PPT-Insights into alternative cost management strategies across common PBM levers

PBM Payer Partnerships Nicole Bulochnik MS PharmD BCPS BCCCP CRC Vice President Drug Pricing And Network Strategy Timothy Mizak PharmD MS MBA Director Drug. Ancient Greece: Accomplishments. Warm-Up. 1. Turn to your neighbor and compare the achievements you see or use.. 2. See who has the most.. 3. See how similar you are.. 4. See how different you are.. CP Series 6. CD Series 6. CN Series 6. PBM Cryogenic Ball Valve Overview. Sizes ½” –3” Full Port. Consult PBM for additional sizes.. Temperatures from 400. ºF, 205ºC. down to -320. ºF, . -. Levers. A stiff structure that rests on a turning point called the fulcrum. Used to change the amount, the strength and the direction of movement. . The position of the force and the load can be changed by moving them to different points on the lever. . Clarity. PBM Practices. Charge client administration fees for drugs that were . not. dispensed. PBM use contract terms such as “claims” that are not clearly defined or defined in ways to allow PBMs to bill clients for “duplicate”, “reversed”, and “rejected” claims . Levers. A . lever. is a tool that people use to make work easier. . Levers are used to lift things or overcome resistance. . Levers give us an . advantage. by making work easier. . Vocabulary. The . 3-Flow Time Reduction Levers. Based on the book: Managing Business Process Flows. Levers for Managing Flow Time. To . reduce the flow . time we must . shorten . the length of every critical path. . F. Not so simple machines!. Just think….. Could you lift your science teacher in the air?. Keep Thinking…... (This means you don’t have to write this!!). Building a house. Lifting a car. Building the pyramids. What is a PBM?. An organization that helps:. Manage the purchasing, reimbursement and dispensing of prescription drugs for employers, plan sponsors or health plans. Create and maintain pharmacy networks . Can you lift a heavy load with only one finger?. Does it always take the same amount of force to lift a load?. Do you know that you can perform stunning feats of brute strength, far more amazing than the most powerful athletes?. Cindy Puffer RPh . Managed Care Pharmacy Operations Manager . Pharmacy Services . May 29, 2014 . Outline the Evolution of Drug Benefit Management. Understanding Pharmacy Benefit Management (PBM) pricing. ReEntry. The Ohio Parole Board’s implementation of Select Strategies. Presented by:. Cynthia Mausser. Chair. The 13 strategies. Define Success as Recidivism Reduction and Measure Performance:. Adopt Risk Reduction & Behavior Change Strategies. consulting team. In-house pharmacists, PBM and Medicare Part D experts. Former C-level PBM executives averaging 20 years . industry experience each. Manage 18 million pharmacy lives. Provide unbiased, impartial, expert advice. PBM . to Assure Adherence to Contract . Terms. . and that Identifies Opportunities . HR . Specialty Products & Services Catalogue Executive . Summary. A No Frills Distillation of Vendor’s Marketing Collateral . Provider Training. Implementation Information. District of Columbia Pharmacy Benefit Management (PBM). On December 19, 2015, Magellan Medicaid Administration, Inc. (part of the Magellan Rx Management Division of Magellan Health, Inc.) will assume the responsibility for the .