Real-Time Benefit Verification and Electronic Prior Authorization

Transcription

1 January 22-23, 2018 The Rittenhouse Hotel Philadelphia, PA Real-Time Benefit Verification and Electronic Prior Authorization FORUM Explore the Latest Advancements of Real-Time Benefit Verification and Enhance Electronic Prior Authorization to Improve Patient Access CONFERENCE CHAIR FEATURED SESSIONS Review Electronic Prescription for Controlled Substance and its role in increasing e-prescribing Master procedures and processes for electronic prior authorization Discuss epa within specialty pharmacies Explore the future of real-time benefit verification technology Hear from industry experts who have successful ensure real-time benefit verification in their organizations Melissa Paige, Pharmacy Patient Medication Assistance Principal Coordinator, UVA HEALTH SYSTEMS FEATURED SPEAKERS Keith Boyle, RN, Director of Patient Experience, HENRY MAYO NEWHALL HOSPITAL Michelle V. Davidson, Manager Pharmacy Technical Standards, WALGREENS Specialty Pharmacy epa (Electronic Prior Authorization) Chris Boneham, Executive Director Managed Markets, ARALEZ PHARMACEUTICALS Prescribers Real-Time Benefit Patients Mary Stevens, Director, Network Contracts, Compliance, Audit, Provider Relations, BLUE CROSS BLUE SHIELD OF MINNESOTA PBM Health Plans Bill Goodson, Director, Market Access and Reimbursement Services, EISAI

2 Dear Colleague, With the development of real-time benefit verification at the point of care, there have been significant improvements in the past few years for the e-prescribing of drugs. Industry professionals are discovering better standards and procedures to improve patient access and therapy to get patients the right treatment they need. Prior authorization can help ensure the safety of prescription drugs and medical procedures, and have improved clinical workflow. Real-time benefit verification can ensure that accurate information is relayed from the provider to the pharmacist and successfully into the patient s hands. At the Real-Time Benefit Verification and Electronic Prior Authorization Forum, you will hear from all stakeholders, including specialty pharmacies, health plan providers, prescribers and manufacturers sharing best practices and reviewing the latest standards of electronic prior authorization, and some of the enhancements that are coming up in the industry. I invite you to attend this conference on January in Philadelphia to learn the implementation and innovation of real-time benefit verification and how to better enhance electronic prior authorization to improve patient access. Don t miss out on hearing from industry professionals discussing prior authorization, electronic prescribing, electronic health and medical records, and the impact on the healthcare industry. I look forward to welcoming you to Philadelphia this January! Sincerely, Kelly Osmulski Kelly Osmulski Conference Production Director WHO SHOULD ATTEND This conference is designed for representatives from pharmaceutical, healthcare, health systems, insurance and biotechnology companies with responsibilities in the following areas: Reimbursement Patient Access Patient Services/Support Health Plans Managed Markets Market Access Brand Management Payer Strategy IT/Application Technology Marketing Patient Advocacy Managed Healthcare Services Commercial Services Sales Distribution This conference is also of interest to: PBMs, Pharmacies/Specialty Pharmacies/Retail Pharmacies/ Distributors, Facilities/Clinics/ Hospitals, and EHR Vendors VENUE Rittenhouse Hotel 210 W Rittenhouse Square Philadelphia, PA To make reservations, please call and request the negotiated rate for ExL s Real-Time Benefit Verification Forum January Meeting. You may also make reservations online at The group rate is available until January 5, Please book your room early, as rooms available at this rate are limited. *ExL Events is not affiliated with Exhibition Housing Management (EHM)/Exhibitors Housing Services (EHS) or any third-party booking agencies, housing bureaus or travel companies. ExL Events is affiliated with event company Questex, LLC. In the event that an outside party contacts you for any type of hotel or travel arrangements, please disregard these solicitations and kindly us at info@exlevents.com. ExL has not authorized these companies to contact you and we do not verify the legitimacy of the services or rates offered. Please book your guest rooms through ExL s reserved guest room block using the details provided. SPONSORSHIP AND EXHIBITION OPPORTUNITIES Do you want to spread the word about your organization s solutions and services to potential clients attending this event? Take advantage of the opportunity to exhibit, underwrite an educational session, host a networking event or distribute promotional items to attendees. ExL Events will work closely with you to customize a package that will suit all of your needs.

3 Monday, January 22, 2018 Day One 8:00 Registration and Continental Breakfast 8:45 Chairperson s Opening Remarks 9:00 Electronic Prescription for Controlled Substance and the Needs to Mandate Its Role for e-prescribing Review the enhancement of the current electronic prior authorization standards Discuss workflow efficiencies, improved patient safety in reaching benefits of electronic prescribing controlled substances Highlight key benefits of e-prescribing controlled substances and how to improve healthcare quality Michelle V. Davidson, Manager Pharmacy Technical Standards, WALGREENS 9:45 Integrating Real-Time Data for Prior Authorization Methods and trends in electronic health record (EHR) integration Getting real-time data via application programming interfaces Using EHR data to determine prior authorization John Poikonen, Adjunct Professor, MCPHS UNIVERSITY 10:15 Networking Break 10:45 Panel: Streamline the epa Process to Facilitate Faster Patient Access Improve the internal communications in your organization Establish how to work effectively with the patient assistance team Implement how to successfully streamline workflow with nurses, pharmacies, and health plans Learn how to navigate roadblocks related to medical and pharmacy benefits PANEL 11:45 Explore epa Within Specialty Pharmacy to Achieve Better Analytics and Business Performance Understand the useless clutter and getting down to good design principles that operationalize key analytics models Review electronic health records of prescription management and pharmacy management systems Generate an EHR-integrated network solution connecting specialty pharmacies, providers, and payers to more efficiently coordinated treatments with specialty therapies Incorporate how to improve medication adherence and develop key performance indicators Explain real-time pharmacy benefit verification and response with data elements Mike Baldzicki, National Account Executive, Health Plan and PBM, Corporate and Government Clients, BAYER 12:30 Luncheon 1:30 Changes in Healthcare: Electronic Health Record System in Specialty Pharmacies Clarify new systems that will be integrated to improve clinical processes for specialty pharmacies Hear specialty pharmacy experiences that have helped improve care and outcomes of patients Establish accessing a patient s medical records in realtime to ensure they are treated properly Understand how implementing EHR will help treat patients with serious conditions Keith Boyle, RN, Director of Patient Experience, HENRY MAYO NEWHALL HOSPITAL 2:15 Case Study: Payer Perspective on Prior Authorization Category Forms Address prior authorization and the multitude of changes that have occurred and continue to occur across the industry Discuss the extreme complexity of the services and or drugs that require PA Find how to get accurate formulary information to the patient Study how some PA processes are now electronic, but not all are due to the extreme complexity of the services and/or drugs that require PA Review the overall process of epa and how to reduce healthcare costs Mary Stevens, Director, Network Contracts, Compliance, Audit, Provider Relations, BLUE CROSS BLUE SHIELD OF MINNESOTA PANEL CASE STUDY 3:15 Networking Break 3:45 Panel: Keys to Success for Real-Time Benefit Verification From the Manufacturer to Vendor Explore what the HUB is responsible for and if it will be mandatory or not Understand when you should start thinking about your SP network and how many SPs are in the network Review services that can be electronic vs. personal Chris Boneham, Executive Director Managed Markets, ARALEZ PHARMACEUTICALS Bill Goodson, Director, Market Access and Reimbursement Services, EISAI Mark Stephan, Senior National Managed Markets Director, ALKERMES 4:45 Day One Concludes

4 Tuesday, January 23, 2018 Day Two 8:00 Continental Breakfast 9:15 Chairperson s Recap of Day One 9:30 Discuss the Future of Real-Time Benefit Verification Technology Highlight real-time benefit verification service providers integrating with electronic medical systems and how to get accurate information secured Analyze and explore different perspectives on what makes it beneficial and easier for the patient and how you can deliver this real-time benefit verification Outline recent updates of the industry and where we will be in five years Capitalize on how technology has improved patient access and hear several examples Clarify different technology platforms and how to improve medication access John Klimek R.Ph., SVP Standards and IT, NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS, INC. 10:15 Panel: Payer Similarities and Differences of Pharmaceuticals Prior Authorization and Medical Prior Authorization Focus on the current state of emerging markets Define the differences between medical and pharmacy benefits Walk through the systems that are evolving verification for drugs covered under the medical benefit Engage on the challenges of prior authorization for the medical benefit and recent findings Explore the impact on internal partnerships with your business process Moderator Pamela JoDock, Senior Director of Health Business Solutions, HIMSS PANEL 11:30 Highlight the Challenges and Roles of e-prescribing Address e-prescribing flow and process from all key stakeholders Study the future of real-time benefit verification and building these standards into the epa workflow Ensure the flow of prescription data from the prescriber to the pharmacy Understand the benefits of e-prescribing and improvements in healthcare quality and efficiency Kathi Dubin, Reimbursement Manager, FLOWONIX MEDICAL 12:15 Luncheon 1:30 Panel: Discuss Challenges and Solutions for Prior Authorization Address the current roles and positions of meeting regulatory requirements Review key topics that are impacting the healthcare landscape Link solutions and findings on how to improve simplifying the processes of epa Explore e-prescribing and its benefits in epa Timika Lucas, Reimbursement Specialist II, ADVOCATE MEDICAL GROUP PANEL 2:15 NCPDP epa Standards and Enhancements Discuss pharmacist-initiated epa for specialty Understand the growth in automating specialty prescribing, with costs and volume of specialty medications fueling the trend Outline healthcare insurance eligibility and benefit verification processes Explore the e-prescribing infrastructure of Canada and other countries 3:00 Conference Concludes 11:00 Networking Break What Attendees Are Saying About ExL Conferences Overall very good information. I learned a lot that I can share with my team and company. Senior Account Manager, ACADIA PHARMACEUTICALS Very nicely organized meeting as always! Good opportunities for networking. Senior Director, CRESCENDO

5 Registration Registration Fees for Attending ExL s Real-Time Benefit Verification and Electronic Prior Authorization Forum EARLY BIRD PRICING Register by Friday, December 15 Conference $1,795 GROUP DISCOUNT PROGRAM Save 25% per person when registering four For every three simultaneous registrations from your company, you will receive a fourth complimentary registration to the program (must register four at one time). This is a savings of 25% per person. Save 15% per person when registering three Can only send three? You can still save 15% off every registration. Offers may not be combined. Early Bird rates do not apply. To find out more about how you can take advantage of these group discounts, call MEDIA PARTNERS STANDARD PRICING Register After Friday, December 15 Conference $1,995 ONSITE PRICING Conference $2,095 TERMS AND CONDITIONS: By registering for an ExL Events ( ExL ) event, you agree to the following set of terms and conditions listed below: REGISTRATION FEE: The fee includes the conference all program materials and designated continental breakfasts lunches and refreshments. PAYMENT: Make checks payable to ExL Events and write C911 on your check. You may also use Visa, MasterCard, Discover or American Express. Payments must be received in full by the conference date. Any discount applied cannot be combined with any other offer and must be paid in full at the time of order. Parties must be employed by the same organization and register simultaneously to realize group discount pricing options. **Please Note: There will be an administrative charge of $300 to substitute, exchange and/or replace attendance badges with a colleague within five business days of any ExL conference.** CANCELLATION AND REFUND POLICY: If you cancel your registration for an upcoming ExL event, the following policies apply, derived from the Start Date of the event: Four weeks or more: A full refund (minus a $295 processing fee) or a voucher to another ExL event valid for 12 months from the voucher issue date. Less than four weeks: A voucher to another ExL event valid for 12 months from the voucher issue date. Five days or less: A voucher (minus a $395 processing and documentation fee) to another ExL event valid for 12 months from the voucher issue date. CREDIT VOUCHERS: Credit vouchers are valid for 12 months from date of issue. Credit vouchers are valid toward one (1) ExL event of equal or lesser value. If the full amount of said voucher is not used at time of registration, any remaining balance is not applicable now or in the future. Once a credit voucher has been applied toward a future event, changes cannot be made. In the event of cancellation on the attendees behalf, the credit voucher will no longer be valid. ExL Events does not and is not obligated to provide a credit voucher to registered attendee(s) who do not attend the event they registered for unless written notice of intent to cancel is received and confirmed prior to the commencement of the event. SUBSTITUTION CHARGES: There will be an administrative charge of $300 to substitute, exchange and/or replace attendee badges with a colleague occurring within five business days of the conference. ExL Events reserves the right to cancel any conference it deems necessary and will not be responsible for airfare hotel or any other expenses incurred by registrants. ExL Events liability is limited to the conference registration fee in the event of a cancellation and does not include changes in program date content speakers and/or venue. *The opinions of ExL s conference speakers do not necessarily reflect those of the companies they represent, nor ExL Events. Please Note: Speakers and agenda are subject to change without notice. In the event of a speaker cancellation, significant effort to find a suitable replacement will be made. The content in ExL slide presentations, including news, data, advertisements and other information, is provided by ExL s designated speakers and is designed for informational purposes for its attendees. It is NOT INTENDED for purposes of copywriting or redistribution to other outlets without the express written permission of ExL s designated speaking parties. Neither ExL nor its content providers and/or speakers and attendees shall be liable for any errors, inaccuracies or delays in content, or for any actions taken in reliance thereon. EXL EVENTS EXPRESSLY DISCLAIMS ALL WARRANTIES, EXPRESSED OR IMPLIED, AS TO THE ACCURACY OF ANY CONTENT PROVIDED, OR AS TO THE FITNESS OF THE INFORMATION FOR ANY PURPOSE. Although ExL makes reasonable efforts to obtain reliable content from third parties, ExL does not guarantee the accuracy of, or endorse the views or opinions given by any third-party content provider. ExL presentations may point to other websites that may be of interest to you, however ExL does not endorse or take responsibility for the content on such other sites.

6 q YES! Register me for this conference! Name: Title: Company: Dept.: Address: City: State: Zip: Method of Payment: q Check q Credit Card Make checks payable to: ExL Events, Inc. Card Type: q MasterCard q Visa q Discover q AMEX Card Number: Exp. Date: CVV: Name on Card: Signature: Phone: Fax: Please contact me: q I m interested in marketing opportunities at this event. q I wish to receive updates on ExL Events' upcoming events. CONFERENCE CODE: C911 CHAIR January 22-23, 2018 The Rittenhouse Hotel Philadelphia, PA Real-Time Benefit Verification and Electronic Prior Authorization Explore the Latest Advancements of Real-Time Benefit Verification and Enhance Electronic Prior Authorization to Improve Patient Access FEATURED SPEAKERS FORUM Melissa Paige, Pharmacy Patient Medication Assistance Principal Coordinator, UVA HEALTH SYSTEMS Keith Boyle, RN, Director of Patient Experience, HENRY MAYO NEWHALL HOSPITAL Michelle V. Davidson, Manager Pharmacy Technical Standards, WALGREENS Chris Boneham, Executive Director Managed Markets, ARALEZ PHARMACEUTICALS Mary Stevens, Director, Network Contracts, Compliance, Audit, Provider Relations, BLUE CROSS BLUE SHIELD OF MINNESOTA Bill Goodson, Director, Market Access and Reimbursement Services, EISAI