How to Thrive in a New Health Care Ecosystem: Recommendations for Hemophilia Providers to Address Payer Challenges

Live CME/CNE/NASW Webcasts for HTC Physicians, Nurses, and Social Workers
Jointly provided by:
National Hemophilia Foundation     Impact Education, LLC     Postgraduate Institute for Medicine
This activity is supported by independent educational grants from Alnylam Pharmaceuticals, Biogen, Novo Nordisk, Inc., and Shire.

LIVE WEBCAST DATES

Track 1: Best Practices in Provider Communication Across Various Stakeholders to Improve Patient Outcomes
Wednesday, October 12, 2016 1:00pm - 2:30pm ET

Track 2: Navigating Payer Challenges in a New Health Care Ecosystem to Optimize Care
Tuesday, November 29, 2016 12:00pm - 1:30pm ET


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CLINICAL PRIMER
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DISTINGUISHED FACULTY MEMBERS
Steven W. Pipe, MD
Director, Division of Pediatric
Hematology and Oncology
Pediatric Medical Director, Hemophilia and Coagulation Disorders Program
University of Michigan
Jeffrey Dunn, PharmD, MBA
Senior Vice President
Chief Clinical Officer
VRx Pharmacy Services, LLC
John Fox, MD, MHA
Senior Medical Director
Associate Vice President
Medical Affairs
Priority Health
James Jorgenson, MS, RPh, FASHP
Chief Executive Officer
Board Chair
Visante, Inc.
John Knispel MD, CPE, FACOG
Regional Medical Director
Florida Commercial Markets
Health Guidance Organization
Humana Inc.
James Kenney, Jr., RPh, MBA
Manager, Specialty and Pharmacy Contracts
Harvard Pilgrim Health Care
Celynda G. Tadlock, PharmD, MBA
Vice President, Pharmacy Business Development
Aetna
Vanita K. Pindolia, PharmD, BCPS
Vice President, Ambulatory Clinical Pharmacy Programs_PCM
Henry Ford Health System/Health Alliance Plan of Michigan
TARGET AUDIENCE

The program is designed specifically for HTC clinicians (physicians, registered nurses, and social workers).


EDUCATIONAL OBJECTIVES

Upon completing this activity, the participant should be better able to:
  • Describe strategies used by managed care organizations (MCOs) and specialty pharmacy providers to facilitate care and administer benefits for members with hemophilia
  • Employ techniques for hemophilia providers to improve communications with health plans, insurers, and specialty pharmacy providers
  • Recommend payer processes for streamlining pre-certification and prior authorization
  • Apply methods to enable optimal cost management of factor replacement therapy to be realized by multiple hemophilia stakeholders including Medicaid Plans, specialty pharmacy providers, and other MCOs
AGENDAS
Track 1: Best Practices in Provider Communication Across Various Stakeholders to Improve Patient Outcomes

Opening Comments/Overview
Steven W. Pipe, MD
A Hemophilia Provider's Perspective
- Payer Challenges and Issues Confronting the Optimal Management of Patients

Steven W. Pipe, MD
Workshop 1 - Provider Communication Strategies to Enhance Coordination of Care
John Knispel, MD, CPE, FACOG
Vanita Pindolia, PharmD, BCPS
Workshop 2 - How to Achieve Alignment and Consensus of Specialty Pharmacy Services
Celynda Tadlock, PharmD, MBA
James Kenney, Jr., RPh, MBA
Faculty Panel Discussion and Audience Q&A Session
Best Practice Tips from Workshops
Track 2: Navigating Payer Challenges in a New Health Care Ecosystem to Optimize Care

Opening Comments/Overview
Steven W. Pipe, MD
A Hemophilia Provider's Perspective
- Payer Challenges and Issues Confronting the Optimal Management of Patients

Steven W. Pipe, MD
Workshop 1 - Formulary Management Processes Including Prior Authorization Methods
John Fox, MD, MHA
Jeffrey Dunn, PharmD, MBA
Workshop 2 - Navigating the New Paradigm of Health Insurance Marketplaces - Including Medicaid Managed Care
John Knispel, MD, CPE, FACOG
James Jorgenson, RPh, MS, FASHP
Faculty Panel Discussion and Audience Q&A Session
Best Practice Tips from Workshops
ACCREDITATION INFORMATION
Physician Continuing Medical Education
Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine, the National Hemophilia Foundation, and Impact Education, LLC. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation (per track)
Postgraduate Institute for Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Track 1: Best Practices in Provider Communication Across Various Stakeholders to Improve Patient Outcomes - 1.5 AMA PRA Category 1 CreditsTM
  • Track 2: Navigating Payer Challenges in a New Health Care Ecosystem to Optimize Care - 1.5 AMA PRA Category 1 CreditsTM

Nursing Continuing Education
Credit Designation (per track)
This educational activity for 1.5 contact hours is provided by Postgraduate Institute for Medicine.
  • Track 1: Best Practices in Provider Communication Across Various Stakeholders to Improve Patient Outcomes - 1.5 contact hours
  • Track 2: Navigating Payer Challenges in a New Health Care Ecosystem to Optimize Care - 1.5 contact hours

Accreditation Statement
Postgraduate Institute for Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

A statement of credit will be issued only upon receipt of a completed activity evaluation form and will be emailed to you.

Social Worker Continuing Education (per track)
This program is Approved by the National Association of Social Workers (Approval # 886733890-0) for 1.5 Social Work continuing education contact hours.
  • Track 1: Best Practices in Provider Communication Across Various Stakeholders to Improve Patient Outcomes - 1.5 contact hours
  • Track 2: Navigating Payer Challenges in a New Health Care Ecosystem to Optimize Care - 1.5 contact hours

Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. The existence or absence of COI for everyone in a position to control content will be disclosed to participants prior to the start of each activity.

Hardware/Software Requirements
Compatible with Internet Explorer 6 and up, Mozilla Firefox 3 and up, Safari 4.0, and Google Chrome 10 and up.

Fee Information
No additional fee for this educational activity.

If you have any questions, please call (215) 619-8812 or email info@impactedu.net.