Industry experts predict that specialty pharmaceuticals could account for up to 47% of a health plan’s total drug spend by 2020.

The specialty drug marketplace is expected to grow exponentially over the next several years both in utilization and in spend. Such rapid expansion presents a host of new challenges-- and opportunities-- for payer organizations and PBMs. This conference explores key advances in specialty pharmacy for optimizing cost management, medication adherence, patient engagement, benefit design, site of care channels, technology and developing new collaborations with industry stakeholders.

Case Studies & Value Deliverables

Our comprehensive conference agenda provides learning opportunities through carefully curated case studies, panels, and small group roundtable sessions.

Hear in-depth solutions and case studies from your peers—health plan and PBM professionals.

  • Accredo Health Group/Express Scripts Company explores opportunities to decrease specialty spend through innovative approaches in leveraging co-pay assistance programs, formulary, and utilization management.
  • Alignment Health Plan showcases specific solutions and proven intervention examples for improving medication adherence
  • Cleveland Clinic Health Plan will share their innovative benefit design strategy that includes incentivized medication compliance, integrated population health management, rare disease management and copay care initiatives.
  • Premera Blue Cross explores personalization models and steps to building successful member relationships for generating engagement.
  • BlueCross BlueShield of North Carolina offers guidance on integrating pharmacy & medical benefits for improved tracking of specialty usage.
  • Independent Health examines the impact of limited dispensing programs, as well as, their organization’s deep dive patient education plan.

The Interactive Panels, Small Group Roundtables, and Receptions provide attendees ample opportunity to network with peers and experts as you share strategies to tackle the key challenges facing specialty pharmacy, such as:

  • How will specialty pharmacy be affected by the new administration?
  • Weighing the value of specialty pharmaceuticals against rising costs
  • Understanding why some specialty pharmaceutical segments are experiencing managed reductions in cost and utilization
  • Leveraging technology advances for specialty medication education and adherence
  • Risk sharing, outcomes-based contracts & other collaboration trends
  • Impact of 3040B
  • Leveraging data analytics for specialty pharmacy
Speaking Faculty
National Association of Specialty Pharmacy

Sheila Arquette

Executive Director
Prime Therapeutics

Kevin Bowen, M.D., M.B.A.

Principal Health Outcomes Researcher,
Duke University

Gregory Daniel, PhD, MPH

Deputy Director
Alignment Health Plan

Ali Farrokhroo, Pharm.D, MBA

Vice President, Pharmacy Services
PricewaterhouseCoopers LLP

John Grossomanides, PharmD, RPh

Manager, National Pharmacy Practice
Highmark Inc.

Leah King, PharmD, JD

Manager of Pharmacy Strategy
University of Arizona Cancer Center

Ali McBride, PharmD, MS, BCPS,

Clinical Coordinator of Hematology & Oncology,
Blue Cross Blue Shield of Rhode Island

Donna Paine, PharmD, MBA

Clinical Pharmacy Specialist
Accredo Health Group – An Express Scripts Company

Meghan Pasicznyk, PharmD, MBA

Director of Specialty Market Development
Cleveland Clinic Employee Health Plan

Bruce Rogen, MD MPH FACP

Chief Medical Officer
Blue Cross Blue Shield of Michigan

Elizabeth Saltzman, PharmD

Manager, Specialty Pharmacy Utilization Management
Cleveland Clinic Employee Health Plan

Jeffrey Schmitt, RPh, BS, PharmD

Director, Pharmacy
Blue Cross Blue Shield North Carolina

Neil Shah

Clinical Pharmacist-Specialty Pharmacy
Pharmacy Services

Melissa Skelton Duke, PharmD, MS, BCPS,

Senior Director, Specialty and Home Delivery,
Premera Blue Cross

Neal S. Sofian

Director of Member Engagement
Humana

Nick Walter

Director of Digital Business & Marketing Strategy
Supporting Organizations
  • Strategies for Combatting Rising Costs of Specialty Pharmaceuticals
WHO SHOULD ATTEND:

This event is designed for professionals specializing in:

  • Specialty Pharmacy Programs & Administration
  • Specialty Drug Management
  • Pharmacy Management
  • Pharmacy Care management
  • Pharmacy Network Administration
  • Pharmacy Benefit Management
  • Medication Therapy Management
  • Oncology
  • Clinical Pharmacy Services
  • Formulary Management
  • Disease Management
  • Utilization Management
  • Member Engagement
  • Benefit Design

Types of Organizations:

  • Health Plans
  • Provider Sponsored Health Plans
  • PBMs
  • ACOs
  • Integrated Health Networks
  • Federal & State Programs
  • Specialty drug & technology solutions providers
  • Pharmaceutical manufacturers
  • Retail Pharmacies