Tuesday, May 7, 2013

See What’s New at the 2013 MDRP Summit


The MDRP Summit is the authoritative event for everything MDRP pricing, regulation and compliance. With more industry, state and federal government professionals in attendance, this is where the industry goes for face-to-face discussion and guidance. The largest and most respected government reimbursement program event recognizes the changing needs of the industry, which is why we continue to bring you not only the content you’ve come to expect year after year, but content on those new challenges that have come to the fore since meeting in Chicago last September.

FOUR PRE-CONFERENCE SYMPOSIA 
• NEW! The AMP Final Rule – What it Says, What it Means and How to Implement it
• NEW! Managed Care and Government Pricing – How Will MMCOs, ACOs and Exchanges Affect the Status Quo?
• NEW! 340B Summit for Manufacturers
• Back By Popular Demand! Medicaid Drug Rebate Program Fundamentals

FOUR UNIQUE TRACKS
• Overcome Challenges to Medicaid Drug Rebating Methodology to avoid costly calculation mistakes that affect company financials
• Financial Implications to Government Pricing Programs to establish connections between the departments affected by government pricing programs
• Understand and Comply with State Processes, Operations and Requirements to sustain positive relationships with the states and avoid disputes
• Contract Management, Business Analytics and Systems Implementation updates to ensure you have the latest methods that will lead to the most accurate calculations and rebates

NEW FOR 2013

We’re excited to introduce the all-new 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• Benchmark the necessary steps to avoid penalties for out-of-date CSP submissions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

Want to learn more? Download our brochure.

As a member of the Medicaid Drug Rebate Program LinkedIn Group, 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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Monday, May 6, 2013

Complimentary Podcast: Medicaid Expansion and more


With Medicaid expansion and Health Insurance Exchanges on the horizon, inclusion on Medicaid formularies is especially crucial to commercial success. You are invited to download this free podcast featuring Cindy Pigg, Senior Vice President of Pharmacy at Magellan Medicaid Administration and hear what she thinks are the biggest opportunities for manufacturers and PBMs as a result of healthcare reform.

The following are just some of the topics Cindy will cover:

· How Medicaid expansion will impact patient care and what pharmaceutical companies can do to prepare

· How she anticipates Medicaid will be affected by growing costs for specialty medications

· How pharmacists can help states and MCOs overcome challenges created as a result of healthcare reform


Ms. Pigg is a speaker at the 21st Annual Medicaid Managed Care Congress, taking place on May 20 – 22 in Baltimore. Other speakers include CMS representatives, state Medicaid Directors and health plan executives.

To learn more, download our full brochure.

As a member of the healthcare insights, you can use priority code XP1826BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

Cheers,
The Medicaid Managed Care Congress

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Friday, May 3, 2013

Session Spotlight: Opting In for Medicaid Expansion

Based on the outcome of the SCOTUS ruling, states have the option to expand Medicaid coverage up to 133% FPL. Want to learn how Illinois determined to expand Medicaid (beyond the politics!) and how health plans are gearing up to participate? Learn more in just a few weeks at the 21st Annual Medicaid Managed Care Congress.


Session: Opting In for Medicaid Expansion (Case Study) 

Speaker: Michael Koetting, Deputy-Director for Planning & Reform Implementation, Department of Healthcare & Family Services

From a health plan perspective, there’s a lot of work that goes into preparing for expansions – everything from network development, to sales and marketing, to adding more executives to handle the administrative side of things. In this session, you’ll here Michael Koetting, Deputy-Director for Planning & Reform Implementation in Illinois as he shares why they decided to expand Medicaid, and what health plans in the state are doing to prepare for increased membership.

Want to learn more? Download our brochure.

The 21st Annual Medicaid Managed Care Congress takes place May 20-22 in Baltimore, MD. As a reader of this blog you'll receive 15% off the standard rate when using code XP1826BLOG to register. We look forward to seeing you in a few weeks!




Session Spotlight: Gross-to-Net Nirvana: Closing the Gap between Excel and ERP


Many pharmaceutical manufacturers have learned the hard way that ERP systems cannot handle the complexity and data processing requirements necessary for challenging contract incentive payments. So what is the solution? 

Session: Gross-to-Net Nirvana: Closing the Gap between Excel and ERP

Speakers: Jon Brier, Product Line Manager, Life Sciences, REVITAS
Pete Leddy, Product Line Manager, Analytics, REVITAS  

Pharmaceutical manufacturers often wonder if they have an alternative to Excel, which can be prone to data corruption, lacks the audit trail necessary to prove compliance, and is difficult to maintain over time. This session examines alternative analytics for your ERP system, the complexities of rate calculations, and the role of historical data and contract terms for accurate accruing.  

Want to learn more? Download the brochure. 

The Gross-to-Net Accounting Forum takes place June 17-18 in Boston, MA. As a reader of this blog you'll receive 15% off the standard rate by using code XP1811BLOG when you register. We look forward to seeing you this June!




New Healthcare Delivery Systems & Programs To Reduce Costs in Cancer Care


KEYNOTE: Adopting a New Cancer Care Payment Model — United Healthcare’s “Bundled” Payment Pilot Program to Deal with Cancer Drug Costs and Reward Physicians for Health Outcomes: In 2010, UnitedHealthcare launched its own episode payment pilot program with five medical oncology groups around the country focused on determining best treatment practices and improving outcomes. Hear from Lee Newcomer, SVP, Oncology, Genetics and Women’s Health, UnitedHealthcare the rolling results of the program, lessons learned as well as feedback from physicians.

Models of Collaboration between Payers and Providers: The Implementation of Cancer Clinical Care Pathways: Panelists from National Comprehensive Cancer Network/NCCN, Cardinal Health Specialty Solutions and Aetna will evaluate the potential role of pathways in cancer care, and examine whether the implementation of clinical care pathways in cancer have proven to truly reduce resource utilization and improve the quality of healthcare.

PILOT PROGRAM SPOTLIGHT: CMS-Sponsored Pioneer ACO: In Michigan, Priority Health signed medical home contracts with several leading oncology practices who are required to comply with standardized treatment regimens of their own choosing. At the end of the year, oncology practices that have reduced Priority Health’s hospital and ED costs will receive “shared savings,” meaning that the insurer will share part of the savings with the practice. Hear from Barbara Walters, MD, Executive Medical Director, Dartmouth – Hitchcock on the results from the shared-savings between payer and provider and how Priority Health changed the way care and services are delivered.

Delivery and Payment Reform in New Value Based ACO Models: Get an industry update from Centura Health and Dartmouth – Hitchcock on the ongoing change in the ACO contracting arena, and discusses the ACO journey for new payment and delivery models that will focus on value. Assess how this will impact the future of cancer care.

To learn more, download our brochure.

As a reader of the healthcare insights blog, you can use priority code XP1814BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

We look forward to seeing you in June!

Best,
Oncology Management Team

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Thursday, May 2, 2013

Gross-to-Net Forum — Full Speed Ahead


The Gross-to-Net Accounting Forum is less than 2 months away, and I couldn’t be more excited about the enthusiasm and excitement surrounding the event. Demand for this event is extremely high indicating how timely and imperative GTN content is and how crucial it is to your business.

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

To find out more about the 2013 program, download the agenda.

As a reader of the healthcare insights blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. 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 this June!

Best,
The Pharmaceutical Accounting, Financial, & Reporting Team

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P.S. Our webinar is next week, don’t forget to register!




Wednesday, May 1, 2013

MDRP Agenda Now Available


There’s no doubt that what we do as government pricing professionals is a tall order with constant change at the State level, pressure to comply with federal guidelines and internal controls, let alone looming Medicaid expansion as PPACA rolls out in 2014.

Yes, we sure are busy. So where are you going to get the latest on regulatory changes, hear what pharma is –and should be– doing to overcome these challenges, and have the opportunity to sit face-to-face with the States at Dispute Resolution Meetings? This is where we gladly step in.

At the 18th annual Summit on the Medicaid Drug Rebate Program including other Reimbursement programs like 340B, Part D, VA, and TRICARE, on September 9-11, 2013 in Chicago, IL. This is THE authoritative MDRP event for everything government pricing, regulations, and rebates. It's the largest event in the space with the most speakers and government representation from the OIG, DoJ, OPA, and VA as well as 500+ MDRP executives ensuring you have the most comprehensive educational experience over three days.

Year after year, MDRP Chicago is where the industry convenes to identify solutions and create an implementation roadmap. You’ll walk away informed and prepped with action items for you and your teams with sessions including these 5 essential government-led keynotes:

• Opening Keynote Healthcare Policy into 2014 by Michael Steele, Former Chairman of the Republican National Committee and Policy Analyst, MSNBC

• Annual Update on 340B Program from PHS

• Current Updates on the Veterans Healthcare Act and the Federal Supply Schedule from OIG and VA

• OIG Work Updates

• State Spotlights: How States Are Currently Processing Rebates

And much more! To view our full program, download the brochure.

As a reader of the health 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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