, PharmD
– Valuate Health Consultancy
Faculty:
Gregory Warren, FSA, FCA, MAAA
– Axene Health Partners
Faculty:
Margaret Weiker
– NCPDP
Faculty:
Lori Wood, MHA
– Valuate Health Consultancy
PreConference Program
Tuesday, October 17, 2023
8:30 AM – 9:45 AM
East Coast USA Time
Rare Disease Spotlight: Hereditary Angioedema Treatment Advances, Patient Value, and Access to Care
8:30 AM – 9:45 AM
East Coast USA Time
(D1) Rare Disease Spotlight: Hereditary Angioedema Treatment Advances, Patient Value, and Access to Care
Location: Crystal H
Faculty:
Anthony Castaldo, MPA
– US Hereditary Angioedema Association
Faculty:
Mark Scarupa, MD
– Institute for Asthma and Allergy
Faculty:
Sneha Sharma, PharmD
– Magellan Rx Management
Faculty:
Troyce Venturella, MPH, RN, CCM
– US Hereditary Angioedema Center (HAEA)
Moderator:
Lester Lachuk, PharmD, MBA
– AvMed
Drugs, Diseases, and the Managed Care Impact
8:30 AM – 9:45 AM
East Coast USA Time
(2) Federal Legislative and Regulatory Update
8:30 AM – 9:45 AM
East Coast USA Time
(L1) Federal Legislative and Regulatory Update
Location: Sago
Faculty:
Jennifer L. Mathieu, MA
– AMCP
Faculty:
Geni Tunstall, JD
– AMCP
Moderator:
Tyler Thorne
– AMCP
Legislative and Regulatory Trends
8:30 AM – 9:45 AM
East Coast USA Time
(3) Can Artificial Intelligence Help Managed Care Plans Make More Sense of Their Pharmacy Data?
8:30 AM – 9:45 AM
East Coast USA Time
(R1) Can Artificial Intelligence Help Managed Care Plans Make More Sense of Their Pharmacy Data?
Location: Sabal
Faculty:
Jessica Hatton, PharmD, BCACP
– CareSource
Faculty:
Nick Trego, PharmD
– HealthPlan Data Solutions
Moderator:
Theologia Horchani, PharmD, BCPS
– Healthfirst
Managed Care Research in Action
8:30 AM – 9:45 AM
East Coast USA Time
(4) Practice Based Research: What, Why, and How?
8:30 AM – 9:45 AM
East Coast USA Time
(SP1) Practice Based Research: What, Why, and How?
Location: Crystal J2
Faculty:
Chelsea Renfro, PharmD
– Vanderbilt Specialty Pharmacy
Faculty:
Annesha White, PharmD, MS, PhD
– University of North Texas Health Science Center College of Pharmacy
Moderator:
Marlena S. Young
– Mercer University
Student Pharmacist
8:30 AM – 9:45 AM
East Coast USA Time
(5) Medically Integrated Dispensing Services: Creating Value for Payers and Providers
8:30 AM – 9:45 AM
East Coast USA Time
(W1) Medically Integrated Dispensing Services: Creating Value for Payers and Providers
Location: Royal
Faculty:
Ben Urick, PharmD, PhD
– Prime Therapeutics, LLC
Faculty:
Kyle D. Verley, MA, MBA
– Prime Therapeutics
Faculty:
Kristen Whelchel, PharmD, CSP
– Vanderbilt University Medical Center
Moderator:
Rachel DiPietro
– The Kinetix Group
Making the Way for Innovation
10:15 AM – 11:30 AM
East Coast USA Time
(6) Spotlight Session: Obstacles to Ending the HIV Epidemic: Risk and Burden of Suboptimal Care in People Living with HIV
10:15 AM – 11:30 AM
East Coast USA Time
(D2) Spotlight Session: Obstacles to Ending the HIV Epidemic: Risk and Burden of Suboptimal Care in People Living with HIV
Location: Crystal J2
Faculty:
Diana Brixner, RPh, PhD, FAMCP
– University of Utah
Faculty:
Omar Daoud, PharmD
– Community Health Plan of Washington
Faculty:
Jay Gladstein, MD
– Assistant Clinical Professor at UCLA School of Medicine
Faculty:
Marcus Wilson
– Gilead Sciences, Inc.
Moderator:
Diana Brixner, RPh, PhD, FAMCP
– University of Utah
Drugs, Diseases, and the Managed Care Impact
10:15 AM – 11:30 AM
East Coast USA Time
(7) Executive to Executive: Leading Managed Care Organizations Today
10:15 AM – 11:30 AM
East Coast USA Time
(E2) Executive to Executive: Leading Managed Care Organizations Today
Location: Crystal H
Faculty:
Christina Barrington, PharmD
– Priority Health
Faculty:
Mona Chitre, PharmD
– Excellus BlueCross BlueShield
Faculty:
Cynthia J. Pigg, MHA, FAMCP
– Elixir Pharmacy Solutions
Moderator:
Dana McCormick, RPh, FAMCP
– Blue Cross Blue Shield of Texas
The Managed Care Executive
10:15 AM – 11:30 AM
East Coast USA Time
(8) PBM and Health Care Reform Legislation
10:15 AM – 11:30 AM
East Coast USA Time
(L2) PBM and Health Care Reform Legislation
Location: Sago
Faculty:
Melissa Andel, MPP
– CommonHealth Solutions LLC
Moderator:
Gene Reeder, PhD
– College of Pharmacy, University of South Carolina
Legislative and Regulatory Trends
10:15 AM – 11:30 AM
East Coast USA Time
(9) Evaluating Coverage for Digital Therapeutics: A Case Study and Lessons Learned
10:15 AM – 11:30 AM
East Coast USA Time
(M2) Evaluating Coverage for Digital Therapeutics: A Case Study and Lessons Learned
Location: Sabal
Faculty:
Neha Kashalikar, PharmD
– UMass Chan Medical School, ForHealth Consulting
Faculty:
Kimberly Lenz, PharmD, MBA, FAMCP
– University of Massachusetts Chan Medical School - ForHealth Consulting, Office of Clinical Affairs/MassHealth
Faculty:
Mahsa Salsabili, PharmD, PhD
– UMass Chan Medical School - ForHealth Consulting
Moderator:
Tasmina Hydery, PharmD, MBA, BCGP
– Cencora
Focus on Managed Care Pharmacy
10:15 AM – 11:30 AM
East Coast USA Time
(10) Biosimilar Operational Readiness: Marketplace Trends and Regulatory Considerations
10:15 AM – 11:30 AM
East Coast USA Time
(R2) Biosimilar Operational Readiness: Marketplace Trends and Regulatory Considerations
Location: Royal
Faculty:
Chelsee Jensen, PharmD, BCPS
– Mayo Clinic
Faculty:
Kimberly Maxfield, PhD
– FDA
Faculty:
Juwaria Waheed, MD
– FDA/CDER/OND/OTBB (Office of Therapeutic Biologics and Biosimilars)
Moderator:
Cate Lockhart, PharmD, PhD
– BBCIC
Managed Care Research in Action
3:15 PM – 4:30 PM
East Coast USA Time
(11) Managed Care Oncology Perspectives: CAR T-cells vs BiTEs
3:15 PM – 4:30 PM
East Coast USA Time
(D3) Managed Care Oncology Perspectives: CAR T-cells vs BiTEs
Location: Sabal
Faculty:
Simone Ndujiuba, PharmD, BCOP
– Magellan Rx Management
Faculty:
Michelle Pannone-Booth, PharmD
– Magellan Rx Management
Moderator:
Amanda Ryan, PharmD, BCGP, CPHQ
– Pharmacy Quality Alliance
Drugs, Diseases, and the Managed Care Impact
3:15 PM – 4:30 PM
East Coast USA Time
(12) The Art of Negotiation as a Managed Care Pharmacy Executive
3:15 PM – 4:30 PM
East Coast USA Time
(E3) The Art of Negotiation as a Managed Care Pharmacy Executive
Location: Crystal J2
Faculty:
Frank Marchesani
– Scotwork North America
Faculty:
Julie Shen
– Scotwork North America
Moderator:
Cynthia J. Pigg, MHA, FAMCP
– Elixir Pharmacy Solutions
The Managed Care Executive
3:15 PM – 4:30 PM
East Coast USA Time
(13) Navigating Health Disparities in Obesity for Managed Care Pharmacists
3:15 PM – 4:30 PM
East Coast USA Time
(M3) Navigating Health Disparities in Obesity for Managed Care Pharmacists
Location: Sago
Faculty:
Justin Bioc, PharmD, BCPS, BCGP, RPh
– Devoted Health
Faculty:
Muhammad Ghanem, MD, FACS, DABOM
– Orlando Health
Faculty:
Eileen S. Myers, MPH, RDN, CEDRD-S, FAND
– Eileen Myers, LLC
Faculty:
Patty Taddei-Allen, PharmD, MBA, BCACP, BCGP
– MJH Life Sciences
Moderator:
Christopher Diehl, PharmD, MBA, BCACP
– Excellus
Focus on Managed Care Pharmacy
3:15 PM – 4:30 PM
East Coast USA Time
(14) Podium Session – Award-winning Research Supporting the Managed Care Pharmacy Research Agenda
3:15 PM – 4:30 PM
East Coast USA Time
(R3) Podium Session – Award-winning Research Supporting the Managed Care Pharmacy Research Agenda
Location: Crystal H
Faculty:
Nicholas Friedlander, PharmD
– Prime Therapeutics
Faculty:
Jane Ha, PharmD, MS
– Cencora (formerly AmerisourceBergen/Xcenda)
Faculty:
Rochelle Henderson, PhD
– National Pharmaceutical Council
Faculty:
Caitlin M. Sheetz, MPH
– ADVI Health
Moderator:
Laura Happe, PharmD, MPH
– University of Florida, Journal of Managed Care and Specialty Pharmacy
Managed Care Research in Action
3:15 PM – 4:30 PM
East Coast USA Time
(15) Meeting the Evolving Needs of Self-Insured Employers in High-Cost Specialty Pharmacy
3:15 PM – 4:30 PM
East Coast USA Time
(W3) Meeting the Evolving Needs of Self-Insured Employers in High-Cost Specialty Pharmacy
Location: Royal
Faculty:
Matthew Harman, PharmD, MPH
– Employers Health
Faculty:
Robert O'Brien, RPh
– Real Endpoints
Faculty:
Shawna Ricker, PharmD
– Highmark, Inc.
Moderator:
Curtis Lucas, RPh, MBA
– Evernorth
Making the Way for Innovation
Wednesday, October 18, 2023
8:00 AM – 9:15 AM
East Coast USA Time
(16) Specialty Pharmaceuticals in Development
8:00 AM – 9:15 AM
East Coast USA Time
(K1) Specialty Pharmaceuticals in Development
Location: Cypress 3
Faculty:
Aimee Tharaldson, PharmD
– Evernorth
Moderator:
Jim R. Hopsicker, RPh, MBA, FAMCP
– MVP Health Care, Inc.
Keynote
9:45 AM – 10:00 AM
East Coast USA Time
(18) Executive Financial Literacy: Focusing on value and Actuarial Data
9:45 AM – 11:00 AM
East Coast USA Time
(E4) Executive Financial Literacy: Focusing on value and Actuarial Data
Location: Crystal H
Faculty:
Jonathan D. Campbell, PhD
– National Pharmaceutical Council
Faculty:
Jeffrey D. Dunn, PharmD, MBA
– Cooperative Benefits Group
Faculty:
Gregory Warren, FSA, FCA, MAAA
– Axene Health Partners
Moderator:
Kim A. Caldwell, RPh
– Texas Star Healthcare Consulting, LLC
The Managed Care Executive
9:45 AM – 11:00 AM
East Coast USA Time
(17) Navigating NASH: A Discussion on Clinical Background, Patient Advocacy and Managed Care Considerations
9:45 AM – 11:00 AM
East Coast USA Time
(D4) Navigating NASH: A Discussion on Clinical Background, Patient Advocacy and Managed Care Considerations
Location: Crystal J2
Faculty:
Michael R. Charlton, MD
– University of Chicago Medicine
Faculty:
Brian K. MacDonald, PharmD
– Magellan Rx Management
Faculty:
Jeff J. McIntyre, MA
– Global Liver Institute
Moderator:
Amy Lugo, PharmD, BCPS, BC-ADM
– LoneStar Health Solutions
Drugs, Diseases, and the Managed Care Impact
9:45 AM – 11:00 AM
East Coast USA Time
(19) State Legislative and Regulatory Update
9:45 AM – 11:00 AM
East Coast USA Time
(L4) State Legislative and Regulatory Update
Location: Sabal
Faculty:
Tom Casey
– AMCP
Faculty:
Adam Colborn, JD
– AMCP
Moderator:
Tyler Thorne
– AMCP
Legislative and Regulatory Trends
9:45 AM – 11:00 AM
East Coast USA Time
(20) Biosimilar Operational Readiness: Managed Care Stakeholder Response to Market Expansion Impact
9:45 AM – 11:00 AM
East Coast USA Time
(W4) Biosimilar Operational Readiness: Managed Care Stakeholder Response to Market Expansion Impact
Location: Royal
Faculty:
Chelsee Jensen, PharmD, BCPS
– Mayo Clinic
Faculty:
Prerakkumar Parikh, PharmD
– Magellan Rx Management
Faculty:
Thomas Scott Raisor, PharmD, MPH, MBA, BCACP
– Defense Health Agency
Faculty:
Annie Schuster, PharmD, FAMCP
– Cigna Healthcare
Moderator:
Elizabeth Hill, PharmD, MBA
– AMCP
Making the Way for Innovation
2:45 PM – 4:00 PM
East Coast USA Time
(21) Industry Landscape: The Road Ahead for the Inflation Reduction Act
2:45 PM – 4:00 PM
East Coast USA Time
(L5) Industry Landscape: The Road Ahead for the Inflation Reduction Act
Location: Sabal
Faculty:
Babette S. Edgar, PharmD, MBA, FAMCP
– BluePeak Advisors
Faculty:
Kelly K. Makay, RPh, MBA
– Bluepeak Advisors
Faculty:
Crescent Moore, PharmD, PhD
– BluePeak Advisors
Moderator:
Paul Lakomski, RPh, MBA
– EmblemHealth
Legislative and Regulatory Trends
2:45 PM – 4:00 PM
East Coast USA Time
(22) Optimizing Value Assessment Tools for Coverage and Reimbursement Decisions: Promises and Pitfalls
2:45 PM – 4:00 PM
East Coast USA Time
(M5) Optimizing Value Assessment Tools for Coverage and Reimbursement Decisions: Promises and Pitfalls
Location: Crystal H
Faculty:
Jessica Hatton, PharmD, BCACP
– CareSource
Faculty:
Kimberly Riggs, MPH
– Cencora (formerly Xcenda/AmerisourceBergen)
Faculty:
Kimberly Westrich, MA
– Xcenda/AmerisourceBergen
Moderator:
Thomas C. Pomfret, PharmD, MPH, BCPS
– ForHealth Consulting at UMass Chan Medical School
Focus on Managed Care Pharmacy
2:45 PM – 4:00 PM
East Coast USA Time
(23) Using Medication Intelligence to Improve Behavioral Health Outcomes
2:45 PM – 4:00 PM
East Coast USA Time
(R5) Using Medication Intelligence to Improve Behavioral Health Outcomes
Location: Crystal J2
Faculty:
Caroline Carney, MD
– Magellan Health
Faculty:
Yoona Kim, PharmD, PhD
– Arine Inc.
Moderator:
Desola Davis, PharmD, BCPS, BCACP
– Gilead Sciences
Managed Care Research in Action
2:45 PM – 4:00 PM
East Coast USA Time
(24) Implementation of a Novel Oncology Home Infusion Model
2:45 PM – 4:00 PM
East Coast USA Time
(W5) Implementation of a Novel Oncology Home Infusion Model
Location: Royal
Faculty:
Saira A. Jan, MS, PharmD
– Horizon Blue Cross Blue Shield of New Jersey
Faculty:
Timothy O'Shea, MS, PharmD
– Horizon Blue Cross Blue Shield of New Jersey
Moderator:
Diane Giaquinta, PharmD
– Inizio Engage Market Access
Making the Way for Innovation
4:30 PM – 5:45 PM
East Coast USA Time
(25) Alzheimer's Disease Treatment Advances: Integrating Patient Value into Managed Care Decision-Making
4:30 PM – 5:45 PM
East Coast USA Time
(D6) Alzheimer's Disease Treatment Advances: Integrating Patient Value into Managed Care Decision-Making
Location: Crystal J2
Faculty:
Nicole Purcell, DO, MS
– Alzheimer's Association
Faculty:
Sarah S. Yoon, PharmD
– Centene Pharmacy Services
Moderator:
Rachel DiPietro
– The Kinetix Group
Drugs, Diseases, and the Managed Care Impact
4:30 PM – 5:45 PM
East Coast USA Time
(26) Does Pre-Approval Information Exchange (PIE) Allow Manufacturers to Present Model-Based Outcome Projections to Payers?
4:30 PM – 5:45 PM
East Coast USA Time
(L6) Does Pre-Approval Information Exchange (PIE) Allow Manufacturers to Present Model-Based Outcome Projections to Payers?
Location: Sabal
Faculty:
Jeffrey D. Dunn, PharmD, MBA
– Cooperative Benefits Group
Faculty:
Dustin Pollastro, PharmD, MBA
– EMD Serono
Faculty:
Donald Smith, PhD
– Evidera
Moderator:
Donald Smith, PhD
– Evidera
Legislative and Regulatory Trends
4:30 PM – 5:45 PM
East Coast USA Time
(27) Gene Therapies: Forecasting Potential Candidates Using Integrated Medical and Pharmacy Claims Data
4:30 PM – 5:45 PM
East Coast USA Time
(W6) Gene Therapies: Forecasting Potential Candidates Using Integrated Medical and Pharmacy Claims Data
Location: Royal
Faculty:
Pat Gleason, PharmD
– Prime Therapeutics
Faculty:
Landon Z. Marshall, Pharm D, PhD
– Prime Therapeutics, LLC
Moderator:
Renee Rizzo Fleming, RPh, MBA
– PRN Managed Care Consulting Services, LLC
Making the Way for Innovation
Thursday, October 19, 2023
8:30 AM – 9:45 AM
East Coast USA Time
(28) Understanding the 340B Program: Policy, Patients, and Practical Implications for Managed Care Pharmacists
8:30 AM – 9:45 AM
East Coast USA Time
(K2) Understanding the 340B Program: Policy, Patients, and Practical Implications for Managed Care Pharmacists
Location: Crystal H
Faculty:
Dave Lacknauth, PharmD, MBA,MS,FACHE
– Broward Health
Faculty:
Rory Martin, PhD
– IQVIA
Faculty:
Donald E. Nichols, PhD
– Genentech, Inc
Faculty:
John M. O'Brien, PharmD, MPH
– National Pharmaceutical Council
Moderator:
Christina Barrington, PharmD
– Priority Health
Keynote
10:00 AM – 11:15 AM
East Coast USA Time
(29) Oncology Pipeline: Shaping 2023 and Beyond
10:00 AM – 11:15 AM
East Coast USA Time
(K3) Oncology Pipeline: Shaping 2023 and Beyond
Location: Crystal H
Faculty:
Kaelyn C. Boss, PharmD
– ForHealth Consulting University of Massachusetts Chan Medical School - Shrewsbury, MA
Faculty:
Bhavesh H. Shah, RPh, BCOP
– Boston Medical Center
Moderator:
Matt Mitchell, PharmD, MBA, FAMCP
– SelectHealth
Keynote