Live CME/CE Workshops for HTC Physicians, Nurses, and Social Workers
Lunch: 1:00 PM - 2:00 PM EDT
Provider Workshops: 2:00 PM - 6:00 PM EDT
Gaylord Palms Resort
Room: Orange Blossom Ballroom
Orlando, FL
- How coming clinical guideline updates will impact payer and provider decision-making
- Strategies used by managed care organizations (MCOs) and specialty pharmacy providers to facilitate care and administer benefits for members with hemophilia
- Techniques for hemophilia providers to improve communications with health plans, insurers, and specialty pharmacy providers
- Case-based discussion on formulary and medical management review process
- Recommended payer processes for streamlining pre-certification and prior authorization
- Methods for optimal cost management of factor replacement therapy to be realized by multiple hemophilia stakeholders including Medicaid Plans, specialty pharmacy providers, and other MCOs
| Moderator | |||
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Steven W. Pipe, MD Director, Division of Pediatric Hematology and Oncology Pediatric Medical Director, Hemophilia and Coagulation Disorders Program University of Michigan |
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| Workshop Leaders | |||
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Jeffrey Dunn, PharmD, MBA Senior Vice President Chief Clinical Officer VRx Pharmacy Services, LLC |
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Michael Fine, MD Medical Director Health Net of California |
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John Fox, MD, MHA Senior Medical Director Associate Vice President Medical Affairs Priority Health |
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James Jorgenson, MS, RPh, FASHP Chief Executive Officer Board Chair Visante, Inc. |
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John Knispel MD, CPE, FACOG Regional Medical Director Florida Commercial Markets Health Guidance Organization Humana Inc. |
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James Kenney, Jr., RPh, MBA Manager, Specialty and Pharmacy Contracts Harvard Pilgrim Health Care |
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Maria Lopes, MD, MS Medical Director Magellan Rx |
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Vanita K. Pindolia, PharmD, BCPS Vice President, Ambulatory Clinical Pharmacy Programs_PCM Henry Ford Health System/Health Alliance Plan of Michigan |
The program is designed specifically for HTC clinicians (physicians, registered nurses, and social workers) attending the National Hemophilia Foundation's 68th Annual Meeting. Space is limited and priority registration will be given to these provider groups.
Upon completing this activity, the participant should be better able to:
- Describe strategies used by managed care organizations (MCOs) and specialty pharmacy providers to facilitate care and administer benefits for members with hemophilia
- Employ techniques for hemophilia providers to improve communications with health plans, insurers, and specialty pharmacy providers
- Recommend payer processes for streamlining pre-certification and prior authorization
- Apply methods to enable optimal cost management of factor replacement therapy to be realized by multiple hemophilia stakeholders including Medicaid Plans, specialty pharmacy providers, and other MCOs
Date and Time
Saturday, July 23, 2016
Lunch: 1:00 PM - 2:00 PM EDT
Provider Workshops: 2:00 PM - 6:00 PM EDT
Gaylord Palms Resort
Room: Orange Blossom Ballroom
Orlando, FL
| 1:00 PM |
Registration and Buffet Lunch |
| Opening General Session | |
| 2:00 PM |
Opening Comments/Overview Steven W. Pipe, MD |
| 2:05 PM |
A Hemophilia Provider's Perspective - Payer Challenges and Issues Confronting the Optimal Management of Patients Steven W. Pipe, MD |
| Breakout Workshops | |
| 2:25 PM |
Formulary Management Processes Including Prior Authorization Methods
John Fox, MD, MHA Jeffrey Dunn, PharmD, MBA |
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Provider Communication Strategies to Enhance Coordination of Care Michael Fine, MD, Health Net of California Vanita Pindolia, PharmD, BCPS |
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How to Achieve Alignment and Consensus of Specialty Pharmacy Services Maria Lopes, MD, MS James Kenney, RPh, MBA |
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Navigating the New Paradigm of Health Insurance Marketplaces - Including Medicaid Managed Care John W. Knispel, MD, CPE, FACOG James Jorgenson, RPh, MS, FASHP |
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| Closing General Session | |
| 5:25 PM |
Best Practice Tips from Workshops Entire Faculty Panel |
| 5:40 PM |
Moderated Faculty Panel Discussion and Audience Q&A Entire Faculty Panel |
| 6:00 PM |
Adjournment |
Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine, the National Hemophilia Foundation, and Impact Education, LLC. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation
Postgraduate Institute for Medicine designates this live activity for a maximum of 4.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Education
Credit Designation
This educational activity for 4.0 contact hours is provided by Postgraduate Institute for Medicine.
Accreditation Statement
Postgraduate Institute for Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
A statement of credit will be issued only upon receipt of a completed activity evaluation form and will be emailed to you within three weeks.
Social Worker Continuing Education
This program is Approved by the National Association of Social Workers (Approval # 886733890-0) for 4 Social Work continuing education contact hours.
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. The existence or absence of COI for everyone in a position to control content will be disclosed to participants prior to the start of each activity.
Americans with Disabilities Act
Event staff will be glad to assist you with any special needs (ie, physical, dietary, etc). Please contact Impact Education, LLC, prior to the live event at (215) 619-8812.
Fee Information
No additional fee is required to attend this CPE/CME activity.
Note: There is NO FEE for attending this session. However, if you wish to attend the NHF Annual Meeting sessions from July 21-July 23, 2016, a registration fee is required.
Pre-registration will close at 12:00 pm on July 22, 2016.
Walk-in registration will be available at the time of the program.
If you have any questions, please call (215) 619-8812 or email info@impactedu.net.