The Pharmacy Drug Cost Puzzle

Finding and Fitting the Missing Pieces Together

Review our updated agenda! (skip to agenda)

 

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Employers know the pharmaceutical spend has become a significantly larger portion—from 17% to 21%—of their total healthcare spend in recent years. At least one-third of employers cite prescription drug costs as a top concern, and the National Business Group on Health says the projected increases are “unsustainable.”  Take a journey with us as we learn about overall trends from national, state, and local presenters. We will also hear from our local health plans about what they are doing to decrease pharmacy costs. Be a part of the solution as we learn about strategies to take control and manage—if not decrease—the pharmacy spend through this New Mexico summit.

Date:  Tuesday, May 2, 2017

Agenda

8:30 –8:40 a.m.      
Welcome and Introductions

  • Pat Montoya, MPA, BSN, Executive Director, New Mexico Coalition for Healthcare Value
  • Mark Saiz, CGBA, HR Benefits Director, City of Albuquerque & Chair of New Mexico Coalition for Healthcare Value

8:40 –10:10 a.m.     
National Pharmacy Costs and Trends (Keynoters)

  • Sumit Dutta MD, SVP & Chief Medical Officer, OptumRx
  • David Uldricks, JD, LLM, Vice President, PBM Contracting and Strategy, Employers Health

10:10 – 10:30 a.m
Break

10:30 –11:40 a.m. 
Overview on Pharmacy Costs from a New Mexico Perspective

  • Jenny Felmley, PhD, Program Evaluator,  New Mexico Legislative Finance Committee
  • Nancy Smith-Leslie, Director, Medical Assistance Division, New Mexico Human Services Department
  • Gary Petersen, FCA, ASA, MAAA, Vice President & Consulting Actuary, Segal
  • Kipp Snider, JD, Vice President, State Advocacy, PhRMA

11:40 –12:20 p.m.  
What is a PBM?

  • Vyas  Kautook, PharmD, RPh, Senior Pharmacy Consultant, National   Pharmacy Benefits Practice, Segal

What is the role of the Retail Pharmacist in the Community?

  • Pat Harvey, RPh, Senior Strategic Account Manager, Walgreens

12:20 –12:40 p.m.    
Lunch Break (pick up box lunches)

12:40 –1:40 p.m.     
Pharmacist Panel: Health Insurers (What are local health plans doing to contain pharmacy costs?)

  • Louanne Cunico, PharmD, RPh, Vice President of Pharmacy, Presbyterian Health Plan
  • Frank Koronkiewicz, RPh, MHA, Director of Pharmacy, Molina Healthcare New Mexico
  • Shawn Quinn, PharmD, RPh, Director of Pharmacy, Blue Cross Blue Shield New Mexico
  • Frieda Siminski, PharmD, RPh, Director of Pharmacy, New Mexico Health Connections

1:40 –2:20 p.m.       
Strategies for drug management cost: Prior Authorization

  • Mike McGinnity, Vice President of Sales and Marketing, Health Information Designs, LLC

Group Purchasing

  • Sam Shalala , MBA, Director of Business Development, Employers Health

2:20-2:30 p.m.       
Wrap up and next steps

  • Pat Montoya, MPA, BSN, Executive Director, New Mexico Coalition for Healthcare Value
     

Note: Application is being made to the Society for Human Resource Management (SHRM) to provide credit to participants who would like or need these for their certification.

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