Join Us for Multiple Stakeholder Perspectives on the Current State of VBAs, Challenges, Opportunities, and Standards that Support VBAs
 

Early Bird Rate Extended through November 14th

Members: Click Here to Register
Non-Members: Click Here to Register
 
NCPDP’s 2021 Educational Summit, Value Based Arrangements for Prescription Medications, will explore the largely untapped opportunities to realize the improved patient experience, health outcomes and cost saving benefits of value-based care. The program will provide both a broad overview of value-based arrangements (VBAs) and care and in-depth insights on reimagining reimbursement, and tracking, monitoring, and measuring the critical juncture between diagnosis and patient health outcomes.

Join Educational Summit Program Moderator, Kim Diehl-Boyd, and our distinguished panel of speakers as they share their knowledge, experiences and perspectives on the challenges and opportunities of VBAs, as well as standards currently available to support them.

Each day of NCPDP’s Educational Summit will begin with a Roundtable Discussion led by Sloane Salzburg, Vice President of the Council for Affordable Health Coverage (CAHC). On Monday, November 15th, government and payer panelists will discuss drivers of VBAs. The Roundtable Discussion on Tuesday, November 16th, will focus on provider, pharmacy, and vendor perspectives.

AGENDA Now Available! Take a look at the in-depth presentations in the NCPDP 2021 Educational Summit Agenda!

Here's a quick look at individual sessions by our speakers:

 

The final session of the Educational Summit will recap current industry standards that support VBAs and a summary of new transactions or standards that NCPDP may pursue in conjunction with its strategic goals for VBAs.

Meet Our Confirmed Speakers

Learn from the best! We have 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.

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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.
 

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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

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

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.

Need Some More Convincing?

VBAs are coming. Will you be ready? The 2021 Educational Summit is a great opportunity to learn and ask questions about VBAs, helping you and your organization keep pace with the evolving VBA landscape.

  • How are payers and providers approaching VBAs for medications?
  • What are the barriers to getting more VBAs for medications in the marketplace?
  • How do VBAs impact total cost of care and patient out-of-pocket costs?
  • Should real world evidence (RWE) be used in the collection and reporting of outcomes data?
  • How can data be shared across all participants with patient consent and in a HIPAA-compliant manner?
  • How can Quality of Life (QOL) be measured, and should it be used to demonstrate improved patient outcomes?
  • What can be learned from innovators in the VBA space?

Continuing Pharmacy Education Credits Available

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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.

Early Bird Rate Extended through November 14th!

NCPDP's Educational Summit is open to members and nonmembers. Registration is required to participate. Register by Sunday, November 14th, to take advantage of the extended Early Bird rate of $475 for all registrants!

Members: Click Here to Register
Non-Members: Click Here to Register

Don’t Delay – Register Today!