Recent Experiences

2018 – 2019 continuing education program “Value-based HIV formularies: optimizing use of clinical evidence and pharmacoeconomic models in managed care"

  • Specialized program on the latest trends in HIV formulary development and management in managed care
  • Update on clinical management of HIV with implications for managed care in all practice settings
  • Faculty included clinical expert (MD), managed care medical director, and managed care pharmacy director
  • Format included 45 minutes of presentations and 15 minutes of questions and answers
  • The program can be accessed at https://www.exchangecme.com/17HIVwebcast

HIV Webinar Series

  • Series of six webinars on optimizing HIV care, launched in 2016
  • 260 participants drawn from a variety of medical, pharmacy, case management, and other disciplines
  • Program included health plans, PBMs, and health systems
  • Faculty included clinical expert (MD), managed care medical director, and managed care pharmacy director
  • Format included 45 minutes of presentations and 15 minutes of questions and answers
  • Recordings, slides, and CE test are available at the following site (cut and paste into your browser if needed): http://www.powerpak.com/course/preamble/113850

Hemophilia Webinar Series

  • Five-year webinar program, 2010-2014; six webinars per year
  • Content accredited through 2016; content still available without CE credits
  • Conducted in conjunction with the National Hemophilia Foundation
  • Objectives
    • Address patient, provider, and payer coordination issues in hemophilia management
    • Improve communication among stakeholders and efficiency of services for patients
  • CE for physicians, pharmacists, nurses, and case managers
  • Represented health plans/PBMs, hospitals/systems/GPOs, specialty pharmacy, medical group practices, hemophilia treatment centers
  • Presenters: Hematologist, nurse coordinator (hemophilia treatment center), specialty pharmacy, payer
  • Format: Didactic presentations, case studies with pre- and post-case study audience response questions, and discussion
  • Journal article and other enduring materials
  • Series grew from 61 attendees in 2010 to 842 attendees in 2014; 60% of attendees completed CE evaluation forms
  • Board members involved: Ed Pezalla, MD, MPH; James Jorgenson, RPh, MS, FASHP; Celynda Tadlock, PharmD, MBA

Representative experiences beyond specialty care

  • Diabetes
    • Adherence program to improve A1c levels
    • Measured against A1c levels and patient cost with and without the program
  • Migraine
    • Impact of new medication on reduction in hospital ER visits, head scans, onset of relief, number of rebound headaches, use of opioids, and OTC medications
    • Measurement of resource utilization, and costs that could be imputed by individual health plans based on local market conditions and contracts
  • Note: The results of both of these projects were reported as journal articles in the America Journal of Pharmacy Benefits (AJPB), the official Journal of SHBC.