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Pharmacy Benefit Plans: Strategies to Control Costs

With prescription drug trends back in the double digits, and pharmacy benefits approaching upwards of 20%+ of total health care costs, what is an employer to do to manage costs and deliver the high quality pharmaceutical benefits demanded by today's employees?

This OnDemand Webinar will provide not only an overview of the pharmacy benefit industry as it exists today, but provide information on how we got to where we are; some of the mistakes that were made; and how to avoid making those same mistakes again moving forward. The knowledge and information provided during this OnDemand Webinar will arm you with both conceptual information and details on how best to work with your vendors to manage costs, deliver appropriate medication therapies, and help to manage your covered population to be responsible in their "Health Behaviors". Delivering comprehensive health care benefits to our employers does not have to be crippling to the payer and our bottom line, if we align the interests of all parties. The information provided will help employers minimize excessive profits being earned by some of the vendors: at the expense of our own bottom lines and to utilize those resources to provide benefits to our employees.


Runtime: 87 minutes
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Why Lorman?

Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Industry Today

  • Pharmaceutical Industry Historic Perspective
  • Pharmacy Benefits From 1960 Until Today
  • How PBM's Became Indispensable

How We Got to Where We Are

  • Drug Costs Over Time
  • Flat Cost Sharing vs. Co-Insurance Programs
  • Distribution Channels and How to Manage Them
  • Legal Influences
    • Patent Law, OBRA Impact, NDA's and BLA's

What Is Changing and How to Take Advantage of It

  • Government Influences
  • Generics, Wellness and Personal Responsibility - Behavioral Economics
  • Rx to OTC Conversions and the Economics of the Business
  • Mail, Retail and Specialty - What Makes Sense and When?

What to Expect Moving Forward

  • The Pharmacy Benefit Landscape Over the Next 3 to 5 Years
  • What to Think About When Designing Benefit Programs for Your Employees
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Why Lorman?

Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This course was last revised on June 8, 2011.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Michael S. Jacobs, , R.Ph.

Buck Consultants, Inc

  • Principal and national practice leader for Buck Consultants, Inc.
  • More than 30 years of experience in the distribution, delivery, management, technology and consulting aspects of the pharmaceutical and benefits industries
  • Currently leads Buck’s National Clinical Practice, which includes the National Pharmacy Practice, the Health Management Practice, Disease Management Practice, the Wellness Practice and the Behavioral Health Practice
  • Works with clients and the pharmaceutical industry to obtain optimal outcomes on the design, pricing, funding, impact, evaluation, administration and implementation of integrated pharmacy benefit programs
  • Works with health systems to integrate patient discharge with retail pharmacies and home health activities with benefits and providers
  • Specific expertise in Medicare Part D programs, including Retiree Drug Subsidy compliance, developing Prescription Drug Plan programs for governmental and employer clients, and is also knowledgeable in clinical coverage criteria for Medicare B and Medicare D programs
  • Member of the Academy of Managed Care Pharmacy, the National Council for Prescription Drug Programs, the Center for Value Health Innovation, the Public Sector-Private Solutions, the Workplace Council on Insomnia, the Employer’s Advisory Network on Arthritis and the National Steering Committee on Rare Genetic Diseases
  • B.A. degree in pharmacy, Wayne State University
  • Can be contacted at [email protected]
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Why Lorman?

Over 32 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Pay once and get a full year of unlimited training in any format, any time!

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Product ID: 387454
Published 2011
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