Health Community Engagement
Engaging providers and members to increase PBM value
Facilitator: John Adler, Adler Rx Consulting Photo
John has 25 years of experience in the pharmacy benefit management field, and is a consultant for Taft Hartley Funds, BCBS health plans, TPAs, insurance captives, and individual public and private sector plans. John is currently consultant to the LeHigh Valley Business Coalition on Health’s successful PBM contract.
Historically drug manufacturer rebates have been passed along to the employer.
Learn how PBMs can use point-of-sale discounts to simplify pharmacy benefits, expand transparency and deliver savings directly to the member whose prescription generated the rebate payment.
Speaker: Sam Kepner
Sam Kepner is a product leader in the OptumRx Product and Strategy segment. In his current role, his team supports the product discipline behind the pricing transparency services including Point of Sale Discounts as well as PreCheck MyScript. Sam has a decade of healthcare experience focused on growth, affordability, population health, operational excellence and strategic partnerships. His passion for people and keeping it simple fuels his desire to make the healthcare system work better for everyone.
Real-Time Prescription Benefits
When prescribers use real-time prescription benefits information to choose a lower-cost alternative, it leads to savings of $130 per fill on average for members.
Learn how PBMs can implement a comprehensive real-time benefits information strategy.
Speaker: Stella Wong
Stella is a Senior Director on the Transformation team at CVSH, which develops initiatives across the enterprise with a focus on identifying opportunities for growth and innovation to create a new health care model that is easier to use, less expensive and puts consumers at the center of their care. In her role, she is responsible for leading Transform Diabetes Care, as well as program expansion to other chronic conditions. Prior to CVSH, Stella worked in Product and Strategy at Discover Financial Services, and also as a management consultant at McKinsey & Company.