Session Spotlight: Managed Care, Exchanges and Best Price

As 2014 looms, insurers prepare to begin enrolling beneficiaries into Health Insurance Exchanges in the fall. However, recent news reports have indicated that this timeline might not happen. Manufacturers are looking at these new insurance portals and trying to determine the impact to government pricing, as many private insurers are asking for best price status. How are the Health Insurance Exchanges being implemented?  

Session: Managed Care, Exchanges, and Best Price

Speaker: Amy Van de Car, Senior Director, US Commercial Compliance & Government Programs, Compliance Implementation Services

Join Amy VandeCar of CIS at the 18th Annual Medicaid Drug Rebate Program as she discusses the ins and out of exchanges, their impact on Managed Medicaid and how manufacturers can get a broader picture of the lives covered in each state to help with their business. Want to learn more? Download our brochure.

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG to register. We'll see in you September 9-11, in Chicago, IL!

A Message from the IIR MDRP Summit 2013 Chairman

Doesn’t it feel like PPACA was passed a long time ago? In the three years since, we’ve gone through a lot in the Government Pricing and Reimbursement arena, and now we’re looking at 2014 and wondering what is to come.

We’re still thinking about Medicaid expansion and how many states will ultimately expand, thereby adding more weight to the Medicaid Drug Rebate Program. We’re also still waiting for CMS’ Final AMP Rule which will fundamentally change how we do our calculations.

The MDRP Chicago Summit has anticipated what manufacturers are dealing with on a day-to-day basis and provides essential content you won’t find anywhere else. It is THE place where industry, state and federal government professionals come to share information, get updated on regulatory issues, and have a good time doing it.

· The only event with four manufacturer-led case studies to update your operations processes

· Five pre-conference symposium including the all-new Commercial Impacts on Government Pricing and MDRP Fundamentals

· The Annual Update on 340B Program Regulations, Processes and Enforcement Answers from PHS presented by Cmdr. Krista Pedley, Director, HRSA, OPA

· The only event facilitating Dispute Resolution Meetings with at least 9 participating States

· The all-new Pharmaceutical VA Contracting and Compliance Summit where you will meet 8+ VA officials

Want to learn more? Download our brochure.

As a reader of this blog, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage:

Sincerely,

Edward J. McAdam, Sr.
Senior Director, Payer Marketing and Contract Strategy
Daiichi Sankyo, Inc.

Medicaid Drug Rebate Program Summit Webpage
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Hurry! There is still time left to register for the Gross-to-Net Accounting Forum taking place next week, June 17-18.

Are you ready? We’ve got a packed agenda including in-depth coverage on Chargebacks and the Impacts of Healthcare Reform on Medicaid Liability to ensure you leave with the complete GTN perspective. You will hear directly from experts at big and small pharma, and branded and generic companies on key areas such as:

• Accruals
• Wholesaler Returns
• New Product Launches
• Managed Care
• Chargebacks
• Medicaid Liability

Register today using code XP1811BLOG and receive 15% off the standard rate!

Want to learn more? Download our brochure. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you next week!

Best,
The Pharmaceutical Accounting, Financial, & Reporting Team

Visit our homepage: http://bit.ly/10fsWay
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Meet States at Exclusive Dispute Resolution Meetings

Working in the Medicaid Drug Rebate space is complicated. It’s not just a contract between you and CMS. You have to deal with fifty states, DC and perhaps soon, the territories. No matter the size of your organization, those are a lot of stakeholders to keep track of. And with Medicaid expansion, some of those relationships will change in the next year.

At the 18th Annual Medicaid Drug Rebate Program we know that a little information can go a long way, which is why we have our custom track, “Understand and Comply with State Processes, Operations and Requirements,” so that you can hear from the States themselves about how they deal with challenges including:

· Ensuring data accuracy through the scrubbing of validation data in the session, “Rub a Dub Dub, Time to Scrub….that Data”

· The potential need to develop and adopt an industry standard for claim level detail to improve MDR processing areas in the session, “How States are Currently Processing Rebates and Intend to Move Forward into 2014”

· Performing validation tests on Medicaid invoicing to identify questionable terms and avoid disputes in, “Develop Best Practices for Dispute Resolution”

EXCLUSIVE! Meet with State Representatives for Dispute Resolutions!

Balancing your books and ensuring your accounts are up to date is extremely important. We also know how difficult it can be to get the opportunity for face to face time with the states that you are in disagreement with. That is why, for the last 11 years, MDRP has been the ONLY EVENT to facilitate Dispute Resolution Meetings — so that pharmaceutical manufacturers and states can get up close and personal, and put an end to those disputes potentially worth millions of dollars.

· Oregon

· New Jersey

· Florida

· Montana

· Colorado

· Illinois

· Kansas

· Connecticut

· Oklahoma

Want to learn more? Download our brochure.

As a reader of the healthcare insights blog, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Cheers,

The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
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See What’s New at MDRP 2013!

With 60+ speakers, 500+ MDRP executives, 20+ solution providers, and 10+ networking hours, IIR's MDRP continues to be the place where the industry convenes to identify solutions and create an implementation roadmap. Join us on September 9-11, at the Chicago Marriott Downtown Magnificent Mile in Chicago, IL to learn and network with your peers, and return to the office better equipped to manage your government pricing changes.

New for 2013! Introducing the Pharmaceutical VA Contracting and Compliance Summit where you will learn strategies to:  
- Benchmark the necessary steps to avoid penalties for out-of-date CSP submissions
- Minimize delays in contract negotiations and review by building stronger relationships with your assigned VA officer
- Keep your winning disclosure and documentation methods and team intact even in the face of corporate restructuring, mergers and acquisitions

Direct access to State Rebating Representatives
- Sign up for your only opportunity all year for exclusive State Dispute Resolution Meetings and leave Chicago with money back for your company
- Hear from Illinois, Colorado, Montana and more at the full track to Understand and Comply with State Processes, Operations and Requirements

Focused Content for Specific GP Functions
- Finance: Learn how the government pricing and contracting functions have an important overall impact on the company in the track, Financial Implications to Government Pricing Programs.
- C-Level: Join the Senior Leadership Roundtable for Directors and up where you'll brainstorm operational strategies that will elevate your GP group's efficiencies and success.
- Contract and System Operations: Uncover new methods that will lead to the most accurate calculations and rebates in the track, Contract Management, Business Analytics and Systems Implementation.

Want to learn more? Download our brochure.

As a reader of the healthcare insights blog, you'll receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Cheers,

The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
Follow Us on Twitter

TOP TEN REASONS TO ATTEND IIR'S GROSS-TO-NET ACCOUNTING FORUM

10. Take part in the excitement. The buzz for this event has been building each week, with positive feedback from our growing attendee list.

9. Ensure your revenue deductions are accurate. Novartis will show how one of the largest pharmaceutical manufacturers have streamlined and perfected its process.

8. Efficiently manage your commercial and government contracts. Two case studies will touch upon this very delicate balancing act: “Account for the Government Pricing and Contracting Impact on Gross-to-Net Calculations” and “Commercial Contracts and GTN for Managed Care.”

7. Facilitate inter-departmental collaboration. Communication is key, and this event ensures interactivity among all the attendees to bring together the different departments that are key to success.

6. Forecast for new product launches. Hear a case study on Incyte’s successful product launch from its Senior Director of Finance.

5. Be prepared for the unknown. Be able to identify and anticipate Managed Care rebates that will change moving into 2014.

4. Gross-to-Net Nirvana. Unravel the complexities of rate calculations and the role of historical data and contract terms for accurate accruing in the session "Closing the Gap between Excel and ERP."

3. Earn CPE Credits! Get up to 15 CPE credits over two days!

2. Get the full 360⁰ GTN perspective. Hear experts from big and small pharma on key areas such as: accruals, wholesaler returns, new product launches, managed care, chargebacks, and Medicaid liability.

1. Because your bottom line depends on attending. More and more of your peers are registering each week…why aren’t you?

It's not too late to register! As a reader of the healthcare insights blog, you'll receive 15% off the standard rate when using code XP1811BLOG. 

Want to learn more? Download our brochure. We look forward to seeing you June 17-18 in Chicago!