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Making the Way for Innovation

(W1) Medically Integrated Dispensing Services: Creating Value for Payers and Providers

Tuesday, October 17, 2023
8:30 AM – 9:45 AM East Coast USA Time
Location: Royal
CPE
ACPE UAN:0233-0000-23-047-L04-P | Contact Hours: 1.25 | Activity Type: Knowledge-based
Pharmacy benefit managers are working to ensure optimal oral oncolytic therapy clinical outcomes and cost-effective care. Medically integrated dispensing (MID) specialty pharmacies are an alternative to mail-order specialty pharmacies and may provide improved quality, better member experience, and a lower total cost of care. However, quantifying this value and incorporating MID specialty pharmacies into a network have remained challenges for pharmacy benefit managers.

This session will review the literature on MID specialty pharmacy value, discuss how this value can be achieved, explore quality measures that can be used to support a MID specialty pharmacy network as a part of an alternative oncology payment model, and describe how MID pharmacies can be credentialed into a specialty pharmacy network.

Learning Objectives::

At the completion of this activity, participants should be able to:
  1. Explain differences between medically integrated dispensing (MID) specialty pharmacies and mail order pharmacies that contribute to health care quality, member experience, and health care spending.
  2. Describe quality measures that can be used to measure oral oncolytic medication adherence, persistence, and waste.
  3. Discuss approaches to implement a MID specialty pharmacy network that includes physician office-based and health system MID sites.