Speaker Presentation
Thursday, October 11, 2018

Chairperson's Welcome

Gary MelisClinical Pharmacist,Network Health

8:10 - 8:50

Medication Therapy Management The Trusted Way

  • Make it personal - meeting your members where they are- look, listen and feel while accessing needs
  • Teach and empower for long lasting results
  • Creating unique managed care pharmacy programs that reduce total utilization and create positive clinical and financial outcomes. Our Data supports our approach.
  • Jose Diaz-Luna, PharmD, RPhVice President of Pharmacy,Trusted Health Plan, Inc.


    Incorporating the Pharmacist into Team-Based Care: Defining a More Clinical and Educational Role for the Pharmacist to Drive MTM

    • Ways to promote the clinical expertise of your pharmacy team and the value the team brings to other departments in your company
    • How to market your pharmacy department to your outside partners
    • Member education on the value of MTM
    • Benefits of using a MTM hybrid approach with your PBM

    Gary MelisClinical Pharmacist,Network Health


    The Many Faces of MTM Services in the Care Continuum: Identifying the Need for Intervention and Channeling New Service Development

    • A non-appointment based innovative model of MTM delivery will be described.
    • The different types of MTM services across a health system will be discussed
    • Strategies used to identify need for intervention and new service development around delivery of med management care will be showcased.

    Anitha Nagelli,Clinical Pharmacist/Coordinator/Assistant Professor,UI Health/University of Illinois at Chicago


    Morning Refreshment Break


    Increasing Comprehensive Medication Review (CMR) Completion Rates: Ensuring the Cost-Effective Delivery of CMR's and Preparing for Outcomes-Based Measures Evaluating the Qualitative Impact of MTM

    • MTM Milestones and Progression to Outcome-Based Measures
      • Center for Medicare and Medicaid (CMS) Meaningful Measures Initiative
      • Meaningful measures framework
    • Preparing for Outcomes-Based Measures
      • Where we are - Current measurement and compliance standards
      • Shift from process measures to quality measures (Quality over Quantity)
    • Cost-effective delivery of MTM with outcome-based measures - the role of various stake holders
      • Center for Medicare and Medicaid Services (CMS)
      • Vendor Selection and Contracting
      • Patient and Provider Engagement
    • Increasing CMR Completion Rates
      • Optimizing Outcome Measures and Decreasing Cost with Predictive Analytics and Artificial Intelligence
        • Traditional targeting (Current state) Vs. Optimized targeting (Future state)
      • Discussion - A Health Plan Experience

    Vivian Tambe-Ebot, Pharm.D., MBADirector of Pharmacy,AgeWell New York


    Leveraging MTM in the Medicaid Setting: Creating an Innovative Model for Increasing Patient Access to Pharmacist-Provided Care and Incorporating Pharmacists into Medicaid Programs

    Allana Alexander, PharmD, MSMTMClinical Pharmacist,VIVA Health




    The Significant Role that MTM Plays in Geriatric Care and Polypharmacy

    • Define PolyPharmacy
    • Discuss Drugs & the Elderly, Frail, and Patients Prone to Polypharmacy
    • Pharmacodynamics & pharmacokinetic changes with aging
    • Identify the Physiologic Changes Associated with the Normal Aging Process (drug absorption, distribution, metabolism, and excretion)
    • Drug Knowledge & Compliance
    • Discuss the Role of MTM Services Within Medical Provider Settings

    Randa Abdelal, PharmD, BCPS, cMTMClinical Pharmacist,Jefferson Health NJ


    Learn How Highmark Leveraged Technology to Expand Consumer-Engagement Channels, Driving Value-Based Care Initiatives and Increasing Comprehensive Medication Review (CMR) Rates in the Process

    • Expanding the reach of provider-based relationships to engage consumers where
    •   they receive care
    • Scalable technology and data-driven platform that is nimble yet regulatory compliant
    • Flexible and tailorable partnerships, driving increased CMR rates while maintaining a consumer-centric approach
    • Innovative collaboration across multiple channels = Results!

    Meredith Adlesic, PharmDSenior Pharmacist, Clinical Pharmacy Operations,Highmark, Inc

    Kent HoldcroftChief Revenue Officer PharmMD


    Using Technology and Virtual Visits to Improve Medication Adherence and Patient Outcomes

  • Define telemedicine and its role in improving patient access, adherence and patient outcomes
  • Discuss the pharmacist’s role in the virtual visit program at Cleveland Clinic
  • Outline the logistics of setting up a virtual program including challenges, successes, and clinical pearls
  • Morgan Jones, PharmD, MS, BCACP,Primary Care Clinical Pharmacy Specialist,Cleveland Clinic


    Afternoon Refreshment Break


    Improving Medication Adherence in Specific Disease States to Enhance 2018 Star Ratings-Cholesterol, Hypertension, and Diabetes

  • Identify the appropriate staff to make adherence interventions and the appropriate population to target.
  • Determine how to deliver the intervention
  • Strategize to intervene at the best time
  • Improve adherence to improve outcomes
  • Show results
  • Kelly Verrall, RPh,Director, Pharmacy Quality and Medication Therapy Management,Independent Health

    Cynthia Will, RPh,MTM Pharmacist,Independent Health


    Identifying and Examining the Factors Causing Nonadherence: Analyzing the Impact of Social Determinants of Health on Adherence in a Managed Medicaid Population

    Community Health Plan of Washington developed a novel pilot project in partnership with a Community Health Center, setting out to identify barriers to Managed Medicaid member non- adherence to medications. This session will describe the population targeted, pharmacist lead, clinical outreach, and how social determinants of health impacted member medication adherence.

    Frances B. McGaugh, Pharm.D,Pharmacy Clinical Programs Manager, Community Health Plan of Washington, Clinical Instructor,University of Washington School of Pharmacy


    Cocktail Reception

    Friday, October 12, 2018

    Continental Breakfast


    Creating Collaborative Platforms to Drive Medication Adherence-Payer, Provider, Pharmacist and Member

    Tracey Davis, PharmD,Director of Pharmacy,AmeriHealth Caritas DC


    The Role of Pharmacy in Improving Public Health

    • What strategies can community pharmacists use to improve public health, especially in the reduction of opioid use disorder (OUD) and overdoses;
    • How can community pharmacies prepare to implement these strategies aimed at reducing opioid use disorder and overdoses within their community;
    • What are the collaborative strategies community pharmacies, partnering PBM’s and MCO’s can do together to enhance pharmacy’s role in reducing opioid use disorder and overdoses within their community

    Jan Pringle, PhD,Director and Professor,University of Pittsburgh, School of Pharmacy, Program Evaluation and Research Unit (PERU)


    Addressing Medication Non-Adherence through Implementation of an Appointment-Based Medication Management Model

    Mark Gregory, RPh, Director, Business Development Strategist, Omnicell, Inc.


    Morning Refreshment Break


    A Look at the Medication Regimen Review for Long Term Care Facilities: How Does This Differ from MTM and How Do CMS Regulations Impact MTM Completion for LTC Residents?

    Diane TokachConsultant Pharmacist,Medicine Shoppe


    Leveraging Medication Reconciliation to Improve Star Ratings Performance and Reduce Preventable Readmissions

    • Learn about the OutcomesMTM MedRec solution which has been implemented in a variety of different workflows for a subset of the company's clients
    • Explore program highlights, success stories, outcomes and lessons learned with Medication Reconciliation services
    • Hear about the enhancements ahead for this innovative solution

    Brookann BarkleySenior Sales Associate,OutcomesMTM

    Lauren AshworthSenior Sales Associate,OutcomesMTM


    Conclusion of Conference