Health Care Insights - From Policy to Practice

The GTN Webinar is tomorrow, reserve your seat today!

noreply@blogger.com (Kate) — Tue, 07 May 2013 19:36:00 +0000

The Gross-to-Net Forecasting & Reporting Impacts: New Product Launch/Acquisition, LOE and Returns Reserve Methodology is happening tomorrow, but you can still register today!

This webinar will be lead by David Levi from Bristol-Myers Squibb and Jennifer Sharpe from Professional Provider Services, Inc. Together, David and Jen will pool their personal experience, network of clients and industry colleagues to provide the audience with best practices and an interactive discussion on these key product milestones.

Space is limited, reserve your seat today.

DATE: May 8, 2013
TIME: 11:00am-12pm EST
SPEAKERS: David Levi Executive Director Finance US Controller & Global Commercial Controls, Bristol-Myers Squibb

Jennifer Sharpe Director of Managed Markets Projects & Business Development, Professional Provider Services, Inc.

COST: Complimentary

To learn more about the Gross-To-Net Accounting Forum, download our brochure.

As a reader of Healthcare Insights blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

See What’s New at the 2013 MDRP Summit

noreply@blogger.com (Kate) — Tue, 07 May 2013 14:42:00 +0000

The MDRP Summit is the authoritative event for everything MDRP pricing, regulation and compliance. With more industry, state and federal government professionals in attendance, this is where the industry goes for face-to-face discussion and guidance. The largest and most respected government reimbursement program event recognizes the changing needs of the industry, which is why we continue to bring you not only the content you’ve come to expect year after year, but content on those new challenges that have come to the fore since meeting in Chicago last September.

FOUR PRE-CONFERENCE SYMPOSIA
• NEW! The AMP Final Rule – What it Says, What it Means and How to Implement it
• NEW! Managed Care and Government Pricing – How Will MMCOs, ACOs and Exchanges Affect the Status Quo?
• NEW! 340B Summit for Manufacturers
• Back By Popular Demand! Medicaid Drug Rebate Program Fundamentals

FOUR UNIQUE TRACKS
• Overcome Challenges to Medicaid Drug Rebating Methodology to avoid costly calculation mistakes that affect company financials
• Financial Implications to Government Pricing Programs to establish connections between the departments affected by government pricing programs
• Understand and Comply with State Processes, Operations and Requirements to sustain positive relationships with the states and avoid disputes
• Contract Management, Business Analytics and Systems Implementation updates to ensure you have the latest methods that will lead to the most accurate calculations and rebates

NEW FOR 2013

We’re excited to introduce the all-new Pharmaceutical VA Contracting and Compliance Summit where you will learn strategies to:

• Benchmark the necessary steps to avoid penalties for out-of-date CSP submissions
• Minimize delays in contract negotiations and review by building stronger relationships with your assigned VA officer
• Keep your winning disclosure and documentation methods and team intact even in the face of corporate restructuring, mergers and acquisitions

Want to learn more? Download our brochure.

As a member of the Medicaid Drug Rebate Program LinkedIn Group, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Cheers,
The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
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Complimentary Podcast: Medicaid Expansion and more

noreply@blogger.com (Kate) — Mon, 06 May 2013 13:30:00 +0000

With Medicaid expansion and Health Insurance Exchanges on the horizon, inclusion on Medicaid formularies is especially crucial to commercial success. You are invited to download this free podcast featuring Cindy Pigg, Senior Vice President of Pharmacy at Magellan Medicaid Administration and hear what she thinks are the biggest opportunities for manufacturers and PBMs as a result of healthcare reform.

The following are just some of the topics Cindy will cover:

· How Medicaid expansion will impact patient care and what pharmaceutical companies can do to prepare

· How she anticipates Medicaid will be affected by growing costs for specialty medications

· How pharmacists can help states and MCOs overcome challenges created as a result of healthcare reform

Full podcast MP3 now available!

Download the full podcast PDF!

Ms. Pigg is a speaker at the 21st Annual Medicaid Managed Care Congress, taking place on May 20 – 22 in Baltimore. Other speakers include CMS representatives, state Medicaid Directors and health plan executives.

To learn more, download our full brochure.

As a member of the healthcare insights, you can use priority code XP1826BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

Cheers,
The Medicaid Managed Care Congress

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Session Spotlight: Opting In for Medicaid Expansion

noreply@blogger.com (Kate) — Fri, 03 May 2013 19:57:00 +0000

Based on the outcome of the SCOTUS ruling, states have the option to expand Medicaid coverage up to 133% FPL. Want to learn how Illinois determined to expand Medicaid (beyond the politics!) and how health plans are gearing up to participate? Learn more in just a few weeks at the 21st Annual Medicaid Managed Care Congress.

Session: Opting In for Medicaid Expansion (Case Study)

Speaker: Michael Koetting, Deputy-Director for Planning & Reform Implementation, Department of Healthcare & Family Services

From a health plan perspective, there’s a lot of work that goes into preparing for expansions – everything from network development, to sales and marketing, to adding more executives to handle the administrative side of things. In this session, you’ll here Michael Koetting, Deputy-Director for Planning & Reform Implementation in Illinois as he shares why they decided to expand Medicaid, and what health plans in the state are doing to prepare for increased membership.

Want to learn more? Download our brochure.

The 21st Annual Medicaid Managed Care Congress takes place May 20-22 in Baltimore, MD. As a reader of this blog you'll receive 15% off the standard rate when using code XP1826BLOG to register. We look forward to seeing you in a few weeks!

Session Spotlight: Gross-to-Net Nirvana: Closing the Gap between Excel and ERP

noreply@blogger.com (Kate) — Fri, 03 May 2013 17:13:00 +0000

Many pharmaceutical manufacturers have learned the hard way that ERP systems cannot handle the complexity and data processing requirements necessary for challenging contract incentive payments. So what is the solution?

Session: Gross-to-Net Nirvana: Closing the Gap between Excel and ERP

Speakers: Jon Brier, Product Line Manager, Life Sciences, REVITAS
Pete Leddy, Product Line Manager, Analytics, REVITAS

Pharmaceutical manufacturers often wonder if they have an alternative to Excel, which can be prone to data corruption, lacks the audit trail necessary to prove compliance, and is difficult to maintain over time. This session examines alternative analytics for your ERP system, the complexities of rate calculations, and the role of historical data and contract terms for accurate accruing.

Want to learn more? Download the brochure.

The Gross-to-Net Accounting Forum takes place June 17-18 in Boston, MA. As a reader of this blog you'll receive 15% off the standard rate by using code XP1811BLOG when you register. We look forward to seeing you this June!

New Healthcare Delivery Systems & Programs To Reduce Costs in Cancer Care

noreply@blogger.com (Kate) — Fri, 03 May 2013 13:30:00 +0000

KEYNOTE: Adopting a New Cancer Care Payment Model — United Healthcare’s “Bundled” Payment Pilot Program to Deal with Cancer Drug Costs and Reward Physicians for Health Outcomes: In 2010, UnitedHealthcare launched its own episode payment pilot program with five medical oncology groups around the country focused on determining best treatment practices and improving outcomes. Hear from Lee Newcomer, SVP, Oncology, Genetics and Women’s Health, UnitedHealthcare the rolling results of the program, lessons learned as well as feedback from physicians.

Models of Collaboration between Payers and Providers: The Implementation of Cancer Clinical Care Pathways: Panelists from National Comprehensive Cancer Network/NCCN, Cardinal Health Specialty Solutions and Aetna will evaluate the potential role of pathways in cancer care, and examine whether the implementation of clinical care pathways in cancer have proven to truly reduce resource utilization and improve the quality of healthcare.

PILOT PROGRAM SPOTLIGHT: CMS-Sponsored Pioneer ACO: In Michigan, Priority Health signed medical home contracts with several leading oncology practices who are required to comply with standardized treatment regimens of their own choosing. At the end of the year, oncology practices that have reduced Priority Health’s hospital and ED costs will receive “shared savings,” meaning that the insurer will share part of the savings with the practice. Hear from Barbara Walters, MD, Executive Medical Director, Dartmouth – Hitchcock on the results from the shared-savings between payer and provider and how Priority Health changed the way care and services are delivered.

Delivery and Payment Reform in New Value Based ACO Models: Get an industry update from Centura Health and Dartmouth – Hitchcock on the ongoing change in the ACO contracting arena, and discusses the ACO journey for new payment and delivery models that will focus on value. Assess how this will impact the future of cancer care.

To learn more, download our brochure.

As a reader of the healthcare insights blog, you can use priority code XP1814BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

We look forward to seeing you in June!

Best,
Oncology Management Team

Visit the Oncology Management Webpage
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Gross-to-Net Forum — Full Speed Ahead

noreply@blogger.com (Kate) — Thu, 02 May 2013 15:30:00 +0000

The Gross-to-Net Accounting Forum is less than 2 months away, and I couldn’t be more excited about the enthusiasm and excitement surrounding the event. Demand for this event is extremely high indicating how timely and imperative GTN content is and how crucial it is to your business.

We’ve got a packed agenda including in-depth coverage on Chargebacks and the Impacts of Healthcare Reform on Medicaid Liability to ensure you leave with the complete GTN perspective. You will hear directly from experts at big and small pharma, and branded and generic companies on key areas such as:

• Accruals
• Wholesaler Returns
• New Product Launches
• Managed Care
• Chargebacks
• Medicaid Liability

To find out more about the 2013 program, download the agenda.

As a reader of the healthcare insights blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you this June!

Best,
The Pharmaceutical Accounting, Financial, & Reporting Team

Visit our homepage: http://bit.ly/18b11JF
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P.S. Our webinar is next week, don’t forget to register!

MDRP Agenda Now Available

noreply@blogger.com (Kate) — Wed, 01 May 2013 15:10:00 +0000

There’s no doubt that what we do as government pricing professionals is a tall order with constant change at the State level, pressure to comply with federal guidelines and internal controls, let alone looming Medicaid expansion as PPACA rolls out in 2014.

Yes, we sure are busy. So where are you going to get the latest on regulatory changes, hear what pharma is –and should be– doing to overcome these challenges, and have the opportunity to sit face-to-face with the States at Dispute Resolution Meetings? This is where we gladly step in.

At the 18th annual Summit on the Medicaid Drug Rebate Program including other Reimbursement programs like 340B, Part D, VA, and TRICARE, on September 9-11, 2013 in Chicago, IL. This is THE authoritative MDRP event for everything government pricing, regulations, and rebates. It's the largest event in the space with the most speakers and government representation from the OIG, DoJ, OPA, and VA as well as 500+ MDRP executives ensuring you have the most comprehensive educational experience over three days.

Year after year, MDRP Chicago is where the industry convenes to identify solutions and create an implementation roadmap. You’ll walk away informed and prepped with action items for you and your teams with sessions including these 5 essential government-led keynotes:

• Opening Keynote Healthcare Policy into 2014 by Michael Steele, Former Chairman of the Republican National Committee and Policy Analyst, MSNBC

• Annual Update on 340B Program from PHS

• Current Updates on the Veterans Healthcare Act and the Federal Supply Schedule from OIG and VA

• OIG Work Updates

• State Spotlights: How States Are Currently Processing Rebates

And much more! To view our full program, download the brochure.

As a reader of the health insights blog, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Cheers,
The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
Follow Us on Twitter

Your Webinar Invitation: Gross-to-Net Forecasting and Reporting Impacts

noreply@blogger.com (Kate) — Thu, 25 Apr 2013 18:37:00 +0000

Pharmaceutical Gross-to-Net professionals are managing a dynamic environment with government legislation, commercial contracting demands and accounting/compliance standards.

This Complimentary Webinar Will Address Key GTN Hot Topics:

· New Product Launch Revenue Recognition and Forecasting GTN
· Acquisition of Product — GTN processing, accounting and forecasting transition plans
· Returns Reserve — Critical considerations before you calculate
· Returns Reserve — Best Practice Methodologies
· Late Stage Product Accounting & Forecasting considerations
· LOE Reserve — Demand, Pipeline, Returns accrual adjustments

You will hear from GTN Forum advisors David Levi from Bristol-Myers Squibb and Jennifer Sharpe from Professional Provider Services, Inc. Together, David and Jen will pool their personal experience, network of clients and industry colleagues to provide the audience with best practices and an interactive discussion on these key product milestones.

Space is limited, reserve your seat today.

DATE: May 8, 2013
TIME: 11:00am-12pm EST
SPEAKERS: David Levi Executive Director Finance US Controller & Global Commercial Controls, Bristol-Myers Squibb

Jennifer Sharpe Director of Managed Markets Projects & Business Development, Professional Provider Services, Inc.

COST: Complimentary

To find out more about the 2013 program, download the agenda.

As a reader of Healthcare Insights blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you this June!

Best,

The Pharmaceutical Accounting, Financial, & Reporting Team

Visit our homepage
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Look Who’s Attending the 21st Annual Medicaid Managed Care Congress

noreply@blogger.com (Kate) — Wed, 24 Apr 2013 19:48:00 +0000

The 21st Annual Medicaid Managed Care Congress has been the number one meeting place to collaborate with state officials and health plan executives to drive next generation Medicaid managed care for our business. See who’s already attending.

Already Confirmed to Attend (Partial List):

AARP*Aegis Sciences Corporation*Aetna*Aetna Better Health*Alkermes*Altegra Health*American Hospital Association*Amerigroup Community Care*Amerigroup Corporation*AmeriHealth Mercy Family of Companies*Amgen*Anthem Blue Cross Telehealth Department*Baxter Healthcare*Bayada Home Health Care*Benecare Dental Plan*Blue Cross Blue Shield of Tennessee*BMC Healthnet Plan*Boehringer Ingelheim*Borinquen Health Care Center*Boston Medical Center HealthNet Plan*CalOptima*Care Monitoring 2000*Care Source*CareCall Inc*CareContinuum*CareSource* Centene Corporation*Centers for Medicare & Medicaid Services*Central Florida Behavioral Health Network*Children's Community Health Plan*ClearStone Solutions*Community Health Choice*CorVel Corporation*Coventry Health Care*Coventry Cares of Kentucky*Daiichi Sankyo Inc*DC Chartered Health Plan, Inc.*Decision.org*Department for Medicaid Services*Dept of Healthcare Financing Policy*DHHS - Office of Inspector General*District of Columbia*DK Pierce & Associates*Excellus BlueCross BlueShield*Fallon Community Health Plan (FCHP)*First Quality*Forest Laboratories Inc*Geisinger Health Plan*Genentech*Genomic Health*Girling Health Care Inc*Greater Louisville Inc*Greystone Consumer Empowerment Systems*Hayes Inc*Health Management Associates*Health Partners of Philadelphia*HealthSpring*Hinman Straub *Horizon NJ Health*HSCSN*Hudson Health Plan*Humana*Idaho State Government*Lilly USA*Louisiana Dept of Health & Hospitals*MACPAC*Magellan Health Services*Maryland Dept of Health & Mental Hygiene*MDwise Inc*Med Solutions*Medagate*Merck*Milwaukee County*Mississippi Division of Medicaid*MMIT*Molina Healthcare*Molina Healthcare of Ohio*Molina Healthcare of UT*Montgomery County Government*Mostly Medicaid*MultiPlan, Inc.*Myers & Stauffer LC*National Governors Association*National PACE Association*Neighborhood Health Plan of RI*Novo Nordisk BioPharm*Office of Inspector General*Paramount Health Care*Passport Health Plan*Pfizer*Prestige*Provider Resources Inc*Reckitt Benckiser*RightCare from Scott & White Health Plan*Robert E Nolan Company*Seniorlink*Shire*Sims Consulting*State of Rhode Island*Teva Neuroscience*Teva Pharmaceuticals*TRIPIL*UnitedHealthcare*UnitedHealthcare Community Plan*UPMC Health Plan*US Army*US Script *Valley Mental Health, Inc.*ValueOptions*VARIS*Virginia Dept of Medical Assistance Svcs*Voxiva*VSP Vision Care*WellCare*WellPoint*Wolfson Children's Hospital

To learn more, download our full brochure.

As a reader of the healthcare insights blog, you can use priority code XP1826BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

Cheers,
The Medicaid Managed Care Congress

Visit the MMCC Homepage
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The Gross-to-Net Account forum will be here before you know it—seats are already filling up!

noreply@blogger.com (Kate) — Wed, 17 Apr 2013 19:33:00 +0000

Since its introduction, the buzz for this event has been building more and more each week, with positive feedback from our growing attendee list.

Join us to ensure you do not miss out on learning the newest developments in the GTN process. Plus, this is a great opportunity to meet our distinguished 2013 GTN speaker faculty, and receive one-to-one help to develop operational strategies that will minimize the variances impacting your bottom line, including:

· Commercial Contracts and Managed Care - Tara Brodo, Director, Contract and Analytics, DAIICHI SANKYO

· Case Study: Budgeting, Planning, Accounting & Financial Controls Impact of Government - Brett Nussbaum, Head, Revenue Deductions, NOVARTIS

· Impact of Government Pricing and Contracting - Jennifer Norton Sr. Pricing & Contract Administration, VERTEX PHARMACEUTICALS

· Small/Mid-Sized Pharma Perspective for GTN Calculations - Paul Troiano Sr. Director, Commercial Finance, OPTIMER PHARMACEUTICALS

To find out more about the 2013 program, download the agenda.

As a reader of this blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you this June!

Best,
The Gross-to-Net Accounting Forum Team

P.S. Don’t forget to register for our Webinar taking place: May 8th 11:00-12:00 PM EST. Space is limited. Reserve your Webinar seat now!

Oncology Management Industry Outlook

noreply@blogger.com (Kate) — Tue, 16 Apr 2013 20:30:00 +0000

IIR’s collaborative Summit for Oncology Management will deliver dedicated sessions on the outlook of oncology management to prepare you for the evolving reimbursement landscape and the effect on you and your business, including:

Industry Trends: What’s Happening in Healthcare? Jayson Slotnik, Partner, Health Policy Strategies, LLC

What’s the Impact of Healthcare Reform on Cancer Care?

Moderator:
Elan Rubinstein, PharmD, MPH, EB Rubinstein Associates

Panelists:
• Michael Kolodziej, MD, FACP, Medical Director, Oncology Strategy,Office of the Chief Medical Officer, Aetna
• William T. McGivney, PhD, Former NCCN CEO, McGivney Global Advisors
• Jack Whelan, Patient Advocate & Member, Personalized Medicine Coalition

The Use of Screenings, Biomarkers & Diagnostic Testing to Increase Positive Outcomes and Manage Cost of Oncology

Moderator:
Paul Howard, Director and Senior Fellow Center for Medical Progress, Manhattan Institute for Policy Research

Panelists:
• William T. McGivney, PhD, Former NCCN CEO, McGivney Global Advisors
• Oscar Puig, Biomarker Lead in Oncology, Translational Clinical Research Center, Roche
• Maurie Markman, MD, Senior Vice President, Clinical Affairs, Cancer Treatment Centers of America

To learn more, download our brochure.

As a readerr of the healthcare insights blog, you can use priority code XP1814BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

We look forward to seeing you in June!

Best,
Oncology Management Team

Visit the Oncology Management Webpage
Follow us on Twitter

Early Registration Access for MDRP Alumni

noreply@blogger.com (Kate) — Wed, 10 Apr 2013 19:05:00 +0000

We wanted to take a moment to remind you that as a loyal past attendee of the Medicaid Drug Rebate Program (MDRP) Summit, you receive the greatest possible savings for this year’s upcoming event by registering early!

Registering now will also give you a leg up on getting your hotel accommodations confirmed. Last year, the hotel sold out early—so act fast! To book your hotel accommodations, please contact the Chicago Marriott Downtown Magnificent Mile at (800) 228-9290 and mention “IIR MDRP.”

Focused as always on everything government rebates, pricing, and regulation, this year MDRP will deliver you the latest regulatory updates, provide exclusive access to meet face-to-face with States through Dispute Resolution Meetings, and offer the most complete coverage on the final AMP Rule expected to be released in August.

Register early to save!

As a reader of the healthcare insights blog, you receive an exclusive discount of 15% off of the standard price when you register to join by using priority code XP1758BLOG. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Cheers,
The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
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Oncology Management – Are you attending?

noreply@blogger.com (Kate) — Mon, 08 Apr 2013 19:11:00 +0000

Have you seen the agenda for IIR’s all-new Collaborative Summit for Oncology Management?

This is the only event that brings together all the stakeholders in the oncology management marketplace. Here are some program highlights that show how the event is unique in this marketplace:

• See different perspectives on the direct impact of the Affordable Care Act on the oncology landscape and the treatment of patients with cancer

• Hear Lee Newcomer deliver lessons learned from UHC’s bundled payment program to reduce cancer care costs and reward physicians for health outcomes

• Get challenges and lessons learned from Dartmouth-Hitchcock’s implementation of the ACO program thus far

• Get a multi-stakeholder view of important cancer care quality indicators

To learn more, download our brochure.

As a member of the Oncology Management Professionals LinkedIn Group, you can use priority code XP1814LINK to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

We look forward to seeing you in June!

Best,
Oncology Management Team

Visit the Oncology Management Webpage
Follow us on Twitter

Have you signed up for the Gross-to-Net Accounting Forum?

noreply@blogger.com (Kate) — Thu, 04 Apr 2013 17:00:00 +0000

The GTN Accounting Forum, taking place on June 17-18 in Boston, brings branded and generic, large and small pharma and industry experts to an interactive and intimate setting to discuss common challenges around the GTN process. Government and commercial departmental collaboration is emphasized with content covering both aspects of GTN calculations. This unique gathering allows for idea exchange and knowledge share to position your company to minimize calculation variance impacting your bottom line by:

• Properly forecasting for new product launches to decrease return reserves
• Using analytics beyond excel to more easily pull together GTN data
• Forecasting reserves accurately and collaborating to minimize risk of audits
• Identifying and anticipating managed care rebates that will change moving into 2014

PLUS! In-depth coverage on Chargebacks and the Impacts of Healthcare Reform on Medicaid Liability to ensure you leave with the complete GTN perspective. The introduction to the chargeback/rebate process gives you an overview of this unique world and its impact on the pharmaceutical company’s financial reporting and health. The Healthcare Reform intensive covers topics such as the AMP rule, legislation driving increased utilization, accruing for state invoices and Medicare Part D Coverage.

To find out more about the 2013 program, download the agenda.

As a member of Pharmaceutical Accounting, Financial, & Reporting Professionals group, you get a 15% discount off the standard rate when using code XP1811LINK to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you this June!

Best,
The GTN Accounting Forum Team

Keep in touch:
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Customize Your Experience at the Medicaid Managed Care Congress

noreply@blogger.com (Kate) — Thu, 04 Apr 2013 13:00:00 +0000

Reserve your seat today for the 21st Annual Medicaid Managed Care Congress taking place on May 20-22 in Baltimore. With four preconference options and three reconfigured tracks, you can build an agenda that best aligns with the goals of your health plan and department, as well as the skills you need for personal development.

Choose from the 4 preconference options that provide learning opportunities of the specific Medicaid managed care elements matter most to you:

1) Medicaid Managed Care 101: Provides an overview and key topics regarding Medicaid

2) Health Insurance Exchange Intensive: In-depth analysis of exchanges from health plan and state perspective

3) Medicaid Managed Care: Gain insight into how specific plans build their formularies

4) Clinical & Financial Benefits of Predictive Modeling: Identify fraud, abuse and risk to improve health outcomes

During the main conference, you can further customize your experience by choosing from the following tracks led by health plan industry leaders:

· Administrative & Financial Considerations: The administrative and financial considerations track covers some of the area’s most likely to affect your profitability, such as state financial constraints and healthcare reform.

· Enrollment, Engagement & Retention: The enrollment, engagement and retention track is right for you if you’re looking to increase membership by reaching potential new members while retaining your current members through innovative marketing campaigns.

· Complex Care Management: The complex care management track provides you with technical examples to increase clinical outcomes through health homes, lifestyle adherence programs and mental health integration.

In addition, you will hear from keynote speaker Richard Gilfillan M.D., Director of the Center for Medicare and Medicaid Innovation from CMS as well as other state Medicaid Directors and industry luminaries.

To learn more, download our full brochure.

As a reader of this blog, you can use priority code XP1826BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

Cheers,

The Medicaid Managed Care Congress

Visit the MMCC Homepage
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Are you ready for the D.U.A.L.S. Forum?

noreply@blogger.com (Kate) — Wed, 03 Apr 2013 15:25:00 +0000

Join us this week, April 4-5 at the Marriott Inner Harbor at Camden Yards to hear all of the necessary strategies and tactics to increase care coordination and decrease costs.As your partner in dissecting and understanding healthcare and all that it encompasses, we are pleased to provide you with a forum to learn industry insights from health plans making waves in the dual eligibles space.

By attending, you will:

• DEFINE opportunities, including financial incentives, created by serving dual eligibles.
• UNDERSTAND duals' needs in order to determine how you would have to extend your network and change your benefits to best address their needs.
• ALIGN programming by partnering with (or purchasing) a health plan that compliments your plan.
• LEVERAGE existing resources to reduce administrative costs.
• SUCCEED in providing quality, cost efficient care to dual eligibles.

To find out more about the 2013 program, download the agenda. Onsite registration will be open both days of the event. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you in Baltimore!

Best,

Medicaid & Medicare Marketing & Enrollment Congress

The D.U.A.L.S. Homepage
The D.U.A.L.S. Twitter: https://twitter.com/healthcarebiz
The D.U.A.L.S. Blog: http://healthcareinsights.blogspot.com/

Have you signed up for the Gross-to-Net Accounting Forum?

noreply@blogger.com (Kate) — Thu, 28 Mar 2013 17:01:00 +0000

More and more, pharmaceutical manufacturers are realizing that nothing can be done in a vacuum. With something as complex and fundamental to an organization’s financial success as Gross-to-Net calculations, this need for collaboration is even more apparent. Before, commercial and government departments worked fairly independently, but those days are over.

At IIR’s Gross-to-Net Accounting Forum, we know how important it is to hear both sides of the GTN story – Commercial and Government. Our case studies will help you optimize accuracy and accountability over the entire pharmaceutical GTN process through internal government and commercial departmental collaboration. Case studies include:

● Account for the Government Pricing and Contracting Impact on GTN Calculations With Medicaid expansion continuing into 2014, the impact it has on pharmaceutical company financials is going to continue to grow. In this session, Jennifer Norton of Vertex Pharmaceuticals discusses how government pricing and calculations affect GTN and the operational changes in government pricing that arise that affect the overall calculation.

● Commercial Contracts and Gross-to-Net for Managed Care New legislation, new distribution channels and more complex contract structures continue to present operational challenges in managed care forecasting and accruals. In this session, Tara Brodo and Mila Tartakovsky of Daiichi Sankyo discuss process documentation, how to implement appropriate controls, and identifying risk and inefficiencies in the calculation process.

To find out more about the 2013 program, download the agenda.

As a reader of Healthcare Insights blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you this June!

Best,
The GTN Accounting Forum Team

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Download IIR's Collaborative Summit for Oncology Management Podcast Featuring: Ira Klein

noreply@blogger.com (Kate) — Wed, 27 Mar 2013 13:30:00 +0000

In this Executive Podcast, Mr. Klein shares his thoughts on the impact of healthcare reform on cancer care and the greatest changes and challenges managed care companies will see in the coming years. He'll also talk about Aetna's Compassionate Care Program and how this program is actively engaging Oncologists with patients early on. As the leader of the Oncology Solutions Team at Aetna, he'll bring his expertise to the all-new IIR Oncology Management Summit as Chairman and Keynote Panelist on the Real-World View on the Cancer Care System.

Download the Podcast!

IIR is introducing the Collaborative Summit for Oncology Management during a time when cancer care is undergoing a period of rapid transformation. As you strive to meet the emerging value mandate, this summit delivers multi-stakeholder perspectives on innovative managed care strategies to effectively manage costs while improving quality and effectiveness of cancer care. Influence the future of oncology management with these key event take-aways:

• Multi-stakeholder view of the oncology management marketplace

• Lessons learned from payment and healthcare delivery reform pilot programs

• Meet and collaborate with oncology leaders spearheading industry change

To learn more, download our brochure.

As a reader of the Oncology Management Professionals blog, you can use priority code XP1814BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

We look forward to seeing you in June!

Best,
Oncology Management Team

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Get In-Depth Coverage of Chargebacks and Medicaid Forecasting at the GTN Forum

noreply@blogger.com (Kate) — Wed, 20 Mar 2013 19:07:00 +0000

With belts tightening across the board, the pharmaceutical and biotech industry is looking even more closely at what goes into Gross-to-Net calculations to ensure forecasts and liability accruals are as accurate as possible. Every penny counts these days! At the new Gross-to-Net Accounting Forum, you'll find branded and generic, large and small pharma experts openly discuss their GTN challenges, and most importantly, offer the best ways to overcome them and benchmark your results.

The comprehensive GTN Forum program will position you to minimize calculation variance impacting your bottom line by:

• Decreasing return reserves by properly forecasting for new product launches
• Minimizing risk of audits through departmental and government collaboration
• Anticipating and preparing for Managed Care rebates in 2014 and beyond

PLUS! There will be a dedicated pre-conference workshop dedicated to just Chargebacks! This relatively simple concept quickly becomes an elaborate undertaking that can greatly impact a pharmaceutical company's financial reporting and health. Understand the complexities of the chargeback/rebate process by attending the Chargebacks 101 Pre-Conference Workshop on Monday, June 17, 2013.

To find out more about the 2013 program, download the agenda.

As a reader of GTN blog, you get a 15% discount off the standard rate when using code XP1811BLOG to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you this June!

Best,
The GTN Accounting Forum Team

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Download a New Podcast on Overcoming Companion Diagnostics Challenges

noreply@blogger.com (Jennifer) — Wed, 20 Mar 2013 18:36:00 +0000

How will you overcome your greatest companion diagnostic challenges?

Speaker Dan Snyder

Get the answers in an exclusive podcast from the 2nd Annual Future of Companion Diagnostics Summit speaker and industry leader Dan Synder, President and COO, MolecularMD.

MolecularMD is proving that it is possible to devise and commercialize a functioning and useful companion diagnostic. Hear Dan Synder talk about how to make this possible and what you can do to drive your own business forward.

Download the Full Podcast.

You will hear how to:

● Overcome Challenges
Learn from the greatest challenges facing the companion diagnostics field today and unconventional methods to overcome them, including the utilization of novel assay platforms
● Manage Stakeholder Relationships
Hear best practices on how to break down silos between stakeholders so all parties communicate effectively and are satisfied in the development of companion diagnostics
● Structure Simultaneous Development
Learn how to synchronize the simultaneous development and approval of drug and diagnostic
● Develop Key Partnerships
Partnerships between pharma and diagnostics companies are essential. Gain insights on how best to share risk and reward and learn what are critical “go / no-go” project points.

Meet Dan and other industry experts in person in May at the 2nd Annual Future of Companion Diagnostics Summit to develop your companion diagnostic partnerships, propel market success and payer reimbursement. For more information on his session and the rest of the program, download the agenda.

As a reader of this blog, when you register to join us and mention code XP1813BLOG, you’ll save 15% off the standard rate. With this discount, you also receive access to the Medical Devices Pricing, Reimbursement and Market Access Forum! If you have any questions about this event taking place May 22-23, 2013 in Boston, feel free to email Jennifer Pereira.

Only 2 Weeks Left to Register — Save Your Seat Today

noreply@blogger.com (Kate) — Tue, 19 Mar 2013 18:38:00 +0000

The DUALS Forum is just over two weeks away! Join us to hear all of the necessary strategies and tactics to increase care coordination and decrease costs.

By attending, you will:

• DEFINE opportunities, including financial incentives, created by serving dual eligibles.

• UNDERSTAND duals' needs in order to determine how you would have to extend your network and change your benefits to best address their needs.

• ALIGN programming by partnering with (or purchasing) a health plan that compliments your plan.

• LEVERAGE existing resources to reduce administrative costs.

• SUCCEED in providing quality, cost efficient care to dual eligibles.

Join the growing list of attendees already confirmed to participate in Baltimore on April 4–5:

Altegra Health | American Institutes for Research | Amerigroup | Blue Cross Blue Shield | BMC Healthnet Plan | Brockton Hospital | CareMore | CareSource | Catamaran | Commonwealth Care Alliance | Commonwealth Medicine | Fallon Total Care | Firstsource Solutions | Gateway Health Plan | Glenridge Healthcare Solutions | Gorman Health Group | Group Health Cooperative of Eau Claire | Health Management Associates | Health Partners | Health Policy Matters | HealthSpring | Homefirst Elderplan | KnowledgeBase Marketing | L.A. Care Health Plan | Marwood Group | Montefiore Medical Center/CMO | NARBHA | Optima Health Plan | Public Consulting Group | SCAN Health Plan | Seniorlink | United Healthcare | WellPoint |

There's still time to register! As a reader of the D.U.A.L.S. blog, you get a 15% discount off the standard rate when using code XP1804LINK to register. To find out more about the 2013 program, download the brochure. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you in Baltimore!

Best,
The D.U.A.L.S. Forum Team

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Key Players Convene to Improve Quality and Cost of Cancer Care

noreply@blogger.com (Kate) — Mon, 18 Mar 2013 18:41:00 +0000

IIR’s Collaborative Summit for Oncology Management brings together perspectives from a diverse range of companies — public and private payers, providers, health systems, patient groups, pharmaceutical companies, PBMs, and specialty pharmacies. Together, you will address key topics to uncover innovative managed care strategies that effectively manage your rising costs while gaining new ways to improve the quality and effectiveness of cancer care.

The in-depth speaker line-up at the Oncology Management Summit is comprised of experts, leaders, and executives including:

• Lee Newcomer, SVP, Oncology, Genetics and Women’s Health, UnitedHealthcare
• Ira Klein, Chief of Staff, Office of the Chief Medical Officer, Aetna
• Barbara Walters, MD, Executive Medical Director, Dartmouth – Hitchcock
• Ted Okon, Executive Director, Community Oncology Alliance (COA)
• Jan Berger, MD, Chief Medical Officer, Silverlink Communications
• Karen Fields, MD, Medical Director, Strategic Alliances, Moffitt Cancer Center
• Gwen Darien, Director, The Pathways Project
• Bruce J. Gould, MD, Medical Director, Northwest Georgia Oncology Centers
• Michael Kolodziej, MD, FACP, Medical Director, Oncology Strategy, Office of the Chief Medical Officer, Aetna
• Elan Rubinstein, PharmD, MPH, EB Rubinstein Associates
• William T. McGivney, PhD, Former NCCN CEO, McGivney Global Advisors
• Jack Whelan, Patient Advocate & Member, Personalized Medicine Coalition

To learn more, download our brochure.

As a reader of this blog, you can use priority code XP1814BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

We look forward to seeing you in June!

Best,
Oncology Management Team

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Will increasing the quality of palliative care help decrease the number of hospital visits?

noreply@blogger.com (Kate) — Thu, 14 Mar 2013 17:37:00 +0000

Could optimizing the quality of cancer care and cost at home help reduce both the number of hospital visits, and increase survival rates? According to the Journal of the National Cancer Institute, there have been no studies to show that increased spending also increases patient survival rates.

Advanced cancer spending varied by up to 41 percent between high- and low-spending regions. The Midwest and West contained the majority of low-spending regions, while high-spending regions were located in central New Jersey, Southern California and Louisiana, Medscape Medical News reported.

Although researchers have found that increased spending relating to cancer care also correlates to longer hospital stays they must consider a significant amount of that number could be from chemotherapy costs. Is making palliative care more accessible the solution?

Want to learn more about managing palliative care? At IIR’s Collaborative Summit for Oncology Management, we'll discuss new ways to manage palliative and end-of-life care to control cost and improve patient outcomes. To learn more, download our brochure.

As a reader of this blog you receive 15% off the standard rate when your register using code XP1814BLOG. We hope to see you June 17-18 in Chicago!

Medical Device Tax and how it will impact the industry

noreply@blogger.com (Jennifer) — Wed, 13 Mar 2013 13:00:00 +0000

It was announced in January that there would be a new tax on medical devices - 2.3% tax on all new devices sold in the United States. This will be challenging for many of the small and mid-sized firms who develop and deliver these devices who are already facing slim reimbursement and challenging budgets. This has been one of the fastest growing sectors of healthcare as well as one of the most innovative. Part of the reason for the imposed tax is the number of new patients gaining access to healthcare who will now have access to these devices increasing sales. InMedica points out there are several ways to overcome this new burden including streamlining business unites, passing on the costs to the consumer and outsourcing the manufacturing.

This is just one of the aspects of the Affordable Care Act that will impact the industry. At the Medical Device Pricing, Reimbursement and Market Access Forum, Peter Weber, MD, Chief Medical Officer, COCHLEAR will be examining the other aspects of change brought on by the Affordable Care Act in his presentation Anticipate the Effects of the Shift to Accountable Care. For more information on this session and the rest of the agenda, download the brochure. If you'd like to join us in Philadelphia, as a reader of this blog when you register to join us and mention code XP1813BLOG, you'll save 15% off the standard rate.

What do you think is the biggest impact this tax will have on the medical device industry?