Amplifying Market and Patient Access through Securing Prime Formulary Position with Comprehensive Awareness of Managed Care Utilization Processes, Policy Changes Impacting Medicare & Medicaid Trends, and Innovative Contracting Strategies
As health policy within the United States continues to evolve, with a new administration promising a restructure of the existing Affordable Care Act, executives responsible for managed market strategic accounts face an uncertain future for the coverage and reimbursement of vital health products, and look to ensure continued funding for life-altering treatments from both public and private payers. Hearing from payers directly on topics such as utilization management, exclusion and prior authorization models and network design will provide immediate impact on the bottom line of pharmaceutical corporations as organizations look to maximize the inclusion of products on formulary lists through the provision of high level, robust data and relationship management methods. Following on payer discussions, experts will discuss changes to Medicaid payment models and the continued influence of complex value assessment and cost-reduction strategies.
Industry presenters will provide perspectives on MACRA reporting, with real-time experiences shared following the first reporting period, and will also discuss challenges including rebating, pricing structures and the ongoing impact of the paradigm shift in healthcare delivery and contracting with a compressed number of IDNs and payers. Following case study and panel discussions, small group roundtable opportunities facilitated by professional moderators will provide an opportunity for disease area specific discussion and knowledge share. Throughout, interactive discussions will enable all stakeholders from the pharmaceutical industry, payer community and pharmacy benefit contenders and opportunity for open debate and discussion with an aim to ensuring mutually beneficial relationships that benefit patients and caregivers at the forefront of importance.