AMCPFall2013
The Academy of Managed Care Pharmacy's (AMCP) will hold its 2013 Nexus in San Antonio, TX, October 15-18 at the Henry B. Gonzalez convention center. The American Journal of Managed Care will be sending daily e-mail blasts with full conference coverage and video interviews with AMCP speakers. Sign up for our daily email blasts on our registration page, and check back here during the conference for all of our coverage!
Day 1
Suzanne Tschida, PharmD, Discusses Benefit Design in Specialty Pharmacy Management
Suzanne Tschida, PharmD, vice president, specialty benefits & outcomes, OptumRx, said that at UnitedHealth Group a tiering system is used for the management of specialty medications with a cost-share or copay structure.
Richard Stefanacci, DO, Defines the Pharmacist’s Role in New Care Delivery Models
Richard Stefanacci, DO, chief medical officer, The Access Group, said that it is necessary for retail pharmacists to break out of their silo. Dr Stefanacci noted that retail pharmacists are being utilized within practices and stepping out of their normal roles.
The Interface Between Accountable Care and Managed Care: Real World Insights and Innovations
Since 2010, the growth and proliferation of accountable care organizations (ACOs) has increased, and the rise of this collaborative care model is not without reason. Lack of consumer engagement, lack of competition, and misaligned incentives have made care less affordable.
Managed Care Responses to Healthcare Reform
The patient-centered medical home (PCMH) has many key goals and components. When paneled, the majority of AMCP 2013 Nexus attendees agreed that the PCMH is best described as “a practice model that organizes primary care practice operations and incentives to deliver patient-centered, coordinated, comprehensive care with the goal of improved quality and efficiency.”
Day 2
Curtis Triplitt, PharmD, on Patient-Centered Diabetes Care
In this interview, Curtis Triplitt, PharmD, associate professor and assistant dean of research, Texas Tech University Health Sciences Center, Permian Basin, explains why diabetes should be treated with a patient-centered approach.
Thomas Merrill Identifies Challenges Associated With Accountable Care Organizations
Not surprisingly, Thomas Merrill, lead researcher, Center for Accountable Care Intelligence, Leavitt Partners, LLC, said that cost is a major work flow challenge associated with Accountable Care Organizations.
Innovation Interchange Session: Jeff Goldsmith, PhD
Jeff Goldsmith, PhD, healthcare futurist and analyst, says that the Affordable Care Act (ACA) has significantly impacted healthcare policy, in both negative and positive ways.
Pipeline Session: Specialty Pharmaceuticals in Development
The dynamic landscape of healthcare and managed care pharmacy will be deeply impacted by new and emerging specialty medications. The ever-spiraling costs of specialty medications have led many experts to question whether these treatments translate into true improvements in health outcomes or patients’ quality of life.
Day 3
Emerging Issues and Trends in the US Pharmaceuticals Market
For Douglas Long, MBA, vice president, industry relations, IMS Health, Inc, keeping up-to-date on the trends and forecasts of the evolving managed care arena is crucial to remaining competitive.
Steven Pearson, MD, Addresses Formulary Decision Making
Almost all pharmacy and therapeutic committees have a unique process for evidence-based formulary decision making, said Steven Pearson, MD, founder & president, Institute for Clinical and Economic Review.
Michael Fischer, MD, Discusses Non-Adherence
Michael Fischer, MD, associate professor of medicine, Harvard Medical School, associate physician, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, said that the complexity of the healthcare system is part of the challenge of managing adherence.
Making Managed Care Work for Dual Eligibles
Dual eligibles—the class of Americans that qualify for both Medicaid and Medicare coverage—are mostly older adults with low incomes and tend to be the sickest beneficiaries covered by either Medicaid or Medicare.