NCPDP’s 2021 Virtual Educational Summit Now Available On Demand

Register today to watch eight engaging sessions with multiple stakeholders sharing perspectives on the current state of VBAs, plus challenges, opportunities, and standards that support VBAs

NCPDP’s 2021 Educational Summit on Value Based Arrangements (VBAs) for Prescription Medications explores the largely untapped opportunities to realize the improved patient experience, health outcomes and cost-saving benefits of value-based care. This eight-session video series gives a broad overview of VBAs and care, plus in-depth insights on reimagining reimbursement, while tracking, monitoring, and measuring the critical juncture between diagnosis and patient health outcomes.

Here's a look at individual sessions by our guest panelists and speakers:

Day One

Roundtable Discussion: Drivers of Value Based Arrangements
Speakers: Sloane Salzburg; John M. Coster, Dr. Peter McCauley, Terry Cothran, DPh
Sloane Salzburg, Vice President, Council for Affordable Health Coverage, leads a discussion on the drivers of value-based arrangements with panelists, John M. Coster of CMS; Dr. Peter McCauley of Cigna HealthCare and Terry Cothran, DPh, Oklahoma Health Care Authority.

Update on Medicaid and Value Based Purchasing for Drugs
Speaker: John M. Coster, Director, Division of Pharmacy at Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services
The session explores the opportunities for state Medicaid programs to use value-based purchasing for drugs in the Medicaid pharmacy program. CMS finalized a new regulation at the end of 2020 that will allow manufacturers to report multiple "best prices" to the agency, which will allow states to determine if they want to take advantage of earning additional rebates from manufacturers based on actual clinical outcomes in patients.

Value Based Approaches to Customer Affordability and Simplicity
Speaker: Peter W. McCauley Sr., MD, CPE, Medical Officer, Cigna HealthCare
This session informs the audience on working with the healthcare professional community in a collaborative model designed to reward healthcare professionals for reducing health care costs, improving quality outcomes, and improving the customer experience while receiving care and improving the healthcare provider experience while providing care.

Day Two

Roundtable Discussion: Provider & Vendor Perspectives on VBAs
Speakers: Sloane Salzburg; Tony Rodgers, MSPH; Ben Shirley, CPHQ; Nate Gosse, PhD; Dr. Justin Heiser
Sloane Salzburg, Vice President, Council for Affordable Health Coverage, leads a discussion on value-based arrangements from the provider, pharmacy and vendor perspectives with panelists Tony Rodgers of VBCare Network, Ben Shirley of Pharmacy Quality Alliance, Dr. Sarah Alwardt of Ontada, and Dr. Justin Heiser of Thrifty White Pharmacy.

Pharmacy & Provider Partnerships to Improve Value Based Performance
Speaker: Tony Rodgers, MSPH, Chief Executive Officer, VBCare Network
The session presents and discusses opportunities and challenges for community and specialty pharmacies to create partnerships with providers that can improve value-based performance. The session includes a presentation and discussion of: new initiatives in pharmacy value-based purchasing in Medicare and Medicaid; consideration and approaches to initiate value-based collaborations between providers and pharmacies; the importance of data analysis in identifying opportunities for performance improvement and reducing costs; challenges inherent in pharmacy-provider partnerships; and strategies for long-term success with pharmacy and provider partnerships in value-based care.

Standardized Pharmacy Measurement for Value-Based Arrangements
Speakers: Ben Shirley, CPHQ, Director, Performance Measurement, Pharmacy Quality Alliance (PQA); and Heather Gibson, MSPH, Associate Director, Performance Measurement, Pharmacy Quality Alliance (PQA)
Value-based arrangements (VBAs) between pharmacies and payers are a critical tool to drive innovation and demonstrate pharmacies’ contributions to improving patient health. This breakout session highlights PQA’s work in prioritizing and developing standardized pharmacy measures to produce a set of metrics appropriate for use in pharmacy-payer VBAs. Key areas addressed include the current state of VBAs and the role of standardized pharmacy measures, the identification of prioritized measure concepts, lessons learned from current PQA VBA projects, and opportunities for future pilot projects.

Measure What you Treasure
Speaker: Nate Gosse, PhD, Vice President, Product Strategy, Ontada | McKesson Corporation
We have all heard that data are today’s gold.  We need precise data.  In oncology, value-based agreements are hindered by the ability to best understand outcomes.  In oncology and many specialty conditions, proxy measures such as adherence do not tell the whole story.  By better understanding and creating data transparency can we get to the clinical outcomes that truly measure value. This session describes the challenges today with data required to support VBAs, identifies opportunities to improve transparency and communication around these data and discusses how to create real world outcomes measures and help them gain acceptance.

NCPDP Response and Call to Action
Speaker: J.W. Hill, MBAHCM, CNED, Executive Vice President & GM, NCPDP
Join John Hill for a recap of NCPDP’s charge in VBAs as part of NCPDP’s Three Year Strategic Plan. Hill provides an overview of current standards available to support VBA and an update on NCPDP’s work to identify new standards or standardized transactions to address the interoperability and data exchange gaps to unlock the full potential of VBAs.

Continuing Pharmacy Education Credits Available
Pharmacists and Pharmacy Technicians can earn Continuing Pharmacy Education (CPE) hours from the ACPE.
Click to view the CPE Details for the ACPE accredited sessions
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Total access to all eight on demand 2021 Educational Summit session videos is available for a fee of $475. To watch this exciting video series, submit a registration form today!

Meet Our Speakers

Learn from the best! We curated a diverse and knowledgeable lineup of speakers who can share real world experience and lessons learned.

Sloane Salzburg

Vice President, Council for Affordable Health Coverage (CAHC)

Sloane specializes in health policies related to Medicare Part D, medication adherence, drug pricing, precision medicine and general health reform as well as third party alliance building and coalition management. Within CAHC, Sloane serves as Executive Director of the Campaign for Transformative Therapies, which is targeted at developing and advocating for policies that encourage value-based payment arrangements for gene therapies. She also serves as Vice President of Horizon Government Affairs, a DC-based health policy consulting firm.

John M. Coster

Director, Division of Pharmacy at the Center for Medicaid and CHIP Services, CMS

John M. Coster is Director of the Division of Pharmacy at the Center for Medicaid and CHIP Services, which is a component of the Centers for Medicare and Medicaid Services. He is responsible for policy and operational issues relating to the Medicaid pharmacy program and the Medicaid Drug Rebate Program (MDRP). He holds a MPS and Ph.D. in health policy from the University of Maryland Graduate School in Baltimore and a B.S in Pharmacy from St John’s University in New York. Prior to joining CMS, he has held senior government affairs executive positions with the National Association of Chain Drug Stores (NACDS), the National Community Pharmacists Association (NCPA), and Safety Net Hospitals for Pharmaceutical Access.

McCauley-Portrait
Peter W. McCauley Sr., MD, CPE

Medical Officer, Cigna HealthCare

In his current role as Medical Officer for Cigna Health Care, Peter W. McCauley Sr, MD has national responsibility for Cigna’s over 400 value based relationships. This includes over 250 Cigna Collaborative Accountable Care (ACO) arrangements serving over 3 million Cigna customers across the United States. Dr. McCauley and his teams work directly with large physician groups and hospital systems to build and maintain relationships which insure that Cigna clients receive the highest quality healthcare services at the most reasonable cost. Dr. McCauley continues to practice Pediatrics at the Clinic in Altgeld on Chicago’s far south side where he has served as a volunteer for over 23 years.
 

McCauley-Portrait
Terry Cothran, DPh

Senior Pharmacy Director, Oklahoma Health Care Authority

During my 30-year career I’ve had the opportunity to experience many aspects of pharmacy from Retail, Specialty, Managed Care, Academia and Government. I am currently Senior Director of Pharmacy for The Oklahoma Health Care Authority with direct oversight of the pharmacy benefits provided to well over one million Oklahoma Medicaid members. I was fortunate to be instrumental in Oklahoma being the first Medicaid state to obtain CMS approval and implement a Value-Based Contract (VBC) with a pharmaceutical manufacturer. We have implemented several other contracts over the years and continue to work with manufacturers to further this work. With Oklahoma being one of the leaders in this space, we have had the opportunity to share our successes and lessons learned with other Medicaid states and interested colleagues.

Tony Rodgers, MSPH

Chief Executive Officer, VBCare

Tony Rodgers is an experienced healthcare executive who has held executive positions in both the public and private sectors, including with federal and state agencies, private health plans, and hospital systems. His past executive experience includes CMS Deputy Administrator, Center for Strategic Planning (CSP), where he oversaw CMS Medicare demonstrations and CMS community health database. While at CMS he also collaborated on many of CMS’s Innovation Center Alternative Payment Models and delivery system reform initiatives. He is currently Chief Executive Officer, VBCare Network LLC and ABC Network LLC, which are value-based provider networks serving Medicaid and Medicare beneficiaries in Arizona.

Justin Heiser, PharmD

Executive Vice President of Pharmacy Operations at Thrifty White Pharmacy

Justin Heiser, PharmD is the Executive Vice President of Pharmacy Operations at Thrifty White Pharmacy. Since joining the 100 store employee owned pharmacy chain in 2007 he has held several roles with the company focused on strategy, business development, strategic partnerships as well as the development of proprietary technology that integrates data-driven value-based care programs into pharmacy workflow.

Ben Shirley, CPHQ

Director, Performance Measurement, Pharmacy Quality Alliance (PQA)

Ben Shirley serves as the Director of Performance Measurement at the Pharmacy Quality Alliance (PQA). He draws on a health policy background and several years’ experience in quality measurement to provide PQA with expertise in several phases of the measure development process including specification, analysis, endorsement, and maintenance. He plays a key role in executing PQA’s pharmacy measure strategy, including directing measure-specific technical expert panels and developing pilot projects that integrate innovative metrics into pharmacy-payer value-based contracts. Prior to joining the PQA team, Ben worked as an Insurance and Value-Based Care Analyst at IMPAQ Health, where he supported CMS-funded hospital and health plan quality measure development contracts in the domains of care coordination and patient safety.

Nate Gosse, PhD

Vice President, Product Strategy, Ontada | McKesson Corporation

Nate Gosse is the vice president of product strategy for Ontada. He leads portfolio and partner strategy with the goal of driving growth and customer success for specialty provider technology as well as oncology insights and expert services. Nate joined McKesson in 2011 and most recently served as vice president of product strategy for the Specialty Provider Solutions business. Previously, Nate was a consultant for McKinsey and Company, and a biomedical researcher at the University of California, San Francisco. Nate has driven adoption of value-based arrangements – for commercial and government programs – in specialty care through multiple channels: launching provider technology and reporting tools, establishing collaborative payer-provider clinical pathways programs, and leading partner relationships to bridge meaningful clinical data between provider and payer intermediaries.

Heather Gibson, MSPH

Associate Director, Performance Measurement

Heather Gibson serves as the Associate Director of Performance Measurement for the Pharmacy Quality Alliance (PQA), providing expertise in several phases of the measure development process. She supports PQA in executing its pharmacy measure strategy, including directing technical expert panels and providing input on pilot projects that integrate innovative metrics into pharmacy-payer value-based contracts. Heather also played a key role in a recent PQA-led summit series, which convened multi-stakeholder thought leaders to identify and prioritize pharmacy measure concepts that would be suitable for use in payer-pharmacy value-based arrangements. Heather previously worked at HSAG as a Health Services Researcher, where she supported CMS-funded health plan quality measure development in the domain of patient safety.

J.W. Hill, MBAHCM, CNED

Executive Vice President & GM, NCPDP

John oversees and is responsible for all day-to-day business of the organization and leads the executive management team in achieving financial goals and operational performance; and provides strategic support to NCPDP’s President & CEO. He is driving NCPDP’s Three Year Plan goal on VBA: NCPDP shall be recognized for ensuring that value-based models of healthcare can achieve the goal of enhanced patient health outcomes.

To register for total access to this on demand video series submit a registration form today!

Pharmacists and Pharmacy Technicians can earn Continuing Pharmacy Education (CPE) hours from the ACPE. Click to view the CPE Details for the ACPE accredited sessions.